Long cut on my head from scalp scar revision after a prior cyst removal. Can I get it removed? (photos)

Question

Hi. I had a cyst removed from the side of my head over 3 months ago. It left a bald spot with a slight dent. So I had the same doctor do a scar reduction where he stitched it up but now it's just a long laceration mark running down the side with a tiny bump you can't see in the photos that wasn't there before. I'm guessing the bump came from being stitched. They didn't cut any of my hair follicles but I'm still uncomfortable with how it look. Can this be fixed?

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

Reza Nassab, FRCS (Plast) · Answer

The lump you refer to may represent some hypertrophic scarring that may be improved with steroid injections.  Scar revision always carries the risk of the scar widening again.  The other possibility may be hair transplantation but if you have abnormal scarring then be cautious.

Gabriel J. Martinez-Diaz, MD, FAAD · Answer

Scalp scars and their revisions are tough. I would go back to your surgeon and discuss other non surgical modalities for scar revision. if it's a bump that bothers you, once could consider intralesional steroid injections with 5-FU, which maky reduce the lump side significantly. I would stay away from additional cutting per se, as your body and genetic may make you predisposed towards keloid formation and hypertrophic scarring. If your surgeon is not comfortable, seek the expertise of a board certified dermatologist in your area.

Long cut on my head from scalp scar revision after a prior cyst removal. Can I get it removed? (photos)

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Long cut on my head from scalp scar revision after a prior cyst removal. Can I get it removed? (photos)

Answers (3)

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.