Nose scar treatment - any advice where to start? (Photo)

Revision surgery, particularly in areas that are subject to dynamic or static muscular tension, runs the risk for the subsequent development of stretch scars and even tram track-like stitch marks.
Instead, consider the use of simple subcision, which can be used to elevate and smooth all kinds of indented scars from all causes, and which I have personally been performing for the past thirty years with gratifying results.
For repigmenting the hypopigmentation, consider the use of manually performed Dermastamp microneedling (no need for the added expense or added risks of RF microneedling) accompanied by the application of Rx pigment promoting agents, such as latanoprost. that I have been employing for the past twenty-five years with gratifying results.
No doubt in your research you will encounter suggestions for the use of this or that latest and expensive, supposedly "next big thng" fraxel lasers or other energybased gizmos for your problem. I caution you to exercise a great of "buyer beware? when considering these, since the hard science to back up their use lags well behind the heavy duty marketing and social media buzz to promote them.
You would be wise to consult with a board certified cosmetic dermatologist scar treatment specialist and best of luck.
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Addressing a deep, indented scar on the nose can be challenging, but there are several options and steps you can take to improve its appearance. Here’s a guide to help you get started:

1. Consultation with a Specialist:

Dermatologist: Start by consulting with a board-certified dermatologist who specializes in scar treatment. They can provide a thorough evaluation and recommend appropriate treatments based on the scar's characteristics.
Plastic Surgeon: If surgical intervention is considered, a plastic surgeon with experience in facial reconstruction might be consulted to assess options for scar revision.
2. Treatment Options:

Laser Therapy: Fractional lasers, such as CO2 or Erbium, can help resurface the skin and reduce the depth of the scar.
Microneedling: This procedure can stimulate collagen production and improve the texture and appearance of indented scars.
Dermal Fillers: Temporary fillers can be used to elevate the scar to the level of the surrounding skin, though this may require maintenance treatments.
Chemical Peels: Superficial peels can help improve skin texture and pigmentation, but deeper peels might be necessary for significant improvement.
Surgical Options: For very deep or complex scars, surgical scar revision might be an option to alter the scar’s appearance.
3. Additional Considerations:

Scar Creams and Silicone Gel: Over-the-counter treatments and silicone gel sheets can be used to soften and flatten scars, though they may have limited efficacy on deep scars.
Skin Camouflage: Professional makeup techniques can help conceal the scar for cosmetic purposes while pursuing other treatments.
4. Emotional and Psychological Support:

Consider seeking support or counseling if the scar significantly impacts your self-esteem or quality of life.
5. Ongoing Care:

It’s essential to protect the scar from sun exposure, as UV rays can worsen its appearance. Use a broad-spectrum sunscreen daily.
Starting with a consultation will help you determine the best treatment path tailored to your specific needs and skin type. Each scar is unique, and a personalized approach is essential for optimal results.

Thank you for your inquiry! Scar creams can be used on scars to minimize appearance as well as silicone scar sheets. Lasers such as Microneedling can also be performed to minimize appearance as well. We would love to see you in person or virtually to discuss treatment options or schedule a consult with a licensed aesthetician.