So about two years ago I fell and got a nasty scar in the middle of my forehead and it runs vertical. I've gotten a few laser treatments but i feel like i probably am going to need a scar revision of some sort because it hasn't improved much after 3 treatments. I also have a lump of scar tissue underneath the scar. I'd really like some opinions on what I could do to make it less noticeable as it really affects my confidence and self-worth. I've attached a picture. let me know! thanks
Vertical Scar on Forehead, What Should I Do? (photo)
Doctor Answers (10)
Removing and revising a forehead scar
Two viable options for your forehead scar include fractional co2 laser and/or surgical scar revision with excision of the scar and layered closure.
Forehead Scare Revision
Thank you for posting this question and providing photos. It's not completely clear from the pictures, but it seems like this may be a depressed or atrophic scar -- meaning the scarred area is lower/deeper than the surrounding tissue. If that is the case, the best treatment is to meticulously remove the scar and repair the area in layers with intentional eversion. This can be followed by laser treatments if the pink/red color comes back, or local steroid injections (kenalog) if the area becomes raised. Try to find a surgeon with a sincere interest in facial scar revision to get the best outcome possible.
Terry A. Cromwell M.D.
If your makeup wont hide your scar,becuse of the bump then revision could be an option. Sometimes changing the direction of the scar with a z-plasty is indicated.
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Thank you for your question. It would be interesting to know the time since your laser treatments because the scar is still red. This suggests that your scar is still in the healing process. Nonetheless, you scar is fairly wide. Scar revision would likely help to reduce the width of the scar. Best wishes.
Vertical Scar on Forehead, What Should I Do?
Yes I agree a scar revision is indicated in your case. Especially after the non invasive laser failure.
Red Scar Removal
Hi Reggie. We cannot see what the texture of the scar looks like with the photo you posted but if you are concerned about the redness, we would highly recommend a pulsed dye laser treatment. We use the Cynosure V-star.
At this stage allowing the passage of time for the scar to mature and soften is proably best. If the closure was not done in layers then a revision is best
Excision and formal plastic surgery closure
Thank you for the question and photos. There are a number of plastic surgery reconstruction cases where we use forehead tissue for reconstruction of the nose. When the forehead is close properly the result incision is usually much better than the scar that you have shown. This resulting incision can be further blended with laser down the road since the amount of scar and width of the scar is very small and thin and the laser can be focused on the color variation of the incision.
Dr. Remus Repta
Web reference: http://drrepta.com
A scar revison might be possible depending upon hwo the original wound was closed and the history of the injury. Some lasers may help as well.
Vertical scar on forehead
Web reference: Http://advanceddermatologypc.com
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