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Indented wide dark scar from recent cyst removal punch excision by plastic surgeon. Does it look normal? (Photo)

After 7 days, stitches were removed. Scar was light, looked good, small line. Now day 4 since stitches out, line much darker, deeper, wider. PS said maybe infection, so given antibiotics. Is there any hope this will flatten out/lighten up? PS is stumped, and I cant find anything like this on the internet to compare to. Please help, I am very scared I will permanently be disfigured, and I don't know how to treat it in the mean time to speed up healing and not mess it up further. Thank you.

Doctor Answers (2)

Scar After Facial Excision

Scars can form from any type of surgery.  This is the typical look after 7 days, post suture removal.  Typically I have patients use Biocorneum three times a day.  After 2-3 weeks if the scar isn't less red we do a combination of Excel V laser treatment (which treats the scars redness) and either Fraxel Dual non-ablative laser resurfacing or ActiveFX ablative laser resurfacing (for the texture).  But honestly, after 6 months this will be much less noticeable, likely inperceptable.  However, it is common to have a scar like this after cyst excisions.  I wish you the best of luck, Dr. Emer.

Los Angeles Dermatologic Surgeon
5.0 out of 5 stars 47 reviews

Scar after facial cyst excision

Yes, your scar does not look so good at present.   You might try some Kelocote or bioCorneum on the scar twice a day and apply and let dry.    The bioCorneum has both silicone and sunscreen so that is a good choice.    Do this for 4 months and no surgery.  After 6 months a revision can be tried.  The antibiotics are a good idea also but I doubt a significant infection.  Nevertheless stick with the antibiotics.  You will be fine.  My Best,  Dr C

George Commons, MD
Palo Alto Plastic Surgeon
5.0 out of 5 stars 29 reviews

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