Can subcision be performed on depressed acne scars on the forehead?

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Subcision can be used on the forehead but needs to be done with caution and often fillers to get a better result.  I suggest consulting a well trained dermatologic surgeon or plastic surgeon.  Best, Dr. Emer.

Yes it can be done.  Majority of Plastic surgeons have no training in dermatology or experience doing this procedure nor any training with lasers.  Fat transfer would not work in the small scar and specially in area of forehead!  Please make sure you visit dermatologic surgeon with this expertise!  I have 13 years experience treating these problems

Rarry,I've performed subsicion on the forehead combined with fat grafting. Just make sure to consult with a plastic surgeon and share with them your problem.Please don’t hesitate to reach out if you have any more questions.I hope this was helpful,Dr. Daniel BarrettPlastic SurgeryBeverly Hills, CA

Yes it can be used on the forehead as long as the person doing the treatment is aware of the anatomy in the area (this is really true for any area of the face).  It also works really nicely combined with laser treatments in this area.

Yes it can, however the knowledge of anatomy in the area of the temple- forehead area is essential- a Board certified Dermatologist or Plastics trained in this procedure is probably the safest. I also tend to use BOTOX two weeks prior to subcision of the forehead area, this relaxes the muscles, and can improve both the look of scars, as well as improve the subcision outcome. Dr Davin Lim Laser and aesthetic dermatologistBrisbane, Australia