Options for deep scar on the bridge of my nose? (photos)

Question

Hello! I ran into a metal birdfeeder as a kid, about 10 years ago, and never got stitches to close the wound. From what I remember, a doctor told my parents and I that a steri strip would be fine to close it. As a result, I have a deep scar on the bridge of my nose that has bothered me for years. It is fairly deep (I'm not sure if you can tell from the photos) and I can definitely feel scar tissue under the line on my nose. What are some of my options? Thank you in advance!

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

Scott Trimas, MD · Answer

There are several options available. Perhaps, the easiest and simplest is to have filler injected to lift up the scar and make it level with the surrounding skin. Other options may include resurfacing procedures to smooth down the shoulders or even a surgical revision to narrow the scar. I would seek a consultation with a facial plastic surgeon in your area.

Brian S. Biesman, MD · Answer

Thank you for your question.  This is a common area for depressed scars to present.  I agree that examination in person is the only way to make a definite recommendation.  There are times when subcision alone can provide significant improvement in scars of this nature. Best of luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Based on your photographs, you may benefit from a surgical scar revision of your nose.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   
 
 Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

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