Atrophic Nose Scar and Asymmetrical Lip Scar - options? (photos)

Question

Suffered facial injury (8/2020) that resulted in laceration across nose and a badly lacerated upper lip. PS in the ER sutured the swollen/hanging lip that then resulted in drooping/protruding scar tissue causing asymmetry. Atrophic nose laceration went unsutured and resulted in a noticeable staircase scar. On 6/2021, revision to bottom of the nasal scar attempted to close a pore.Poor postcare treatment (exercising w/ sutures, hydrogen peroxide to bleeding sutures), resulted in scab that tore off

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

Nelson Lee Novick, MD · Answer

First, I am sorry that this happened to you. Subcision can be used to elevate and smooth the indented, atrophic nasal scar. This can be followed by the use of professional microneedling to improve both the superficial texture and color of the scar in order to better blend it with the surrounding normal skin.
For the lip, filler can be used to establish better symmetry. Make sure to consult with a cosmetic dermatologist. Best of luck.

Atrophic Nose Scar and Asymmetrical Lip Scar - options? (photos)

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