Scar Treatment Options Following Skin Graft on Nose Tip?

Question

What's the most expedient and effective scar treatment following skin graft surgery (for basal cell removal) on nose tip?

Ran Y. Rubinstein, MD · Answer

I have used Fraxel re:pair to treat patients after skin graft and local skin flap reconstruction of their noses post skin cancer removal. The ideal time for the laser treatment is about 6 weeks post surgery and usually just one treatment is needed.  The entire nose is lasered, not just the graft, so as to blend the graft in with the surrounding skin. Insurance has covered this procedure for some of my patients as it is a reconstructive, non cosmetic procedure.
Good luck!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Paul S. Nassif, MD · Answer

Hello,
The best option would be to remove the graft and perform a local flap from other nasal tissue.  To educate yourself a bit more on the procedure,  google "bilobe flap." Hope this helps to answer your question.
Dr. Nassif

Scar Treatment Options Following Skin Graft on Nose Tip?

Answers (3)

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