I have a dent in the skin of my forehead and it was of head hitting into wardrobe handle where it stuck in my head? (Photos)

Question

Dint in my forehead of head hitting wardrobe door handle

Ellen A. Janetzke, MD · Answer

Hello! You have many options to choose from! I recommend a combination of a fractional laser along with a possible dermal  filler. This is something you can have evened out in a matter of weeks. Good luck!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

From the photo, your indented, traumatic scar appears much like a chicken pox scar and can be treated like one. First, the indented (depressed, atrophic) portion needs to be elevated. This can be accomplished simply and inexpensively by the use of subcision lifting accompanied by the use of a biostimulatory filler that not only adds additional lift and support, but promotes new, native collagen and elastic fiber synthesis. Restylane Lyft is my go-to for the latter purpose in my Upper East Side Manhattan office and Hyaluronica 2 in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available. Next, I would perform a localized microneedling treatment using a Dermastamp in order to blend any residual surface color or texture irregularities with the surrounding normal skin. This, too, is a quick and relatively inexpensive procedure and can actually be performed (I routinely do this) immediately after the subcision during the same treatment session. Make sure that you seek consultation and treatment by a board certified aesthetic physician with expertise and experience in all forms of scar treatments and not just anyplace hawking the supposedly latest, "next big thing," one-size-fits-all to come along expensive fraxel laser, radiofrequency or ultrasound device. Best of luck to you.

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 cosmetic dermatologist. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  I would advocate a combination of subcision to release the tethered scar in addition to placement of a small amount of dermal filler to help level it with the surrounding skin.  Hope this helps.

Jan Zemplenyi, MD · Answer

The dent in your forehead could benefit from subcision with the possibility of a small amount of dermal filler.

Keith Denkler, MD · Answer

A dented scar such as this can be released under local anesthesia with subcision.It may or may not need supplemental fillers.

I have a dent in the skin of my forehead and it was of head hitting into wardrobe handle where it stuck in my head? (Photos)

Answers (7)

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