How Likely is a Scar Revision on the Nose Tip to Leave a Scar?

After a nose excision with sutures, what are some reasons the skin would open after removing the sutures? Is this likely in the nose? How to prevent it?

Doctor Answers 3

Scar on nasal tip

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  The skin on the nose is like a sponge. The tissue does not have the same as much strength as other areas of the face. In addition, the scar usually heals indented. There are some tricks to hide the scar and make it less notable. You should seek a surgeon who does a lot of skin cancer reconstruction and ask to look at their before and after pictures.

Tacoma Facial Plastic Surgeon

The nasal tip doesn't do well with scar revision

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The nasal tip skin is very sebaceous and inelastic, making scar revision in this location frought with poor results.  The scar will most likely end up depressed unless it is concealed in lines of natural light and shadow.  Dermabrasion, although it might help, will not be adequate.  Your surgeon should be able to give you an estimate as to how much of an improvement you can expect.  Be prepared for many weeks of the scar looking worse after surgery, and many months of redness and irregularity.

Minas Constantinides, MD
Austin Facial Plastic Surgeon

Nasal tip scar revision

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It is possible that the tension on the incision closure was such that it separated after removing the sutures. There are other medical conditions that can hinder wound healing so this may be a factor as well.

Depending on how the scar looks it may be able to be made less visible with scar revision. This could involve either excision the old scar and/or performing dermabrasion to smooth the area.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.