From the photo you submitted, it appears that the scar is slightly depressed and slightly red. My treatment suggestion would be a minor resurfacing laser procedure to the scar itself (which would stimulate collagen and help fill in the depression somewhat) as well as some attention...
I agree with Dr. Ibrahimi. If you were in your late 80's or 90's I would probably suggest radiation therapy, however at your age you need a more definitive treatment. Alar reconstruction isn't that hard in the hands of someone who knows what they're doing. The hard part is finding...
Thank you for your question. It is recommended after surgery to not lift heavy items and to limit strenuous exercise at least until sutures are removed (1-2 weeks), and often times beyond that until initial wound healing is completed, approximately 6-8 weeks. Any straining that could increase...