How can I make the hypertrophied scar in the base of my nostril look better?

Question

Hello doctor,

I met with a mountain biking accident about two years ago. What I believe is I have a hypertrophic scar from the base of my nostril to my upper lip, which is about 3/4 inches. It is flattened a lot and is no longer red. Can I make it even better?

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Yes, it is a hypertrophic scar (attachment removed to protect patient identity). It still looks bumpy and elevated in the picture, and it can be flattened with intralesional Kenalog (Triamcinolone Acetonide) injections. You may need two to three sessions to bring it to the skin level. There are scar gels like Serica (Pracaxi oil), you can use it along with intralesional Kenalog injections to improve the texture. Microneedling with radio frequency (MNRF) is an effective procedure for this type of scars, after getting it flattened using intralesional Kenalog.

I hope this information will help you.

Thanks.