What can do about this ugly scar on my forehead? (photos)

Question

I've had this scar for many years is long and ugly due to a car crash please help! I always have to have bangs cuz I'm so embarrased the scar is concave it looks so ugly under some light, plus is white please help me at least make it look less noticeable and flat thank you so much

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Randal Haworth, MD, FACS · Answer

A scar treatment plan can include utilizing both lasers to address the pigmentation and texture, and dermal fillers can be used to fill in any indentation or atrophy the scar may have left behind. Additionally, micro needling which stimulates the body's own collagen to tighten lift and rejuvenate skin can improve the area as well. A surgical approach could be to have a scar revision which would potentially create a less visible scar. A thorough exam of the scar is recommended in order too know what will be the best treatment option for you.

Jason Emer, MD · Answer

This scar can be improved with a combination approach of lasers, microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear dinaluevanos,based on your description and photos, it would be best that you visit a board-certified plastic surgeon for an in person examination. This way, your surgeon can assess your scar properly and determine the best course of action to address and resolve your concerns.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Benjamin C. Paul, MD · Answer

The scar that you have is depressed (concave) and you should consider a scar revision. The depressed segment is excised and the skin edges are brought together. This will make a more narrow incision line that is not depressed. Seek a facial plastic surgeon for care. Best of luck!

What can do about this ugly scar on my forehead? (photos)

Answers (5)

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