Scar Revision

Shawn Allen, MD answers: Excision and Botox for hypertrophic cheek scar?

I have a small, linear hypertrophic scar on my cheek. It blends in well and it's small, but it bothers me a lot still. I have brown skin, 24 years old, of E. Indian descent. Can excision with Botox revise this scar better? The scar resulted from a prematurely ripped off scab. I did not have it stitched or treated, previously.


Shawn Allen, MD
5 months ago
By Shawn Allen, MD - Boulder Dermatologist

Hypertrophic scarring can be a tendency or trait for some people.  If the hypertrophic scar was due to manipulation and irritation while healing you may benefit from an excision with close follow up and if it begins to hypertrophy or thicken, you can quickly get low dose steroid injections or laser treatment.  Be very careful with steroids as it can cause permanent hypopigmentation i.e. whitening of the skin. So start conservative topical tretinoin (Retin-A) or Tri-luma which has bleaching cream and mild steroid or with fractionated lasers then get more agressive if results are not satisfactory.

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