Is there anything that could fix/minimize this horrible indented scarring on tip of inelastic nose? (photos)

Question

I had a cyst on the tip of my nose that itched constantly. Well it might have been a scar from poking a subcutaneous zit with a needle during adolescents. I had a dermatologist remove it 6 years ago by incision, cutting it out and regular stitches. He claimed it'd be a small linear scar but it looks hideous and I'm deeply concerned as it is the focal point of the face and I'm in sales. It reeks havoc on my confidence. Is there any hope or should I leave well enough alone?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic acne scars and indented acne scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your acne scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

This scar can be improved with laser spot treatment, fillers, microneedling/prp and subcision to help texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Johnson C. Lee, MD · Answer

It is possible to improve the appearance of the scar. Options include microneedling, subcision with fillers, TCA CROSS, and laser treatments. The best option or combination will depend on your examination, skin type, etc. It is best to have an in-office examination to determine which is the most effective for you. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon
IG: @drjohnsonlee

Kristine Brecht, MD (license suspended) · Answer

From your pictures I can’t see the exact issue, they were blurry.
You may consider subcision and a bit of filler.
Choose an expert. Best. Dr Brecht
Seattle, Wa

Is there anything that could fix/minimize this horrible indented scarring on tip of inelastic nose? (photos)

Answers (4)

Answer: Nose indent

Answer: Nose indent

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.

Is there anything that could fix/minimize this horrible indented scarring on tip of inelastic nose? (photos)

Answers (4)

Answer: Nose indent

Answer: Nose indent

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.