How can I improve alarplasty scars from 2021? (Photo)

Question

Hello , I had nostril red surgery back in 2021 and I’m very unhappy with my result . I dont like the shape of my nostrils and the scars are very visible . I have tried topical creams and microneedling and my scars still seem very visible . Is there any procedure to eliminate or improve these scars ?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your concerns and photos. It’s understandable to feel frustrated when surgical scars don’t fade as much as you hoped, especially in such a visible area like the nostrils. From what you’re describing, it sounds like your scars are mature but still noticeable, and previous attempts with topical creams and microneedling have had limited effect.

Here’s what you should know about improving alarplasty scars:

Scar revision surgery:
For visible or slightly raised/tethered nostril scars, a minor surgical revision can sometimes offer the most dramatic improvement. This involves carefully excising or releasing the scar tissue and re-closing the incision with fine techniques to align with natural nasal folds. The goal is a smoother, more inconspicuous scar, though it won’t erase it completely.

Laser resurfacing:
Fractional CO₂ or erbium lasers can help soften, smooth, and slightly lighten scars, especially if the texture is uneven or slightly raised. These are typically used after the scar has matured, as yours has, and can complement surgical revision or sometimes be used on their own for subtle improvement.

Microneedling / other non-surgical options:
These can improve texture and pigmentation, but they usually don’t fully address the visibility of a surgical scar on the nostril rim, particularly if the scar is thick or tethered.

Key points:

Because this is a delicate area, any procedure must be done with precise technique to avoid altering nostril shape.

Combining approaches—scar revision with laser or microneedling afterward—often gives the best results.

While complete “elimination” isn’t realistic, noticeable improvement in visibility and contour is achievable with the right approach.

It’s very common for patients in your situation to benefit most from a carefully planned scar revision, sometimes paired with laser treatments, to create a smoother, less noticeable result without changing the overall shape of the nostrils.

How can I improve alarplasty scars from 2021? (Photo)

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