Deep horizontal scar on my forehead together with ptosis injury (Photo)

Question

Hi I am. a retired attorney and had a significant fall on June 4, of this year. The plastic surgeons and oculoplastic surgeon say I have to wait six months. I only see out of one eye so I have up be careful. I have been informed in my case that microneedling, botox. or laser # below the eyebrow. I am. now posting a Pic of my scar!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Monika Kiripolsky, MD · Answer

Hi Slk,
  Sorry for your fall. Agree with those recs, but, would add a fractionated nonablative and/or fractionated ablative laser as well. 
Hope this helps!
Dr. Kiripolsky

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your injury. While I can't view images, I can provide some general advice based on the information you've shared. It's important to follow the guidance of your healthcare providers, but here are some general considerations:

Scar Management
1. **Waiting Period**: It's common for surgeons to recommend waiting several months before undertaking any scar revision procedures. This allows the scar to mature and the skin to heal properly.

2. **Microneedling**: This procedure can help improve the appearance of scars by stimulating collagen production. However, it's important to ensure the scar has healed sufficiently before starting microneedling to avoid further damage.

3. **Botox**: In some cases, Botox can help reduce the appearance of scars, especially if muscle movement is contributing to the scar's prominence. It can also be used to manage ptosis (drooping eyelid) by temporarily paralyzing the muscles that are pulling the eyelid down.

4. **Laser Therapy**: Laser treatments can be effective for reducing scar redness and improving texture. Different types of lasers may be used depending on the specific characteristics of your scar.

Ptosis Management
1. **Observation Period**: The six-month waiting period also allows for the natural resolution of ptosis, as sometimes the condition can improve on its own as swelling and bruising subside.

2. **Surgical Correction**: If ptosis persists after the waiting period, surgical intervention might be considered. This could involve tightening or repositioning the muscles that lift the eyelid.

General Care Tips
1. **Sun Protection**: Protecting your scar from the sun is crucial. UV exposure can darken scars, making them more noticeable. Use a high-SPF sunscreen and consider wearing a hat when outdoors.

2. **Moisturization**: Keeping the scar moisturized can help with the healing process. Products like silicone gel sheets or creams can be beneficial.

3. **Follow-Up**: Regular follow-up appointments with your plastic surgeon and oculoplastic surgeon are essential to monitor your progress and adjust your treatment plan as needed.

Precautions
Given that you have vision in only one eye, it’s especially important to be cautious with any procedures around your eye area. Ensure that any treatments are performed by experienced professionals who are aware of your specific situation.

Communication with Your Doctors
- **Discuss Concerns**: Be open with your surgeons about any concerns or questions you have. They can provide specific advice tailored to your situation.
- **Treatment Plan**: Make sure you have a clear understanding of the recommended treatment plan and the rationale behind the waiting period.

Additional Support
- **Support Groups**: Sometimes, connecting with others who have experienced similar injuries can provide emotional support and additional insights.
- **Counseling**: If the injury and its effects are causing significant distress, counseling or therapy can be beneficial.

Remember, every individual's healing process is unique, and your healthcare providers are best positioned to give you advice based on your specific circumstances.

Deep horizontal scar on my forehead together with ptosis injury (Photo)

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Deep horizontal scar on my forehead together with ptosis injury​ (Photo)

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Deep horizontal scar on my forehead together with ptosis injury (Photo)