What Surgeries Can Be Done to Make Indented Discolored Skin Graft Scar on Nose Look More Normal? (photo)

Thank you for posting several photos of your nose. Dermabrasion is a technique that I use quite often to improve the appearance of skin grafts. Typically the raised edges are sanded to make them flush with the graft itself. The skin graft can be lightly dermabraded but it should not be treated too aggressively because it does not contain the same hair follicles and reservoirs of "new" skin that the remainder of your skin does. This will smooth and improve the texture of the graft and the transition to your nasal skin. The unknown is how well the color of the graft will blend in. There is a definite contrast between the brown color of the graft and your nose/ cheek skin. This will likely improve but to what degree is unclear. I hope this information is helpful.Stephen Weber MD, FACSWeber Facial Plastic Surgery

Your skin graft is thin, is of a different color and has shrunk over time. This has created a depressed, hyperpigmented scar with the scar contracture distorting the nostril ( pulled up).

I would recommend scar release to lower the nostril, removal of the skin graft and replacement with a Full Thickness skin graft + fat taken from the  neck so that the color is matched. if you dont want to go through this, then you could consider a filler or fat to improve the depression and make up to blend the color.

Hope this helps