How can the indentation on my forehead be treated? (photo)
Doctor Answers (9)
Indentation on Face and Best Treatment
- The photograph suggests the possibility that the indentation is from unusual vertical muscle in the forehead. If so, Botox will work.
- If the indentation has another cause (it can range from trauma to underdevelopment of tissues in the area), Botox will not correct it but a filler or fat transplant might do so.
- See a Board Certified Plastic Surgeon for a diagnostic evaluation.
- Until you know what is causing the dent, don't have treatment. Best wishes.
Indentations And Depressions Respond Well To Subcision
Once more serious medical conditions have been ruled out, subcision might be considered for treating the indentation. For over twenty years, subcision has proven an easy and effective method for permanently elevating depressed scars of various types. Subcision is a procedure in which a sterilized needle is inserted, following the administration of local anesthesia, directly beneath a depressed scar (regardless of whether from acne, infection, trauma, or surgery) and used to break up the thick bands of fibrous scar tissue that bind down the surface and create the depression. On a small, linear scar, such as this, treatment would likely take no more than a couple of minutes.
Breaking up the abnormal bands of thickened, scar collagen accomplishes two things. First, it allows the surface of the scar to float to the surface. In addition, the tissue fluid that immediately fills the space following treatment contains growth factors and other wound healing substances that promote neocollagenesis, native collagen production, that allows for improvement and elevation of the scars. Between two to four treatments, spaced at six week intervals, are generally required to promote sufficient new collagen to achieve a satisfactory improvement. Since, the collagen produced is one's own, the results of subcision are typically permanent. To further plump the depression and stimulate additional collagen production, a small amount of volumizer filler, such as Radiesse or Radiesse combined with Perlane L may be injected immediately following subcision treatment or between treatment sessions.
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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.