This patient had a trauma to her nose which was repaired by another physician in an emergency room, who referred the patient to Dr. Guy, a facial plastic surgeon.  When she appeared to Dr. Guy her wound was breaking down.  Proper wound care was initiated.  

This is 6 weeks after initiating wound care, which shows the wound had shrunk in size but was still clearly noticeable.  

The patient is 4 weeks out from the first stage of her scar revision.  She underwent an excision of a part of her old scar followed by appropriate post operative wound care.  

 
 

The patient is 8 weeks out from the second stage of her scar revision which involved the use of CO2 laser resurfacing.   

 

This patient in her 40s had a traumatic injury to her nose.  The original repair of her laceration was not performed by Dr. Guy, and there was breakdown of her skin at the tips.  Dr. Guy initiated appropriate wound care once she was seen.  Once the area had healed it was apparent the scar would be very noticeable.  Therefore, she underwent a scar revision involving removing a portion of her old scar.  This was followed by the use of topical silicone cream.  This improved her wound which was further improved by the use of a CO2 laser.  You can clearly seen in her before and after photo at the bottom how far her wound has come.