Restylane for Indented Surgery Scar?

Sometimes fillers do not lift indentations. The depressed scar may be held down by bands of collagen that you heal with underneath the scar. If the area is held down in this fashion, the filler might squeeze out to the surrounding skin and make that area look thicker and not change the depth of the scar but make it look deeper in contrast to the thick surrounding skin. Subcision is a procedure that can be done to lift the scar first and then a filler can be done. This works bettter if the edge of the round scar you have is smooth and not a sharp “cliff-drop” edge. If the edge is tapered or blends into the surrounding skin then the lifting will look better. The most important concern is not to do this until your physician is confident that all the tumor is gone! They may wish to wait one to two years, or more, after surgery before such revision

You can use a filler such as Restylane, Juvederm or Radiesse to fill up the depression. However, all these are temporary measures. Silicon is a permanent filler but I do not use it. It can cause permanent granulomas (bumps).
Your best option is to undergo a flap reconstruction. In this procedure skin is borrowed typically from your forehead and moved down to fill out the defect. After 3 weeks the attachment to the forehead is removed. Later the existing scar can be sanded down by laser or dermabrasion.
Regards

Betty
As you can see if your are hammer, the world looks like a nail. We surgeons like to fix things with surgery. However, filling depressed scars with Restylane and Perlane is very effective and does not require the expense, down time, and uncertainty associated with surgery.
The hyaluronic fillers are very helpful for these small scars. One can easily get 6 to 12 months of benefit from this type of treatment. Since only a small volume is typically needed, your doctor can use the balance of the filler in other facial area such as the nasolabial fold.
Dr. Steinsapir