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 (1)
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Based on your isolated photo, you appear to have a bit of retraction, and an indentation, at the anatomical place called your soft tissue triangle. Depending on your examination, a few droplets of Silikon-1000 maybe considered for permanently feeling this in without the inconvenience, downtime,...
Based on your photos, I agree that you appear to have excessive nostril show, both on front view, and on profile of you. Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for a lowering your nostril margin several millimeters, and this could improve upon...
Hello and thank you for your question. Based on your photographs, a revision with osteotomy of that side will likely help. Additionally adding morselized bone dorsal onlay graft may also help to provide for a smoother longterm dorsal contour. With good surgical technique, you could have an...