Should I Use a Dermatologist or Plastic Surgeon for Scar Excision?

There is no definitive answer on whether to use a dermatologist or plastic surgeon. The surgeon who performed your surgery should be the first resource. If he/she is unable to help then the physician you choose should be experienced, expert, and understanding/caring of your needs/objectives. Consult with 3 - 4 surgeons to explore your options. Physical exam and consultation will determine the best option or combination of treatments for you.

After an alarplasty and rhinoplasty the scar most often is very difficult to see. The person to look to if you are troubled with the scar is the surgeon who performed the rhinoplasty. Revision may help.

Best of luck,

peterejohnsonmd

It sounds as though this may be keloid scarring.  If so, injections with steroids may be of benefit.  If there is a problem with hypertrophic scarring, it may be systemic and another surgery may result in the same problem.  However, scarring may be reduced with proper surgical technique that can include intraoperative steroid injections and prolene sutures, (instead of absorbable ones). 

There are many ways to improve the appearance of surgical scars. Depending on the area, surgical excision may not be the best method as often a similar appearing scar results. In areas of tight skin or a lot of movement, laser scar revision may be the best option. Look into laser treatments such as pulsed dye laser or fraxel.