Abstract
The final cosmetic appearance of nasal reconstruction scars is of paramount importance
to both the patient and surgeon. Ideal postreconstruction nasal scars are flat and
indistinguishable from surrounding skin. Unfortunately, even with meticulous surgical
execution, nasal scars can occasionally be suboptimal. Abnormal fibroblast response
can lead to hypertrophic nasal scars, and excessive angiogenesis may lead to telangiectasias
or an erythematous scar. Imperfect surgical closure or poor postoperative management
can lead to surgical outcomes with step-offs, depressions, suture marks, or dyspigmentation.
Aesthetically unacceptable nasal scars can cause pruritus, tenderness, pain, sleep
disturbance, and anxiety and depression in postsurgical patients. Fortunately, there
are several minimally invasive or noninvasive techniques that allow for enhancement
and improvement of cosmetic results with minimal risk and associated downtime. This
article provides an overview of adjuncts to improve nasal reconstruction with a focus
on techniques to be used in the postoperative period. Armed with an understanding
of relevant available therapies, skillful surgeons may drastically improve the final
cosmesis and outcome of nasal reconstruction scars.
Keywords
nasal reconstruction - steroid scar injection - resurfacing
