What can I do to make my MOHS nose scar look better? (Photo)

Question

Here's a picture for weeks out from Moes on nose surgery What can I do to make this look much much better? Two weeks I get the dog ear removed. The scar looks so jagged and it stays red and purple. When will the scan pulled from I settle down and look natural?

Jason Emer, MD · Answer

I would begin pulsed dye laser treatments at this time with Biocorneum.  I usually do fractional co2 resurfacing 6 weeks after large flaps.  You can get a significant improvement from this.  See a laser specialist to get the best results.  Dr. Emer.

Michael H. Gold, MD · Answer

Thanks for your
question and thanks for including the photos – they help.  Moh’s surgery is a great procedure that helps
remove skin cancers and preserve the normal skin that we have left in the area.
In our area (I am from Nashville) we have some excellent Moh’s surgeons, so you
can be comfortable that the procedure was done correctly, if this was performed
by one of the dermatology trained Moh’s surgeons in the area.  Most surgeons advocate waiting six months for
the final scar result to happen; although in the laser world, where I live, we
do believe that red and elevated scars can be treated with pulsed dye or other
vascular lasers early and minimize most of the scar as a result.  Also, the use of silicone gel, either in
patch or cream form, can also help here. 
In research that I published many years ago, we showed conclusively that
the use of silicone get sheeting used immediately after suture removal was very
beneficial in minimizing final scar results in many people. Ask your surgeon if
any of these could be useful for you and have them refer you if needed to
somewhere where these can be done. Best of luck in making this scar and the
redness better.

Ariel Ostad, MD · Answer

Thank you for your
question. It’s important to know that for approximately 6 months to a year
following surgery, it’s natural for a scar to stay red and purple, especially for
someone that has fair complexion and also prone to flushing and rosacea. In two
weeks, you will be getting the dog ear removed. Upon adequate waiting time of
approximately 6 weeks, one can use non-invasive and non-surgical vascular
lasers to remove the excess broken capillaries that result in redness from the
surgery. This is a simple routine procedure that is performed in the office
with no recovery. However, a few sessions might be necessary to completely
eradicate the capillaries which are causing the redness. I would like to thank
you for your question.

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