What a good filler may I use for scar in forehead? (photos)

Question

I got full forehead scars I tried juavederm ultra but didn't get good reasult but better than before .may I use sculptra?? It really bother me .

Mitchel Goldman, MD · Answer

Proposed answer: There are a few different fillers that can be used to treat unsightly scars. Restylane and Juvederm are commonly used to treat deep acne scars, seeing as you were not satisfied with the results I would recommend you see a board-certified doctor that can evaluate you and talk to you about the different options that you may have. Often times, combination laser treatment in addition to a filler or instead may provide better results.

Raffy Karamanoukian, MD, FACS · Answer

Sculptra is not a good filler for atrophic scars. You may instead opt for Ematrix treatments and/or fractional laser to help with your scars. Best, Dr. Karamanoukian Los Angeles

Jason Emer, MD · Answer

Soft fillers like juvederm, belotero or the like are good for scars on the forehead but long term, something like artefill would give a more lasting result.  I still believe lasers are the first line treatment with microneedling and you seek advice from a laser and filler expert who treats acne scars frequenly.  My practice specliazes in this and you should seek someone similar for the best results.  Best, Dr. Emer.

Jody Comstock, MD · Answer

Hi there. I'm sorry to read that your forehead
scars make you feel self-conscious. Although some scars to respond well to
injectable fillers, based on your photo, I think you may see better results
from a laser treatment. Many lasers work by encouraging your skin to develop
more collagen, a substance that keeps skin thick and resilient. In essence,
these treatments can help stimulate your skin to fill in depressed scars on its
own. We've had great success with the Deep and SCAAR FX treatments, which are
specifically designed for scar tissue such as yours. Of course, an in-person
consultation with a board-certified dermatologist will likely give you a better
sense of the treatment that's right for you. Good luck.

Hratch Karamanoukian, MD, FACS · Answer

eMatrix is RF (radiofrequency) technology and not laser.The types of rolling, ice pick and boxed scars are ideal for this sublative technology where RF energy is delivered below the superficial most layers of the skin to reduce the scarring. I agree that you need more than 5 treatments. I recommend eMatrix highly. We use eMatrix in our practice.

Michele S. Green, MD · Answer

I inject a lot of different scars with fillers but your photos were extremely helpful.  The best results will be achieved through the eMatrix Laser for these type of scars.  It will take at least five treatments to have these scars minimized.  The eMatrix is a great laser and please consult a board certified dermatologist with experience with this laser.

Jason Pozner, MD · Answer

i think you are better off with laser treatments or other energy devices for your forehead scars. There are many new devices for scars that are worth evaluating including fractional lasers (we like the Sciton profractional) and new needling devices such as the Lutronic Infini. Best to go to an office that has multiple devices

Dean P. Kane, MD, FACS · Answer

Dear Florida 1975:Thank you for sharing your photo. Every
scar is different. Each person and each body or face site that the skin is cut
or punctured will heal with a different quality of scar.

Some
are flat and thin but many are thick and ropey, red or pigmented brown.

Some
pull causing a contracture or are lumpy. There are many different treatments
depending on the quality of your scar(s) which I will address below.

When
it bothers you as it does, you may consider the following options:

1. 
Waiting for the scar to “mature” i.e. become soft and flat

2. 
Massaging the scar, using scar creams and silicone sheeting to soften it

3. 
IPL and vascular laser and light therapies to reduce the redness and
‘ropeyness’

4. 
Steroid injection to reduce the growth and lumpiness

5. 
Retinoids, hydroquinone skin therapy to reduce the thickness and pigmentation

6. 
Surgical removal and revision of the scar. 7. Fillers to fill the loss of tissue under the scar and make it smoother.8. Microdermabrasion or Dermabrasion to reduce the raised surfaces making the scar smoother.9. Micro-needling to restart the inflammatory phase of healing in the hopes of remodeling the scar and re-epithelializing the surface. 10. Sculptra injection to remodel the scar and fill the depression. This, like any technique is very skill dependent.

A
scar is permanent and many times becomes imperceptible. Time, of course will
help scars improve.You can appreciate the many ways to help your scar. I recommend you consult with various well experienced and Board Certified Plastic Surgeon, ENT or Dermatologist to evaluate and provide you with their recommendations.

David Goldberg, MD · Answer

Scars on the face can be treated many different ways. Most dermatologists and plastic surgeons treat with a combination of fractionated laser resurfacing and dermal fillers. Generally, most patients require a series of laser treatments. The number necessary is up to the consulting provider, as well as the type of laser that is used. Also, there are other fillers on the market other than Juvederm Ultra that can be used, it just depends on what your doctor thinks is best for your type of scar. I recommend consulting with a Board Certified Dermatologist or Plastic Surgeon who has expertise in scar treatment. Best of luck to you!

Julia B. Sabetta, MD · Answer

Fractional laser resurfacing, non- ablative which means non- cutting is a gentle, and effective way of improving a myriad of scars, as seems to be the case on your forehead. There are multiple brands of this device such as Palomar/Cynosure. Treatment is performed as a series. Your deeper saucer shaped scars may then benefit from a medium G ' dermal filler. Your doctor seeing you at the time would be the best judge of which filler and at what level to place it in your skin for best improvement. I wish you well.

What a good filler may I use for scar in forehead? (photos)

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