I have had a rhinoplasty 14 month ago, together with alar base narrowing. Now I am stuck with scars from the alar procedure. I have sebaceous skin, and blame that on the scarring. I am considering fractionated laser or dermbrasion but am concerned that my skin type could be a showstopper for these options. Would scar revision be a better option? What are your experience with my skin type and these procedures ? Thank in advance.
Answer: HIDEF Scar Revision for Alar Scars using surgical and non surgical methods including fractional RF and fractional laser Alar scars can be white and visible. Hidef protocols can help with visible alar scars on the face. I see a lot of these in my office in Beverly Hills. Surgery is often not needed if lasers and HIDEF scar revision techniques are introduced. In our office, we combine treatments starting with topical pre-conditioning of the scars with Plato's Scar Serum for hypertrophy and Melarase PM for pigmentation. Fractional RF, laser, and micro fractional RF can help limit scar growth. Kenalog IIT can also help reduce scar thickness. For lip lift scars specifically, I use selective Hyfrecation to reduce scarring. Best, Dr. Karamanoukian Realself100 Surgeon
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW Answer: HIDEF Scar Revision for Alar Scars using surgical and non surgical methods including fractional RF and fractional laser Alar scars can be white and visible. Hidef protocols can help with visible alar scars on the face. I see a lot of these in my office in Beverly Hills. Surgery is often not needed if lasers and HIDEF scar revision techniques are introduced. In our office, we combine treatments starting with topical pre-conditioning of the scars with Plato's Scar Serum for hypertrophy and Melarase PM for pigmentation. Fractional RF, laser, and micro fractional RF can help limit scar growth. Kenalog IIT can also help reduce scar thickness. For lip lift scars specifically, I use selective Hyfrecation to reduce scarring. Best, Dr. Karamanoukian Realself100 Surgeon
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW June 29, 2016
Answer: Alar wedge procedure The problem is not the quality of the scars. The problem is that the scar is not exactly in the crease. This is an easy correction to undergo and could be performed under local,anesthesia in about thirty minutes.
Helpful
Book a virtual consultation
CONTACT NOW June 29, 2016
Answer: Alar wedge procedure The problem is not the quality of the scars. The problem is that the scar is not exactly in the crease. This is an easy correction to undergo and could be performed under local,anesthesia in about thirty minutes.
Helpful
Book a virtual consultation
CONTACT NOW
June 27, 2016
Answer: Revising alar excisions is difficult. Dear qube2100 in Los Angeles, California: Those are difficult incisions. They are not quite in the ideal location. I would suggest consulting with dermatologists who specialize in surgical dermatology. Perhaps these can be gently shaved down using a variety of techniques, including laser techniques. I would not recommend another surgery. If it can be done at all by nonsurgical means, that is really what you should have. Look for somebody with a long run of experience in dealing with these. Some of the newer laser technologies are excellent. There are other techniques that possibly will be available to you, but certainly exhaust all nonsurgical means before considering any revision surgery. Best wishes, Robert Kotler, MD, FACS Over 4,500 nasal procedures performed
Helpful
Book a virtual consultation
CONTACT NOW June 27, 2016
Answer: Revising alar excisions is difficult. Dear qube2100 in Los Angeles, California: Those are difficult incisions. They are not quite in the ideal location. I would suggest consulting with dermatologists who specialize in surgical dermatology. Perhaps these can be gently shaved down using a variety of techniques, including laser techniques. I would not recommend another surgery. If it can be done at all by nonsurgical means, that is really what you should have. Look for somebody with a long run of experience in dealing with these. Some of the newer laser technologies are excellent. There are other techniques that possibly will be available to you, but certainly exhaust all nonsurgical means before considering any revision surgery. Best wishes, Robert Kotler, MD, FACS Over 4,500 nasal procedures performed
Helpful
Book a virtual consultation
CONTACT NOW
FIND THE RIGHT
TREATMENT FOR YOU
June 23, 2016
Answer: Alar base scar improvement I agree with Dr. Bressler that your incisions are placed slightly too far outside of the alar groove. Several fractional laser resurfacing treatments or a single spot dermabrasion should dramatically improve these incisions. If this fails, a scar revision can be performed to "move" the scars closer to the groove where they would be better camouflaged. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
Book a consultation
CONTACT NOW June 23, 2016
Answer: Alar base scar improvement I agree with Dr. Bressler that your incisions are placed slightly too far outside of the alar groove. Several fractional laser resurfacing treatments or a single spot dermabrasion should dramatically improve these incisions. If this fails, a scar revision can be performed to "move" the scars closer to the groove where they would be better camouflaged. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
Book a consultation
CONTACT NOW
June 24, 2016
Answer: Alar Base Scar Revision It is almost better to have a formal scar revision and have the tissues make a new effort at creating a better scar. This is particularly true when the scars are not ideally in the alar-facial groove.
Helpful
June 24, 2016
Answer: Alar Base Scar Revision It is almost better to have a formal scar revision and have the tissues make a new effort at creating a better scar. This is particularly true when the scars are not ideally in the alar-facial groove.
Helpful