Would revision rhinoplasty help keloid-looking scarring in the crease? (Photo)

Question

I had a rhinoplasty in 2020 and the crease didn’t heal correctly so my surgeon recommended scar revision. The revision healed poorly and now I’m left with a keloid looking scar in the crease and pulling when I smile like in the photo. I’ve had dermabrasion and co2 laser with no help to the area. What can I do for this? Would a revision rhinoplasty help or should I have another scar revision? Thank you.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jeremy S. Nikfarjam, MD · Answer

Hi Diligent,It sounds like you've already been through a lot trying to manage this! I see what you're referring to, and I don't think medspa treatments will offer too much improvement. It appears as if that scar tissue is tethered down, and the dynamic aspects of this part of the face are accentuating it. If I were consulting with you, I would recommend surgical intervention. It may be just a scar revision or revision rhinoplasty depending on your satisfaction with the rest of the nose, any breathing problems you might be experiencing (or lack thereof), and the approach of your previous surgeries.I wish you luck in your search for treatment!- Dr. Nik

Zoran Potparic, MD · Answer

There is no doubt that scar needs to be improved. Topical corticosterod injection, injection of nano fat grafts, deep scar release or combination of these should be considered. Good luck.

Would revision rhinoplasty help keloid-looking scarring in the crease? (Photo)

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Would revision rhinoplasty help keloid-looking scarring in the crease? (Photo)

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Everything you need to know about Revision Rhinoplasty

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