I am happy with my Rhinoplasty, except for a wicked jagged scar on one side. The other side is perfect. I had this procedure 4 years ago; the scar isn't going to get any better. It is noticeable to others, and I really want to get rid of it. Can I get it resected? Lasered? Consulted a plastic surgeon a year ago, and he said it would be too complicated, not worth it. I want a second opinion. It seems as though that side can be taken in a little, since it was left wider anyway. But I am no doctor. Can anyone help?
What Can Be Done for Uneven Alar Base Scar After Rhinoplasty?
Doctor Answers 3
Alar base revisions are difficult
This is a tough problem as you already have a narrower alar base on the side you have the uneven scar. I would not revise it but merely do a dermabrasion or laserbrasion to soften the scar and blend it into the rest of your alar base. This is not an uncommon problem with alar base resections.
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Revising the scar may be possible, but it may also leave you with a similar scar. Tough choice, because it also could change the asymmetry to make it worse.
Nostril scar following rhinoplasty
It is my opinion that performing a scar revision will result in an excessively small nostril on that side. Furthermore, there are other asymmetries to the nares that are difficult to correct without an extensive procedure.
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