Dented scar on the tip of the nose from a burn more than 35 years ago. What's the best treatment? (Photo)

Question

Hi, I received 2 opinions from 2 cosmetics surgeons. One suggested a Juvederm filler together with a bleaching and some laser sessions before going for Arterfill. One suggested 6 sessions of Dermapen. I'm out in the sun a lot and worried if one of the procedures would prohibit me from being in the sun. I'd also like to know the possibility of granulomas from the Arterfill; and of disfiguring and permanent bruises or darkening from the aggressive use of Dermapen. Thank you very much, HNg

Michael J. Weinberg, MD · Answer

Thanks for this question.I think that a temporary filler like Juvederm would help you significantly. Sometimes those scars are quick adherent ( stuck) and the correction is incomplete. This could be done over two or three sessions to improve the final outcome.I would absolutely not recommend a permanent filler, especially in that location.

Jeff Angobaldo, MD · Answer

Thank you for your question and photo.  There are many options available to improve the contour including laser resurfacing, chemical peels, dermabrasion, fillers, etc.  Consult with a board certified Plastic Surgeon for a consultation.  Best Wishes.

Misbah Khan MD, FAAD, FACMS · Answer

nasal tip scarring can be made better with laser resurfacing. I do  a fair number of scar revisions. depending upon what laser is used for your care, the downtime can vary and so will the time spent in the sun after the procedure. moots my patients do not have to take more than 1 day off from being in the sun. but thats because of the type of CO2 laser I use. consult with your local doctors please.

John Louis Ratz, MD · Answer

In the hands of an experienced laser surgeon, this can be nicely sculpted for a permanent result with the fractionated CO2 laser.. However, if the surgeon does not have the experience of dealing with depressed scars, you could end up with a flat nasal tip. You might want to consider seeing Tina Alster in DC. She has a lot of laser experience.                jlr

Costas Papageorgiou, MD, FACS · Answer

I agree that the scar/indentation  might be responsive to hyaluronic acid filler depending on its elasticity.  I wouldn't advise the use of permanent fillers. You can also consider treating the area on a daily basis  with a 0.5mm dermaroller

Dented scar on the tip of the nose from a burn more than 35 years ago. What's the best treatment? (Photo)

Answers (6)

Answer: Nasal Dent

Answer: Nasal Dent

Answer: Scar indentation

Answer: Scar indentation

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Everything you need to know about Juvederm

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Dented scar on the tip of the nose from a burn more than 35 years ago. What's the best treatment? (Photo)

Answers (6)

Answer: Nasal Dent

Answer: Nasal Dent

Answer: Scar indentation

Answer: Scar indentation

Browse related questions

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.