This scar is not a keloid. It is a hypertrophic scar, meaning it is raised and spread. If the laser resurfacing of the scar doesn't improve it to your liking, you may want to consider surgical excision of the scar and repair. This can be done under local anesthesia. If this is of interest to you, obtain a consultation from a board certified plastic surgeon in your area to discuss.
Scar on Nose After Injury, What Can I Do?
I am very sorry you went through this. The best option for you at this point is to begin a series of fractional laser treatments combined with pulsed dye laser. Adding microneelding and PRP will likely help give an even better improvement. I suggest an in person consultation. Luckily the nose heals very well from laser treatments and often after traumatic scars can be markedly improved; IF you find a well experienced expert cosmetic physician. Best, Dr. Emer.
Scar therapy for the nose
Our office specializes in scar revision. I would begin with application of Plato's Scar Serum twice daily followed by a combination protocol including laser, IIT, and scar therapy.
Raffy Karamanoukian MD FACS