Could I get filler put in the vertical scar on my forehead? (Photos)

Question

Vertical scar on forehead

Nima Shemirani, MD · Answer

Hi @arocap. I recommend a combination treatment of microneedling and dermal fillers. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

A combination approach will give the most improvement. This scar can be improved with fillers combined with lasers, microneedling/prp and subcision to help texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Benjamin Caughlin, MD, FACS · Answer

There are a lot of options to treat scars. As I am sure you are aware the ideal position of a forehead scar would be horizontal position. So most surgeons are going to recommend some sort of a repositioning treatment to reorient the scar. We recently published a paper about proactively treating scars. By that I mean getting in a good laser protocol as soon as the sutures come out from the surgical treatment. Fillers are definitely an option also. Particularly for depressed scars that are shadowing. Hope this helps,Best of luck,DrC

Joelle Rogal, MD · Answer

There are multiple ways to improve the appearance of scars.  Fillers are one way to improve the look of indented scars.  From the picture, it appears that you could benefit from this approach.  I recommend that you see a facial plastic surgeon who can evaluate you and discuss all your options.

Shaun Patel, MD · Answer

There are several different ways to improve a scar, with fillers beings one of them. I do think filler could be helpful, as would microneedling.

Lawrence Janowski, MD · Answer

Yes, your scar appears to be very amenable to filling.  A product such as Restylane should work quite well.  Results will last 6-12 months.  A microinjection technique using a 31g insulin needle is best.

Spa 35 - Boise · Answer

Yes, filler can definitely help with scars. Although you may want to consider other procedures first that may help more long term with improvement of the scar, such as micro needling with PRP (usually a series of 3) or C02 facial resurfacing. Best of luck!

Jamé Heskett, MD · Answer

Hi, 
I think a combination approach to this would work well. I personally would do a few sessions with carboxytherapy to stimulate the circulation in the scar itself. Then I would do a few sessions of microneedling with PRP. Whatever is left can be treated with a little fractionated radiofrequency or with a little bit of filler if necessary. I would rather resolve most of the scare without filler, because that is a longer lasting effect and will cost you less time and money in the long run. 
Best of luck
Dr. Jamé

Melanie L. Petro, MD · Answer

HiThanks for your inquiry and photos.  Yes filler could help this scar but it might actually make it look worse or more noticeable with something in it pushing out. I would recommend trying microneedling first to help smooth out the scar and then see if filler would be needed.  Good Luck!

Eric Shreder, DO, MS · Answer

Hi Carocap.  Unfortunately, you have a scar that is difficult to deal with. You don't want just anyone to "attempt to fill it". No filler has an FDA indication for that kind of scar - at least on-label. What I have had great luck with, is to use a filler that does have an FDA  scar indication - Bellafill (acne scars) to repair these scars. I use the technique of subcision, and carefully use a special needle which acts like  a scalpel in order to loosen adhesions below the scar. I then use a biostimulatory filler such as Bellafill or Sculptra to lift the scar even with the skin surface. I do this over 3-4 sessions, using minute quantities of material each time. The results vary with the depth of the original scar, and the amount of underlying adhesions and whether or not the scar has hyper or hypopigmentation.