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.

Excision and Botox for hypertrophic cheek scar?
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9 answers to “Excision and Botox for hypertrophic...”

A: Probably nothing is required, but botox may help rarely.

David C. Pearson, MD

The attached image indeed shows, if anything, a very tiny linear scar. I'm not sure that I would even call it hypertrophic and certainly it does not look like a keloid. As you mentioned, it does indeed blend well. In fact, it's hard for me to see much of anything in this image. You also did not mention how... more

A: Scar Revision

Shawn Allen, MD

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... more

A: Scar Revision

Farbod Esmailian, MD

Botox is not helpful for scar revisions.  What you may be thinking of is steriod injections to help calm down the scar a bit.  This usually takes about three injections spaced out every 6 weeks.  The result you will get really depends on the patient and everyone is different. Good luck.

A: Cutting out a hypertrophic scar can result in an even larger hypertrophic scar

Arnold W. Klein, MD

Botox can prevent movement of a muscle, and thus at times improve cosmetic wound healing. However, on the cheek this may temporarily affect your ability to smile. Cutting out a hypertrophic scar can result in an even larger hypertrophic scar. There are other treatments, such as injections of steroids... more

A: Indian Skin Hypertrophic Scar

Tanveer Janjua, MD

Do not go for scar excision. Indian skin can develop hyperpigmentation, and hypertrophy easily. If your existing scar is hypertrophic (raised above the surrounding skin level) get steroid injections. If it is dark use sunscreen and Triluma cream. You can try microdermabrasion and pulse dye laser treatment (on... more

A: Botox is generally not for scars

Leslie H. Stevens, MD

If you choose to have the scar evaluated by a board certified plastic surgeon, he or she may suggest several treatment options. These include' revision, injection of a anti inflammatory steroid, laser treatment, bleaching cream, silicone gel, etc. The one treatment option that you most likely will not hear is... more

A: evidence for botox in scar revisions

Richard Baxter, MD

There was a reoprt in the journal Plastic & Reconstructive Surgery a couple of years ago reporting that botox helped with scar revisions on the face, by relaxing the muscles that theoretically put tension on the wound as it heals. It was not a controlled study however, meaning that they didn't compare... more

A: Better options for hypertrophic cheek scar available

Anifat Balogun, MD

Assuming your scar is not located near your eyelid or your lip and depending on its orientation, it is quite feasible to excise it so it lies in one of your natural skin lines and perhaps perform a steroid injection just as the incision is being closed and a few times afterwards to make sure you do not develop... more

A: Botox will be of little if any help

S. Randolph Waldman, MD

This is clearly a problem that might be helped by excision and/or treatments with certain types of lasers including the Diode 532 but I do not see a role for Botox.

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