Gregory Barron, MD

Before jumping into surgery (implant or fat removal) I would try an injectable filler in this area. The two products I like to use to recountor the cheek are Voluma and Perlane. At your young age I think this is a safer and more practical route. If for whatever reason there is an issue or you don't like the filler it can be dissolved. It is much more difficult to reverse a surgical implant. Judging by your pic it appears that filler would be all that is needed.

With your dark skin type it is important that you are careful having certain procedures done. Laser hair removal which is your best chance at achieving long term hair reduction can be done on dark skin with the right machine. There are lasers, most notably the Nd:Yag laser, which are safer in dark skinnned patients. I would find a reputable establishment that you feel comfortable with and that does a singificant amount of laser hair removal on darker skinned patients. FYI-patient with dark skin will often require more treatment sessions for ideal results as a lower energy setting on the laser is typically used.

Based on your picture it appears that the area of injury above the brow is very superficial. Likely as it heals there will be some residual pigmentation for a period of time. This can take several months to go away but I doubt you will have a permanent mark. During that time sunscreen is important to prevent further darkening of the pigmentation. Occasionally, a lightening cream can be used with or without a topical steroid (this should be prescribed by your doc). I would just leave the curled hairs alone and allow them to come out without manipulation. I would ensure that when doing laser hair removal around the brow one is very careful and uses some type of barrier device (we use a plastic stencil).

I hope this helps.