Indented scars at the tip of nose, will it heal or can there be a fix? (photos)

Question

I have a very noticeable indented scars at the tip of my nose. I have this for like 3 months now, and I don't know will it continue to heal or not. I wonder if there's a fix to it if it does heal anymore. Is at the tip of the nose so any indentation looks very obvious because it loss the curvature. Please help!

Nelson Lee Novick, MD · Answer

From the photo, the base of the scar is reasonably broad. For this reason, in my opinion, subcision, combined with a small amount of biostimulatory filler, such as Radiesse, might be helpful in elevating and smoothing the scar. A series of two to four such treatments might be needed to obtain maximal improvement. Should it be deemed necessary, the resulting surface texture and tone may be further blended with the surrounding normal nasal skin via the use of a Dermastamp, i.e. a very focused form of medical microneedling.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Lasers and fillers can improve this, I suggest speaking to a cosmetic dermatologist who specializes in lasers and scars.  Best, Dr. Emer.

David Reinstadler, MD · Answer

At three months the wound is still changing and I would recommend seeing someone in person around the 6 month mark. That way, a better idea of method to improve the area can be discussed. There are multiple options including fillers and/or lasers which may improve the color and contour. Best of luck

Indented scars at the tip of nose, will it heal or can there be a fix? (photos)

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