Options For Indented Facial Scar From Dog Bite? (photo)

Question

I have indented red scar above my lip from a dog bite 18years ago would a filler help with the appearance? I would love to cover it atleast w/makeup but since its indented makeup just makes it stand out more. Please help I need advice asap!!

Nelson Lee Novick, MD · Answer

Subcision is a procedure in which a sharp needle is inserted and fanned around under the scar (after numbing with local anesthetic). This technique breaks up the scar tissue and also allows for new collagen to be produced that flattens the scar and improves its appearance. In general, a series of procedures, usually two to four spaced at monthly intervals,  is required to achieve an optimal result. To further enhance collagen production and to improve the surface appearance and coloration, I would suggest two to four treatment sessions, at six week intervals, of medical microneedling with the Dermaroller. This procedure, which may be performed under local or topical anesthesia, also stimulates new collagen formation. But by breaking up the surface of the scar, it also allows for improvment in the surface appearance and for improvement in the otherwise ivory-like color of the scar

Raffy Karamanoukian, MD, FACS · Answer

There are many options for indented scars such as the one shown in the photo.  Surgical revision followed by Fractional CO2 laser resurfacing would be an ideal treatment protocol in my own practice in Santa Monica.  I would also recommend pre and post treatment with Melaquin AM and Melaquin PM to enhance the results of the scar revision of the lips.

Scott Trimas, MD · Answer

in my opinion, the very best treatment would be to simply excise or remove the old scar and make it a narrower line. This would be the best way to treat the scar for long term improvement.

Steven Turkeltaub, MD · Answer

Since the scar is relatively wide and depresses, a re-excision and meticulous repair  (scar revision) by a plastic surgeon should give you the best outcome. Treatment with scar cream and protection with high SPF sunscreen are also important.

Darryl J. Blinski, MD · Answer

As shown by the posted photos I agree with Dr Trimas. Re excision of the defect and layered closure would give the best chance of an improvement.

Options For Indented Facial Scar From Dog Bite? (photo)

Answers (6)

Answer: Lip scar improvement with scar revision

Answer: Lip scar improvement with scar revision

Answer: Options For Indented Facial Scar From Dog Bite? (photo)

Answer: Options For Indented Facial Scar From Dog Bite? (photo)

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Everything you need to know about Scar Removal

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Options For Indented Facial Scar From Dog Bite? (photo)

Answers (6)

Answer: Lip scar improvement with scar revision

Answer: Lip scar improvement with scar revision

Answer: Options For Indented Facial Scar From Dog Bite? (photo)

Answer: Options For Indented Facial Scar From Dog Bite? (photo)

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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.