Very visible alar base reduction scars. Tried fraxel didn't work and tried filler to fill the lines- failed as well? (photo)

Your nostril narrowing scars may be difficult to treat. I would suggest visiting your surgeon, or another reputable rhinoplasty specialist to see what might be best for you.I wish you well.Dr. Joseph

A scar revision can be performed to improve the appearance and the stepoff.Kenneth Hughes, MDLos Angeles, CA

You have a classic deformity know as a "Q deformity" following alar base reductions. Corrective surgery may be performed after you have waited for the scars to fully soften and settle, usually at least 9 months and often 12 months after alar base reductions. This is not just a scar revision, but a re-do of the alar base excision. Please consult with a rhinoplasty surgeon with lots of alar base reduction experience. Stop wasting your money on Fraxel, other laser treatments, and fillers. They will simply not work for this alar base scar problem.

When there are scars that you will see after rhinoplasty it is very important to have an open and honest discussion about the pros and cons before surgery. Alar base scars both in the "alar crease" and in the nostril sill can be noticeable and possibly asymmetrical. Sometimes if the healing does not produce a smooth contour, the two sides can be realigned surgically. Sometimes the face is asymmetric and the level of the nasal base is different and so it can be hard to "line up" evenly.

Dermabrasion works well for alar base reduction scars. However, your scars made need additional attention with scar excision and meticulous re-closure.