What is the best way to get rid of a Nose Piercing Scar? (photos)

Question

Hi, I had my nose pierced 20 years ago and removed a year or two after it was pierced. But it left me with a deep scar. I tried Affirm laser and PRP. Nothing helped me out at all. Can you please suggest the best procedure if any?. Thanks.

Raffy Karamanoukian, MD, FACS · Answer

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.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.Direct excision and closure is likely your best option.

To be sure, see two or more licensed
and board-certified providers in your area for a complete evaluation to make
sure you are a good candidate and that it is safe for you to have these
treatments.

I hope this helps.

Jason Emer, MD · Answer

This would best be treated wiht removal and stitching then followed by laser treamtents.  you could consider TCA cross for the scar but would take many treatments to work.  Fillers cannot help with something this deep.  Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

In my opinion of a scar of this nature left by a nose piercing would likely best respond to a small punch excision and closure. Eight to twelve weeks later, the surface of the scar may be further improved via the use of fractional microneedling Resurfacing (also called skin needling, medical microneedling and dermal rolling). Such a combination of scar excision and subsequent resurfacing carries the name scarabrasion going back to the old days when dermabrasion was the resurfacing procedure of choice. For best results, the timing of the resurfacing procedure should be between eight and twelve weeks following the surgery.

Stephen Prendiville, MD · Answer

This scar would respond best to simple excision and closure.  The scar is depressed, wide and elongated, characteristics of a hypertrophic scar.  Fillers, laser, or even dermabrasion are unlikely to improve these features significantly.

Chad Robbins, MD · Answer

A piercing scar can be treated in a plastic surgeons office under local anesthesia ( small injection ) and closed with a few small sutures (stitches).  This would be a one time 30 minute , or less, procedure .   The result would be a very small scar that may not even be noticeable.

What is the best way to get rid of a Nose Piercing Scar? (photos)

Answers (6)

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