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Pediatric Dermatologist Vs Pediatric Plastic Surgeon and Scar Treatment

asked 1 year ago by yarit in The Woodlands, TX
Latest answer by Vivek Bansal, MD
Question viewed 506 times
Tags: child, doctor referral, injury, options

My 2 year old daughter fell and hit her forehead 7 weeks ago on a sharp edge of our bed. The cut ran from above her nose just into her eyebrow line. We are looking for advice regarding scar treatment such as pulse dye laser treatment or other options to minimize the scar. I'm interested in determining if it would be best to visit a pediatric dermatologist or a pediatric plastic surgeon for this advice. I am also looking for a doctor recommendations in the north Houston area.See attachment. THX

10 answers to Pediatric Dermatologist Vs Pediatric Plastic Surgeon and Scar Treatment

+1

Scar Removal

I would see both of them, and consider the options. Thank you for your question and good luck with everything.
Vivek Bansal, MD

Danville Plastic Surgeon
+1

How to approach a scar on forehead of 2 year old

The scar on your daughter's face appears to be fairly wide. Was it repaired and by what type of physician. Typically, one would want to allow this to mature at least a year prior to considering scar revision surgery. In your daughter's situation, it is clear that this scar will always be wide and irregular. The only effective way to treat this would be for surgical scar revision. Therefore, other treatments would be unnecessary, costly, inconvenient and probably further... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon
+1

Experienced, Capable Physician for Best Results

I think early evaluation for proper wound care management is important to take care of your childs scar. While many scars are best left to heal and remodel on their own, some are better treated early, espeically if they show signs of early Hypertrophic Scar or Keloid. Initial wound care management at the time of injury is most critical. After, agents such as silicone gel sheets or massage may help to soften scar, and good sun protection is important. Excessive sun... more
Jeffrey C. Poole, MD

Metairie Dermatologic Surgeon
+1

Wait

You should allow at least 12 months of healing to see what kind of scar you will be left with (waiting longer would be even better). While waiting some form of scar cream for one or two months would help. I would not do any laser treatment as I don't think it helps. The worse situation is if you don't like the scar at any age, then you can get a scar revision and this should only be done by a plastic surgeon and a good one in Houston is Dr. John Teichgraber. more
Andre Aboolian, MD

Beverly Hills Plastic Surgeon
+1

Pediatric Dermatologist Vs Pediatric Plastic Surgeon and Scar Treatment

The scar should be allowed to mature or heal completely before any revision is done. That means at least 12 months. Scars will widen as the child grows and any revision now will lead a wide scar later in life. I would wait a year or so and reevaluate then. If it is acceptable, then will wait until teen years to do the revision.
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

Find a good experienced provider.

Hi there. I hope your daughter is doing better since the accident. I'd suggest finding an experienced provider in your area. Specialty matters far less than experience - especially when it comes to treating scars. You want to have a good rapport with your doctor, especially when it comes to interacting with your 7-year-old. I'd suggest an experienced Facial Plastic Surgeon, Plastic Surgeon, or Dermatologist - in no specific order. In... more
Michael G. Brandt, MD

Toronto Facial Plastic Surgeon
+1

Scar revision

Based on the picture that you provided the best result would be to do a scar revision by excising the scar and re closing the wound. No laser would get as good a result. You should seek a Board Certified Plastic surgeon in your area of North Houston, Pediatric Plastic Surgery Specialist are virtually nonexistent and not needed.
Walter D. Gracia, MD

Arlington Plastic Surgeon

www.graciaplasticsurgeon.com

+1

Seek a dermatologic surgeion or plastic surgeon for scar treatment and revision

When considering optimal treatments for fresh scars, or thinking about scar revision, it's best to turn to the skin experts who treat scars the most. Dermatologic surgeons treat more scars than any other type of physician, and you would be well served to visit one who specializes in scar treatment and revision. Pediatric and adult scars are treated in the same manner, so a pediatric specialist is not necessary in this instance. Likewise, most plastic surgeons treat scars as well. Either... more
Chad L. Prather, MD

Baton Rouge Dermatologist
+1

Scars Treatment-Plastic Surgeon or Dermatologist

Plastic surgeons have extensive training and experience treating scars. I would recommend consulting with a plastic surgeon. Ask a few of your physicians for recommendations regarding a plastic surgeon in your community.
Albert Dabbah, MD

Boca Raton Plastic Surgeon
+1

Plastic surgeons are best for scars

So sorry for this accident. I would strongly advise you to seek the care of some of the best plastic surgeons in your area. They don't need to be exclusively pediatric either. Good luck, time and massage with emu oil or VitE will be your best friend and things will look much better at one year. Lasers may help but are tough to do to kids.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

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