I had an open rhinoplasty done 5 years ago and a second procedure 4 years ago by the same doctor. After the surgery, there were red scars left on nose and they're visible from the side. The incision left an indentation and from up close, it seems obvious I had surgery. My skin is very oily and I have thick skin. What are my options to reduce the visibility of the scar? Are there any non-surgical procedures?
Answer: A revision can be done for this. 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.
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Answer: A revision can be done for this. 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.
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January 24, 2014
Answer: Columellar Scar Your columellar scar requires scar revision since there is depression of tissue, non surgical treatments such as injectables or laser would not help your situation. Talk to your surgeon about your options.
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January 24, 2014
Answer: Columellar Scar Your columellar scar requires scar revision since there is depression of tissue, non surgical treatments such as injectables or laser would not help your situation. Talk to your surgeon about your options.
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January 24, 2014
Answer: Rhinoplasty scar You ask about non surgical options, laser can often improve scars, but your scar appears depressed & would best be addressed with a scar revision. Speak with your surgeon about options. Good Luck!
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January 24, 2014
Answer: Rhinoplasty scar You ask about non surgical options, laser can often improve scars, but your scar appears depressed & would best be addressed with a scar revision. Speak with your surgeon about options. Good Luck!
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January 24, 2014
Answer: Bad columellar scar after open rhinoplasty. Bad columellar scar after open rhinoplasty can be excised and closed by your surgeon under local anesthesia.
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January 24, 2014
Answer: Bad columellar scar after open rhinoplasty. Bad columellar scar after open rhinoplasty can be excised and closed by your surgeon under local anesthesia.
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December 18, 2015
Answer: Rhinoplasty scars #scarrevision You have an inverted scar, meaning that the edges fold in and tend to create a noticeable scar due to shadows. This can occur particularly in noses when goals of the surgery include reduction in the projection or outward size of the tip. When this occurs, the patient simply has more skin than understructure. We do not trim the skin in rhinoplasty as it almost always settles nicely to the new form without excess trauma involved from trimming. At times, this excess skin can fold in on itself before it has completely healed creating this scenario.I have seen this, albeit very rarely in my practice over 15 years but have found that simply numbing the area, and reapproximating this tissue in a slightly more supportive fashion (with vertical mattress sutures) should really help you out.Stay in close touch with your surgeon for best results in all cases. You should have a great experience!Best regards,todd hobgood
Helpful 1 person found this helpful
December 18, 2015
Answer: Rhinoplasty scars #scarrevision You have an inverted scar, meaning that the edges fold in and tend to create a noticeable scar due to shadows. This can occur particularly in noses when goals of the surgery include reduction in the projection or outward size of the tip. When this occurs, the patient simply has more skin than understructure. We do not trim the skin in rhinoplasty as it almost always settles nicely to the new form without excess trauma involved from trimming. At times, this excess skin can fold in on itself before it has completely healed creating this scenario.I have seen this, albeit very rarely in my practice over 15 years but have found that simply numbing the area, and reapproximating this tissue in a slightly more supportive fashion (with vertical mattress sutures) should really help you out.Stay in close touch with your surgeon for best results in all cases. You should have a great experience!Best regards,todd hobgood
Helpful 1 person found this helpful
