Bad scar after rhinoplasty? (photo)

The scar can be revised and can likely be improved with regard to appearance.Kenneth Hughes, MDLos Angeles, CA

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

During your revision rhinoplasty your surgeon can perform a scar revision by excising the old scar. With a meticulous, tension-free closure the appearance of the scar should improve.

The open rhinoplasty incision usually heals extremely well, and is virtually never an issue. However, there are always exceptions, and some scars may benefit from resurfacing or revision.

Your scar can be improved with a revision; this appearance is unfortunate and unnecessary. At the same time consider surgery to improve your tip asymmetry, raise your hanging columella (the tissue between your nostrils), and fill the depression above the tip.

Your scar is a little too visible because of its location and its orientation. During revision the scar should be revised and slightly re-oriented to be less obtrusive.The bigger issue has to do with the revision itself. Revision rhinoplasty can be a daunting challenge since the tissue planes have already been compromised and the delicate cartilages that give shape to the tip have already been worked on. Be sure that you see a surgeon with American Board of Plastic Surgery certification who has had a great deal of revision rhinoplasty experience. Insist on seeing a comprehensive portfolio of pre- and post-op pictures so you can see the types of results that are reasonable to expect.