Scar revision on forehead: excision or laser? (photos)

The hard science to support using expensive fraxel lasers lags woefully behind the heavy marketing and social media hype to promote them. So, buyer beware. IPL is unlikely to do much, if anything at all, for this kind of scar. Surgical revision in areas, such as this, under tension run the risk for the development of stretch scars and tram track stitch marks. CO2 lasers, much like dermabrasion, are aggressive procedures that run the risk of prolonged and persistent healing, scarring and post-inflammatory pigmentary changes. If the scar is indented, subcision can elevate and smooth it, following which manual professionally performed microneedling can help as a "polishing" step to better blend the treated scar with the surrounding normal skin. You would be wise to consult a board certified cosmetic dermatologist. Best of luck.