I'm only 5 weeks post op, but am very nervous about my scars from a direct brow lift (incision is crescent shaped around eyebrows). It was done by an ocular surgeon, and I don't think she cared about making it cosmetically appeasing (stitches left in for 12 days!). I know I may need a scar resection done eventually but in the meantime I'd like to improve the scar, I'm thinking BBL laser treatments and filler (since it indented a lot). Is filler here safe?
May 21, 2022
Answer: Filler after surgical procedure. Hello!At 5 weeks post-operatively, scars will continue to undergo considerable changes in color and texture. Without seeing any photos, it is difficult to say whether the procedure was done with cosmesis in mind, but a crescent-shaped incision around eyebrows generally sound like it could hide within or adjacent to the eyebrow without been very noticeable. Having said that, an indented scar would be more visible and may need to be addressed.As for your specific questions about the filler and BBL, IPLs, such as BBL can help with scar texture and color some, but not significantly. For that purpose, pulsed dye lasers (such as VBeam) have been shown to improve both scar characteristics and can be used immediately after surgery. As for fillers, although possible, I personally would not recommend them at this time. For one thing, scars will continue to change quite significantly over the next 1-2 months (and continue to change to up to 6-18 months). Placing a filler under the scar at this time could potentially affect the natural scar remodeling process. Additionally, it will camouflage the scar, so that you would not know whether the scar is actually improving until the filler dissipates, and it would be an extra expense that is only a temporary solution. If the scar is truly indented and does not improve over time, you may benefit from scar revision in the future, which is a relatively quick and simple procedure, to try to evert (elevate) the scar. You may want to address that with the original surgeon, as she should be able to perform that, hopefully at no or little further expense to you.
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May 21, 2022
Answer: Filler after surgical procedure. Hello!At 5 weeks post-operatively, scars will continue to undergo considerable changes in color and texture. Without seeing any photos, it is difficult to say whether the procedure was done with cosmesis in mind, but a crescent-shaped incision around eyebrows generally sound like it could hide within or adjacent to the eyebrow without been very noticeable. Having said that, an indented scar would be more visible and may need to be addressed.As for your specific questions about the filler and BBL, IPLs, such as BBL can help with scar texture and color some, but not significantly. For that purpose, pulsed dye lasers (such as VBeam) have been shown to improve both scar characteristics and can be used immediately after surgery. As for fillers, although possible, I personally would not recommend them at this time. For one thing, scars will continue to change quite significantly over the next 1-2 months (and continue to change to up to 6-18 months). Placing a filler under the scar at this time could potentially affect the natural scar remodeling process. Additionally, it will camouflage the scar, so that you would not know whether the scar is actually improving until the filler dissipates, and it would be an extra expense that is only a temporary solution. If the scar is truly indented and does not improve over time, you may benefit from scar revision in the future, which is a relatively quick and simple procedure, to try to evert (elevate) the scar. You may want to address that with the original surgeon, as she should be able to perform that, hopefully at no or little further expense to you.
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