Alar base scar revision from surgery 12 years ago (photos)

Question

Hi Doctors, I would like to know what treatment is best to remove my alar base scar. I had my surgery 12 years ago, but the scar on the left akar base never flattened, I have tried kenalog injections and scar laser but it didn’t flatten it. Thinking of having scar revision but not sure if that’s best. Please advise. Thank you.

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

Gary M. Horndeski, MD · Answer

It is possible to revise the scar.  This can be done to decrease the elevation.  Certainly, after 12 years it is not going to resolve.

Best Wishes,

Gary Horndeski, M.D.

Alar base scar revision from surgery 12 years ago (photos)

Answers (2)

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