How Long Can I Expect Scars from Alar Reduction on Nose to Last?

Question

I went for an alar reduction on my nose abt two months before. I was told scarring is to be expected along the boundaries of my nose and face. It has already greatly improved compared to the first few weeks after but it's still noticeable from the redness. Can I just ask how long will it take for it to fade? Also, is it normal for the scar to feel slightly elevated?

Donald Groves, MD · Answer

Good evening. After ANY surgery, the surgical incision goes through multiple stages of would healing before arriving at the final "mature" scar. Assuming no infection or wound breakdown, usually the incision approaches its final tensile strength 6-8 weeks after surgery, creating an "immature" scar. It takes up to 1-2 years for this immature scar to convert into a "mature" scar, during which time the scar remodels- the collagen becomes more organized, the scar flattens, and becomes less pigmented. It is very important to avoid UV light to the immature scar, as this can cause permanent and irreversable hyperpigmentation (making it more noticeable)- so sunblock and sun avoidance are key until 1-2 years after surgery. If the final scar appearance is cosmetically concerning, this can always be revised electively- just note this will reset the healing process. Hope this helps! Best, Dr. Donald Groves Plastic Surgeon

How Long Can I Expect Scars from Alar Reduction on Nose to Last?

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