Hairline lowering scar 10 months later, scar is still very noticeable. Options? (photos)

Question

I had hairline lowering surgery 10 months ago and I'm concerned my scar isn't healing properly. I was told the hair would grow through the scar and that doesn't seem to be happening. I do have a few baby hairs growing behind the scar and maybe one or two strands growing through the scar it's still very noticeable. All of these pictures are in different lighting to give you and idea (indoor, outdoor, and indoor with extreme ring light). The doctor didn't seem concerned about it but I don't know.

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

Marc Polacco, MD · Answer

Thank you for your question. Although the scar is still undergoing maturation, I would recommend treatment either via injections, or laser to start. If this is not successful, revision surgery could be considered. All the best.
-Dr. P

Jeffrey H. Spiegel, MD · Answer

This can happen.  While unfortunate, it can be helped.  I would have you come in for hair grafts.  We do many women's hairlines.
We would move the scar backwards that way.

Nelson Lee Novick, MD · Answer

Hypopigmented scars are quite common after any kind of surgery. I have had gratifying results with treating these with professional microneedling accompanied by the application of prescription-strength pigment enhancers, such as tyrosine and lanatoprost. Make sure to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Darryl J. Blinski, MD · Answer

Visible slighty spread white scar one of the most common complications of hair line lowering surgery. Options to try to remedy are: re suture scar, follicular hair grafting or both.

Hairline lowering scar 10 months later, scar is still very noticeable. Options? (photos)

Answers (5)

Answer: For Treating Hypopigmented Scars: Professional Microneedling Plus Presciption Strength Pigment Enhancers

Answer: For Treating Hypopigmented Scars: Professional Microneedling Plus Presciption Strength Pigment Enhancers

Answer: Hairline lowering scar 10 months later, scar is still very noticeable. Options?

Answer: Hairline lowering scar 10 months later, scar is still very noticeable. Options?

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Everything you need to know about Scar Removal

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Hairline lowering scar 10 months later, scar is still very noticeable. Options? (photos)

Answers (5)

Answer: For Treating Hypopigmented Scars: Professional Microneedling Plus Presciption Strength Pigment Enhancers

Answer: For Treating Hypopigmented Scars: Professional Microneedling Plus Presciption Strength Pigment Enhancers

Answer: Hairline lowering scar 10 months later, scar is still very noticeable. Options?

Answer: Hairline lowering scar 10 months later, scar is still very noticeable. Options?

Browse related questions

Recommended reading

Everything you need to know about Scar Removal

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