4 years post-op, Alarplasty scar- fractional laser or re-stitching the skin? (Photos)
May 24, 2025
Asked By:maysa12 in Las Piñas, Metro Manila, Philippines
4 years ago I had my primary rhinoplasty that included alar base reduction, I'm soon getting a revision rhinoplasty due to issues from the primary one but my surgeon advised that we can cut the skin and stitch it back again to enhance the scar shape (he will not narrow the nosrils) however i had previously consulted another surgeon before him and he said he cannot touch that scar because it's on the nose and the cheek and that if he touched it it will get distorted so the best option would be fractional laser.. to be fair i like the idea of removing the scar without feeling anything and at the same cost instead of having to go through expensive fractional laser sessions, yet I'm not sure if this procedure would make the whole thing worse or if the surgeon cut the scar close to the cheek would mess up my face.. please check the attached photos to judge the scar and let me know which option you think is the best for my scar Thank you!
3 photos
Answers (2)
From board-certified doctors and trusted medical professionals
Hello and thank you for your question. Based on your photograph, you may benefit from a revision rhinoplasty. Maneuvers for your surgery would include placement of extended alar contour grafts, tensioning of the tip, among other maneuvers. With good surgical technique, you could have an...
Thank you for your query. The small dent is likely from scarring and massage after the procedure helps for about one year. After that a little filler can help. Please discuss this with your surgeon who can examine you and help you with your concerns. All the best!
It appears that you have alar retraction. This is when the alar rim retracts and there is more visibility into the nose. My personal favorite way to fix this is with articulating alar contour grafts. This involves taking cartilage and supporting the lateral rims of soft tissue. The cartilage is...
