Is there anyway to improve this scar? I'm 7 months post-op brow lift

Thank you for your inquiry! Scar creams can be used on scars to minimize appearance as well as silicone scar sheets. Lasers such as Microneedling can also be performed to minimize appearance as well. We would love to see you in person or virtually to discuss treatment options or schedule a consult with a licensed aesthetician.

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

You would be wise to consult with a very experienced, board certified cosmetic dermatologist with extensive experience in performing subcisions. The use of a very fine needle subcision can help to .elevate and smooth the indentation. Once this is done, then professionally performed manual microneedling (no need for the added expense and risks of RF microneedling) can be used to better blend any superficial, surface irregularities in color and/or texture of the scar with the surrounding normal skin. Subcisions, which I have been routinely performing since 1995 and microneedling, which I have routinely been using for the past nearly quarter of a century have proven safe and effective in all skin types.
Scar revision surgery, besides the expense and the post-treatment downtime involved, runs the risk for the subsequent development of a stretch scar and tram track stitch marks.
And, finally, if you are offered some expensive bells and whistles fraxel laser or RF treatments, keep in mind that these treatments are supported far more by heavy marketing hype and social media buzz rather than hard science. Hope this helps and best of luck

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Improving a scar following a brow lift can be effectively achieved with CO2 laser resurfacing. This treatment uses a carbon dioxide laser to remove the outer layer of skin, promoting collagen production and encouraging the growth of new, healthier skin. As a result, CO2 laser resurfacing can help smooth the texture of scars, reduce their appearance, and even out skin tone. At seven months post-op, your scar is likely in the remodeling phase, making it a suitable time to consider laser treatment. The CO2 laser can penetrate deeply into the skin, targeting the scar tissue while leaving surrounding areas intact, which helps to minimize downtime. Many patients experience significant improvement after just one session, although multiple treatments may be necessary for optimal results. After the procedure, you may experience some redness and swelling, similar to a sunburn, which typically subsides within a week. It’s essential to follow post-treatment care instructions, including sun protection, to ensure proper healing and enhance your results. I hope this helps and best of luck!

Hi Cheerful398241,
Thank you for reaching out, and I understand your concern about the scar. At 7 months post-op, some scars can still improve with time, but there are definitely treatments available to help reduce the indentation and improve the appearance.
One effective option is carbon dioxide (CO2) laser resurfacing, which can help smooth out the texture of the scar and reduce its visibility. However, since your scar is close to your eyebrow, there’s a potential risk of hair thinning or even hair loss in the eyebrow area due to the heat and depth of the laser. This is something to carefully consider and discuss with your provider.
Other options to improve the appearance of the scar could include microneedling or filler injections to lift the indentation, or even scar revision surgery if the indentation is deep.
It’s important to consult with an experienced aesthetic physician to weigh the risks and benefits of each treatment before making a decision.
I hope this helps, and I wish you the best in finding the right solution for you!