What can I do to reduce internal scar tissue following revision rhinoplasty?

Question

I have had a revision rhinoplasty, as after my primary rhinoplasty my nose was alot wider post procedure. When the surgeon did the revision, he said there was scar tissue and some cartilage which was causing it to be wide. He said he had removed these. Now, post revision, I am experiencing the exact same thing. It feels like it did before the revision - scar tissue/ soft tissue. Can scar tissue shrink over time? Or is there anything I can do to reduce this?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Eric M. Joseph, MD · Answer

If there is widening of the nasal bridge after rhinoplasty surgery, this is typically due to the need for adequate osteotomies to infracture the side walls of somebody's nose, especially after removing a dorsal hump. If there is widening of the nasal tip, this could be due to excessive scar tissue formation, Or possibly the surgeon's technique. Please consider re-asking your question with before and after photos. Hope this helps. Sincerely, Dr Joseph

What can I do to reduce internal scar tissue following revision rhinoplasty?

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What can I do to reduce internal scar tissue following revision rhinoplasty?

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