u/Advice4Scars

I experienced a nose injury on January 16th of 2026 (4 months ago), resulting in 2 raised/hypertrophic scar areas. One scar area is a circular mound of tissue, while the other includes multiple uneven incision lines. I have consulted with both a plastic surgeon and a cosmetic dermatologist regarding the best treatment for these, but have been given conflicting advice. One provider has advised to have Kenalog and standard Microneedling with an emphasis on avoiding RF Microneedling. The other provider has recommended a few V-Beam laser treatments, followed by RF Microneedling, and potentially Fractional CO2 laser. I'm willing to do whatever it takes and travel as far as necessary to obtain the best possible outcome for these scars, but I'm confused as to what the best treatment plan is. I believe I'm Fitzgerald Skin Type 3 or 4, and have used silicone sheeting nearly 24/7 since the wounds closed. Please help advise! Thank you.

 

*This question is being posted in multiple categories. Pictures are from the day of injury (1/16/26) and today (5/18/26). *

I experienced a nose injury on January 16th of 2026 (4 months ago), resulting in 2 raised/hypertrophic scar areas. One scar area is a circular mound of tissue, while the other includes multiple uneven incision lines. I have consulted with both a plastic surgeon and a cosmetic dermatologist regarding the best treatment for these, but have been given conflicting advice. One provider has advised to have Kenalog and standard Microneedling with an emphasis on avoiding RF Microneedling. The other provider has recommended a few V-Beam laser treatments, followed by RF Microneedling, and potentially Fractional CO2 laser. I'm willing to do whatever it takes and travel as far as necessary to obtain the best possible outcome for these scars, but I'm confused as to what the best treatment plan is. I believe I'm Fitzgerald Skin Type 3 or 4, and have used silicone sheeting nearly 24/7 since the wounds closed. Please help advise! Thank you.

 

*This question is being posted in multiple categories. Pictures are from the day of injury (1/16/26) and today (5/18/26). *

I experienced a nose injury on January 16th of 2026 (4 months ago), resulting in 2 raised/hypertrophic scar areas. One scar area is a circular mound of tissue, while the other includes multiple uneven incision lines. I have consulted with both a plastic surgeon and a cosmetic dermatologist regarding the best treatment for these, but have been given conflicting advice. One provider has advised to have Kenalog and standard Microneedling with an emphasis on avoiding RF Microneedling. The other provider has recommended a few V-Beam laser treatments, followed by RF Microneedling, and potentially Fractional CO2 laser. I'm willing to do whatever it takes and travel as far as necessary to obtain the best possible outcome for these scars, but I'm confused as to what the best treatment plan is. I believe I'm Fitzgerald Skin Type 3 or 4, and have used silicone sheeting nearly 24/7 since the wounds closed. Please help advise! Thank you.

 

*This question is being posted in multiple categories. Pictures are from the day of injury (1/16/26) and today (5/18/26). *