What procedure to remove scar from direct brow lift?

Question

I had a direct brow lift done 4 months ago I'm not worried about color but more the indentation. It's is very noticeable. My plastic surgeon was vague in explaining the scar and only pointed to one spot above my eyebrow. AHe didn't say it would run the entire length of it. Please help it looks very noticeable with light above casting a shadow on it.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your concerns regarding the scar from your direct brow lift. Scar management is a common issue post-surgery, and there are several options to consider for improving the appearance of scars, especially when it comes to indentation.

Here are some potential procedures and treatments that might help:

1. **Scar Revision Surgery**: This is a surgical procedure where the scar tissue is removed, and the wound is closed again, often using techniques to minimize scar formation. This can be effective for indented scars.

2. **Dermal Fillers**: Injectable fillers can be used to fill in the indented areas, making the surface of the skin more even. This is a less invasive option compared to surgery.

3. **Laser Therapy**: Laser treatments can help to smooth out the scar tissue and improve skin texture. Different types of lasers can target various aspects of scar tissue, such as redness or texture.

4. **Microneedling**: This involves using fine needles to create tiny punctures in the skin, which can stimulate collagen production and help to remodel the scar tissue, reducing the appearance of indentation.

5. **Steroid Injections**: For some types of scars, particularly hypertrophic scars (raised scars), steroid injections can help to flatten and soften the scar tissue. However, this might not be as effective for indented scars.

6. **Silicone Gel Sheets or Silicone Gel**: These can be applied to the scar to help flatten and smooth it over time. They are more commonly used for hypertrophic scars but can sometimes help with indentation.

7. **Subcision**: This is a minor surgical procedure where a needle is inserted under the skin to break up the fibrous bands causing the indentation, allowing the skin to lift and appear smoother.

8. **Fat Grafting**: This involves taking fat from another part of your body and injecting it into the indented area to fill it out. This can provide a more permanent solution compared to dermal fillers.

It's crucial to discuss these options with a qualified plastic surgeon or dermatologist who has experience with post-surgical scar management. They can provide a personalized recommendation based on the specific characteristics of your scar and your overall skin health.

Given the complexity and the need for a tailored approach, it might also be beneficial to seek a second opinion if you feel your current surgeon isn't addressing your concerns adequately.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

What procedure to remove scar from direct brow lift?

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What procedure to remove scar from direct brow lift?

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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.