At what point can a Mohs Forehead scar be revised and Botox restarted? 4 months post op. (photos)

Question

Mohs Surgery BCC on forehead end of January. Told surgeon would provide scar help if needed. 4 months post op, waited 6 weeks for appt today... told looks good by assistant, and they only address scar after a year. Said they could hardly see scar, and doctor would not be seeing me today. Told In January I could resume Botox, So I went to their office for Botox 6 weeks ago, and it did not work. Don’t know if my forehead will ever be smooth again, no revision/ help offered, and Botox didn’t work.

Barbara L. Persons, MD, FACS · Answer

You need to break up the scar tissue! Fraxel it with a 1550 wavelegnth . It will take a 4-6 treatments, doing one a month to help break up that scar. Then, making sure the botox is injected in the muscle you will have a beautiful smooth forehead again!

Timothy W. Chang, MD, FAAD · Answer

For an optimally healed scar, I would recommend a series of fractionated CO2 laser treatments to the area. This will help blend in the scar. Botox to the forehead every 3 months will also help by relaxing the forehead muscles that pull at the scar. The scar does look slightly raised, which will flatten over time but intralesional kenalog injections with a dilute concentration such as 5mg/cc could help speed up the process.

At what point can a Mohs Forehead scar be revised and Botox restarted? 4 months post op. (photos)

Answers (2)

More Mohs Surgery Questions

At what point can a Mohs Forehead scar be revised and Botox restarted? 4 months post op. (photos)

Answers (2)

More Mohs Surgery Questions

Had Mohs Surgery on my nose, and am not happy with the results. Doctor says SHE is happy with it, so won’t fix. (Photos)

Can a scar look better at two weeks post Mohs and then look worse a week later?

Infection from Mohs surgery on ear?