Ask Dr. Pearson: What Can Be Done to Fix an Indentation Scar on Nose?

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Without seeing a photo of your scar, it is difficult to comment specifically on your case. I would not expect a substantial improvement from treatment with Fraxel. Contour irregularities can be especially noticeable on the nasal tip due to its gentle curvature and the potential disruption of reflected light (highlights) which contribute to the appearance of a refined nasal tip. Depressed scars can be especially challenging. For a depressed scar, trial of a hyaluronic acid filler (such as Restylane or Juvederm) may be considered. That would not be a permanent solution since those fillers persist only temporarily (months) before being broken down. However, such treatment could demonstrate whether or not subdermal volume replacement provides the degree of improvement that you find satisfactory. If you were satisfied with that treatment, your surgeon could discuss similar permanent options with you. I would suggest that you see another surgeon for a second opinion. If you find the appearance of your scar unsatisfactory, express that to your doctor. Good luck.

James M. Pearson, MD 

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James M. Pearson, MD
Board Certified Facial Plastic Surgeon
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Dr. James Pearson is a Board-Certified Facial Plastic & Reconstructive Surgeon – whose practice serves the greater Los Angeles Area with offices in Beverly Hills and the South Bay.

Dr. Pearson’s practice offers Rhinoplasty for all conditions including: cosmetic, functional (breathing), and reconstructive (trauma, fracture, crookedness). Our offices accept most PPO insurance plans and Medicare.

Dr. Pearson has extensive experience with Rhinoplasty. He is among a select group of surgeons in Los Angeles who are double Board-Certified in Facial Plastic Surgery as well as Head & Neck Surgery. Dr. Pearson is a published author who has written about Rhinoplasty for numerous journal articles and textbook chapters in the facial plastic surgery literature including a recently-released chapter in a highly-regarded Plastic Surgery textbook, entitled Master Techniques in Rhinoplasty available at Amazon.com and elsewhere.

• Learn more about Dr. Pearson here
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