My fiancee's trauma scar on her forehead is indented and looks like she got hit with a hatchet. What scar revision methods would have the best results for this? Fraxel re:store, W-plasty, Z-plasty, or a combo? Or other? (the photo is not of my fiancee - she is too embarrassed to post a pic, but this pic gives you an idea of what hers looks like, although hers is a vertical scar). Thank you in advance for you replies.
Scar Revision: Deep Indented Forehead Trauma Scar - Fraxel or W/Z Plasty or Combo?
Doctor Answers (4)
Z-plasty probably the best choice
Z-plasty for scar revision will accomplish 2 things:
- Minimize tension on the closure to prevent a recurrent depression
- Camouflage the scar by breaking up how the light is reflected from the scar making it less noticable
Scar revision is the only choice for a deep depressed scar. Fraxel doesn't work.
Fraxel therapy is very disappointing for scars. The scar in the photo would require a revision, the specifics of which depend upon the orientation and depth of the scar as well as the expectations of the patient.
Forehead Scar Revision
If your fiancee's scar is representative of the picture then I would recommend a surgical scar revision. It could be a z-plasty, w-plasty, etc. This depends on the nature of the scar and the surgeon's experience with these techniques.