What Can Be Done for Uneven Alar Base Scar After Rhinoplasty?

I am happy with my Rhinoplasty, except for a wicked jagged scar on one side. The other side is perfect. I had this procedure 4 years ago; the scar isn't going to get any better. It is noticeable to others, and I really want to get rid of it. Can I get it resected? Lasered? Consulted a plastic surgeon a year ago, and he said it would be too complicated, not worth it. I want a second opinion. It seems as though that side can be taken in a little, since it was left wider anyway. But I am no doctor. Can anyone help?

Doctor Answers 3

Alar base revisions are difficult

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This is a tough problem as you already have a narrower alar base on the side you have the uneven scar. I would not revise it but merely do a dermabrasion or laserbrasion to soften the scar and blend it into the rest of your alar base. This is not an uncommon problem with alar base resections.

Dallas Plastic Surgeon

Alar scar

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Revising the scar may be possible, but it may also leave you with a similar scar. Tough choice, because it also could change the asymmetry to make it worse.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Nostril scar following rhinoplasty

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It is my opinion that performing a scar revision will result in an excessively small nostril on that side. Furthermore, there are other asymmetries to the nares that are difficult to correct without an extensive procedure.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

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