Scar Removal: Q&A

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Indentation from Shave Removal on Cheek, What Can I Do To Fix This?

I had a shave biopsy done on my cheek for a mole that was flat on the surface. It has left me with a round hole the size of a pencil eraser. It has been 13 weeks and still looks bad to me. Will this ever level out or what can be done to fix it with out having an excision done to correct it. One end of the scar sticks up a little more which seems to be making the shadowing of the scar more noticeable.

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cheeks indentation options

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8 Doctor Answers | Asked by Steph in TN in TN

Doctor Answers (8)
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Scar Removal

This may level out, but unlikely. You may need to have an incision to remove the defect. See a Board Certified Plastic Surgeon to evaluate the location for a suitable correction.

Indentation after biopsy

As has been stated, often such depressions will fill in as they heal. If they fail to do so within a reasonable period of time, subcision is sometimes helpful. Injection of fillers under the scar sometimes provides temporary relief while the healing process takes places. Occasionally the scar requires excision and repair. One way or the other it is usually possible to achieve an acceptable aesthetic appearance of a scar in this area.

Brian Biesman, MD

14 reviews

Nashville Oculoplastic Surgeon

www.drbiesman.com

Scar Indentation

Sometimes simple massage or "pinching" the skin overlying the indentation multiple times a day for many weeks can improve the situation. Sometimes subsicion or the injection of a dermal filler (or even saline) is helpful. If it doesn't go away after several months, best to returh to the doctor who treated the scar or consult a board-certified plastic surgeon or dermatologist.

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Indentation after shave removal

Thank you for the photo - it is very helpful in answering your question. It is common to have a slight indentation after a shave removal. Hopefully, it will fill in over time. Right now, your scar is going through a "contraction" phase. It will continue to remodel for up to 12 months. I know this sounds like a long time, but it should get slowly better and better. I recommend starting scar massage at 8 weeks after a skin surgery - so you could start doing this. If it is still... more

Shallow scar on the cheek after surgery

Dear Steph, I suggest considering a procedure known as "subcision", combined with a spot Dermabrasion or chem-abrasion. Your dermatologist/plastic surgeon can help you decide , after considering your skin type [ fair skin vs olive complexion]. A filler may be an option, after this maneuver[s]

Khaled El-Hoshy, MD

Detroit Dermatologic Surgeon

www.elhoshy.com

Indentation after biopsy

Dear Steph, Unfortunately I have seen this happen all too commonly. If the biopsy goes too deeply into the middle (dermis) layer, the patient will be left with an indention. During the first few weeks the skin has to grow back over the biopsy site. Some patients can be red in that area for the first month. However, now three months have passed, so it is getting more likely this indentation will be permanent. I would still advise that you wait for at least 6-12... more

Wound Care for Shave Removal

After looking at the picture you have posted, it appears that the shave removal may have taken place recently. If this is true, I would like to reassure you that this will likely improve with some good wound care and time. My recommendation at this time would be good wound care. I suggest taking one tablespoon of vinegar mixed with a pint (2 cups) of warm water and soak the area for 15min 2-3x/day. Then place some vaseline and a spot bandage. Keeping the wound... more

Scar Revision with Fat Grafting

Many times we are left with unsightly scars which are indented after removal of skin lesions, traumatic injuries, or after surgical procedures. Once the scar is allowed to "mature" for a period of 6-8 months it can be evaluated for revision. Many times indentations can be fixed by filling them with fat. Fat is harvested from the abdomen, packed in a syringe, and injected under the skin to fill the "void". Ne further incisions are usually necessary... more

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Scar Removal: Q&A