Indented Scar

I have had an indented scar on my leg most of my adult life, can this scar be removed? I am from a west indian island and the scar was caused by a scratch that got infected and was not treated properly back then.

Doctor Answers (6)

Treating Dented Scars

+2

In the past, if a person had a depressed (dented, or indented) scar  there were only two approaches to dealing with it.  One was to live with it, and the other to surgically excise the scar and revise it. The hopes here would be that the resulting scar would be less obvious than its predecessor.

Today, several additional, much less aggressive, approaches are available for treating scars that may have arisen from accidents, surgery, or infection. One method, known as dermaspacing, involves the insertion of a sterile needle-like cutting device below the scar to break up the thick bands of fibrotic collagen pulling the skin downward. In addition to releasing the skin above, this technique stimulates the production of new and healthier collagen to provide further support and lift. Generally a series of one to four treatments at six week intervals are needed for optimum improvement. 

A second technique,  medical microneedling or microchanneling, employs a roller to which rows of microneedles are attached. The microchannels created within the scar as the roller passes back and forth sets up a wound healing process that can result in new collagen production and improved appearance of the scar. Again, a series of one to four treatments may be needed at six week intervals.

Both dermaspacing and microchanelling take only minutes to perform under local.

If additional improvement is desired after either of the above, I have found that the injection of a small amount of a volumizing agent, such as Radiesse or Perlane Ultra XC, may contribute to further smoothing and leveling of the surface of the scar. 


New York Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Repair of an indented scar on the leg or body in Los Angeles

+1

Subcision and/or scar excision with layered closure are both options to improve an indented scar on the leg or body. 

 

Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

Depressed Scar Treatment

+1

Depressed or indented scars can be improved by various techniques. The scar may be revised with plastic surgery to remove or reposition the scar. Volume can be added to the skin with fat grafting to plump the depressed or indented areas. As plastic surgeons have already stated, scars can never be completely eliminated. Speak with a plastic surgeon to help determine appropriate options for you.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

You might also like...

Indented Scar

+1

I would not recommend any treatment unless you can live with a poor result. The risks are high. Be careful out there.

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 reviews

Correcting Indented Scar

+1

No scar can be erased but the odds are that with a well-done scar revision your scar can be transformed into a much less obvious flat scar.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 58 reviews

Indented scar

+1

It is not likely that the scar can be completely removed but it may be able to be improved via excision or revision.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.