I have a quarter sized crater on my forehead, how do I go about getting rid of this? (Photos)

Question

almost 2 years ago now, I had an accident on my skateboard that left me with abrasions on my face. it didn't seem to heal too well so I still have about a quarter sized crater left on my forehead with some blueish/greenish discoloration surrounding it.

Nelson Lee Novick, MD · Answer

Unfortunately, there is currently no way to completely eliminate mature scars (older than three months), although there are ways to significantly improve their appearance. As a general rule, if the scar is depressed (indented, atrophic), as in this case, the first order of business should be to elevate it  in order to make it as flush with the surrounding skin as possible. This alone will improve the appearance by reducing the tangential "craters of the moon" shadowing that makes depressed scars stand out. Subcision lifting, either alone or with the addition of a biostimulatory filler (to further promote new, native collagen and elastic fiber production) would address this problem. Once the base of the scar is more elevated, then localized microneedling, using a Dermastamp, may be used to help improve any residual surface color and texture irregularities. You would do well to seek consultation with a board certified aesthetic physician and be wary of places hawking fraxel lasers, since in my experience they are far more supported by device manufacturer marketing hype than hard science and they run the risk, especially in skin of color, of promoting over pigmentation or even permant loss of pigmentation. Make sure to ask to see before and after photos before agreeing to proceed. Best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Our Hidef protocol would include injections, PRP SC, subcision, fractional laser, and fillers. Best, Dr. Karamanoukian#Realself100 Surgeon

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  You may be able to improve upon this area with topical skin care regimens incorporating a retinol and bleaching cream as well as either dermal fillers or fat grafting to help fill in the area of indentation.  Hope this helps.

Jason Emer, MD · Answer

This can be improved with a combination of lasers, microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a facial scarring expert. Best, Dr. Emer

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