What would best help a divot shaped scar on the tip of my nose after mole removal? (photos)

Question

A mole was removed on the top of my nose and it has left a significant sized divot/scar. I am extremely upset as this I feel bad ruined the overall experience of my face. I'm wondering if a geometric line excision and closure would be something that would remove the divot. Or would a rhinoplasty help? I have a consultation with a doctor in my area but desperately searching for answers!! There is no more scabbing just skin. You can see and feel the significant divot.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. You did not mention how far out you were from this procedure. If it was recent, then the answer is do not do any type of scar revision right now and just focus on scar management. Treat the area with appropriate management, and consider adjunct scar treatments such as microneedling, botox, etc.....and just wait. You can likely get this scar to a point where it improves so much that surgical revision is not needed. If someone tells you that you need an early surgical scar revision, beware!Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Eric M. Joseph, MD · Answer

Depending on how you healed, microdroplet Silikon-1000 may be considered for permanent filling of an indentation of your nasal tip after a mole was removed. Best to wait till this is compleatly healed, and it may be best to avoid placing scars on your nasal tip. Hope this helps. Dr Joseph

Scott Trimas, MD · Answer

I would recommend that you see a facial plastic surgeon and discuss options which might include scar revision, potential skin grafting, laser resurfacing or even fillers. These are the main options to improve that area which is notoriously difficult to treat due to the convexity of the skin. A rhinoplasty might help as well but only if you need that to reduce the overall size of your nose. Good luck in your area.

Blake Raggio, MD · Answer

It sounds like you have had a bad experience with this, and I am sorry to hear that.
Unfortunately this scar is in a tricky area, in that it is relatively difficult to correct due to is convex nature, skin thickness, and size as well.
With that being said, you have options ranging from relatively non-invasive, such as skin resurfacing (e.g., dermabrasion, laser resurfacing), versus scar revision wherein the existing scar is excised and replaced with either native tissue (e.g., local flaps), or tissue from the cheek (melolabial interpolated flap), forehead flap, or with a skin graft from another part of the body (likely in front of the ear). 
I would recommend consultation with a surgeon experienced in all these modalities (e.g., board-certified Facial Plastic Surgeon), so that they can give you an expert and unbiased opinion.
I hope this helps! Best of luck.
Blake Raggio, MD

What would best help a divot shaped scar on the tip of my nose after mole removal? (photos)

Answers (4)