Ask a doctor

What Procedure is the Best for Facial Trauma Forehead Scar? (Photo)

Hello I am 31 years old Asian male. I have had a trauma forehead scar since i was 10 years old, i have done co2 fractional laser treatment recently to improve it. It's almost a month i did it. I am not satisfied with the results. After co2 fractional laser the treated area has a black spot..is it normal? My doc told me that i have to visit him for next session.please advice what might be the best treatment to improve the scar.Thank you

Doctor Answers (2)

SCAR THERAPY

+1
The gold standard for depressed, pitting and even crater-type acne, chicken pox, shingles, and similar indented scars is dermabrasion (not micro-dermabrasion) whereby the skin is sand down with a diamond tip burr to the deeper layers leaving a raw surface for about a week before new smooth skin regenerates. Note, this procedure should only be done by a trained surgeon in an operating room not a nurse nor a technician in a spa setting.
Once your wounds are healing then scar therapy may be considered. Although the results of scar therapy vary from person to person and scar to scar, the results are considered permanent.
Not infrequently potential patients avoid surgery because fear of an unsightly scar. To remedy this, I now utilize and formulate compounded topical creams to treat, relieve and minimize scars for each of my patients:
• new scars
• old scars
• surgical scars
• keloid scars
• stretch marks
• hypertrophic scars
• hyperpigmented (dark) scars
• various acne scars, and more...
These scar removal creams contain prescription strength medications each individually known to reduce and/or reverse the scarring process but never before compounded together into one high potency formulation. These medications are added to a base of anhydrous silicone (the most common ingredient in everyday topical scar therapy) and Pracaxi oil, found in the Amazon rainforest and known for its anti-inflammatory, antioxidant, antibacterial, and antifungal properties. Many health insurance plans actually cover the cost of the creams and they can be delivered directly to the patients door step. In other words, no need for multiple trips to the doctor for expensive and painful laser treatments, or wasted money on minimally effective over-the-counter topical scar therapy gels or silicone sheets that are unsightly and/or fail to stay on. Instead, with just two applications a day my patients now perform scar therapy in the comfort of their own home. Glad to help.


Beverly Hills Plastic Surgeon
4.5 out of 5 stars 23 reviews

Scar On Forhead

+1
You would need an inperson consultation because the photos aren't that good for me to make an appropriate recommendation.  Often after co2 laser resurfacing, the area can become darker and bleaching creams are needed to help the color improve.  This is normal.  However, with the type of scar you are showing in the attached photos, you may need another laser treatment but also in combination with filler injections for better improvement.  But, I cannot say for sure without seeing you in person.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
5.0 out of 5 stars 46 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.