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What Can Be Done for Uneven Alar Base Scar After Rhinoplasty?

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?

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.

Dallas Plastic Surgeon
5.0 out of 5 stars 12 reviews

Alar scar


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.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

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.

Chicago Plastic Surgeon
5.0 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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