Scab came off and left an indent (alarplasty - rhinoplasty). Will I be left with this indent forever?

Question

Hi, I got an alarplasty for my nose. The scab around the incision made at the bottom of my nostril came off and it left an “indent” in my nostril where the flesh doesn’t come together 100%. I drew a picture because my camera wasn’t able to pick it up. Will the flesh ever come together and heal or will I be left with this “indent” forever?

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

Michael Roskies, MD · Answer

Appreciate the drawing efforts, but we can only judge appropriately with an actual photo. In general, this area has a robust blood supply and will heal well. Make sure to keep the area moist with an ointment and follow up with your surgeon at the predetermined time.

Scab came off and left an indent (alarplasty - rhinoplasty). Will I be left with this indent forever?

Answers (2)

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