How to Flatten Scar Post Rhinoplasty

I had tip refinement and alarplasty about nine months ago, and I think the scar has completely matured. It's beginning to feel softer along where the incision was made, I think, but it is still raised causing the tip to be swollen (largely due to the thickness and oiliness of the skin I am told). Is there something I can do to expediate the flattening of the scar. Would kenalog be a recommended course of action to expediate resolution of scar and swelling at this point? Thanks and all the best!

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3 Doctor Answers | Asked by odette in detroit, MI

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Scars & swelling after rhinoplasty

You have 2 issues, scars after alarplasty and tip swelling in thick skin after tip-plasty. The alar scars may be improved with steroid tape (Cordran), dilute triamcinolone (Kenalog), or a number of laser technologies. The tip swelling can be improved with triamcinolone (Kenalog) injections as well, although in thick-skinned patients it can take over one year for all the swelling to settle. Best wishes.

Improve Scar After Rhinoplasty Surgery

Tip swelling & incision scar from alarplasty are still improving at 9 months after rhinoplasty surgery. Speak with your rhinoplasty surgeon to help determine appropriate options for you. Rhinoplasty swelling occurs both on the outside and inside of the nose. It is normal to feel congested and have nasal obstruction and postnasal drip immediately after rhinoplasty surgery. Patients are generally "restaurant ready" and socially acceptable within 2 weeks. Most swelling... more

Flatten hypertrophic scars

It is not uncommon to have raised or hypertrophic scars post surgery. Intralesional steroid injection most of the time can soften and flatten the scar. Additional popular options include pulsed dye laser or fractional laser. You should consult your surgeon and see what the best course should be.