Treatment options for old surgical scar on forehead? (Photo)

Question

I am a 72 year old man with an old (40 year) surgical scar on my forehead. In the past I have covered the scar with my fringe but hair loss is limiting this. The photo is a year old - there is a marked depression in the centre of the scar. Early this year I had a course of needle dermabrasion and tattooing which resulted in a more noticeable and darkened scar. I would welcome advice regarding further treatment - there appear to be a range of surgical and non-surgical options.

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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