Do I have trapdoor deformity and what can be done to minimize the appearance of my scar? (photo)

Question

I fell on my face and got a cut on my forehead, The picture was taken the same day I had my stitches removed, 5 months have passed, today the scar itself looks relatively fine, But I'm really bothered by the bump that was created immediately after sewing... What can be done to flatten it? :(

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

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your injury and the concerns you're having with your scar. While I can't diagnose conditions or provide specific medical advice without a physical examination, I can offer some general information that might help you understand your situation better and discuss possible treatments with your healthcare provider.

### Trapdoor Deformity
A "trapdoor deformity" is a specific type of scar that can occur when the skin heals in a way that causes a noticeable bump or elevation, often due to the way the tissue was manipulated during the initial injury or subsequent repair. This can sometimes happen when the underlying muscle or fat is also involved or due to the way the skin heals over the scar.

### Options to Minimize Scar Appearance and Flatten Bumps
There are several methods to address raised scars and bumps. You can discuss these options with your healthcare provider or a dermatologist:

1. **Silicone Gel Sheets or Silicone Gel**:
   - These can help flatten and soften the scar over time. They should be used consistently according to the product instructions.

2. **Massage**:
   - Regular, gentle massage of the scar with a moisturizing lotion or oil can help break down dense scar tissue and improve its appearance.

3. **Steroid Injections**:
   - Intralesional corticosteroid injections can reduce inflammation and flatten raised scars. These are typically administered by a dermatologist.

4. **Laser Therapy**:
   - Fractional laser treatments can improve the texture and appearance of scars by promoting collagen remodeling.

5. **Microneedling**:
   - This minimally invasive procedure can stimulate collagen production and improve the appearance of scars.

6. **Dermal Fillers**:
   - In some cases, dermal fillers can be used to even out the skin surface around the scar.

7. **Cryotherapy**:
   - For certain types of raised scars, freezing the scar tissue can help reduce its size.

8. **Surgical Revision**:
   - In some cases, a minor surgical procedure to revise the scar might be recommended. This can involve excising the old scar and carefully re-closing the wound to minimize future scarring.

9. **Topical Treatments**:
   - Prescription creams containing steroids or other active ingredients can sometimes help reduce the appearance of scars.

10. **Radiotherapy**:
    - In very rare and severe cases, low-dose radiation therapy might be used to prevent keloid scars from growing back after surgical removal.

### Next Steps
1. **Consult a Dermatologist or Plastic Surgeon**: A specialist can evaluate the scar and recommend the most appropriate treatment based on its characteristics and your skin type.
2. **Follow Post-Treatment Care**: Adhering to recommended aftercare is crucial for the best outcomes, regardless of the treatment you choose.

While there are many options to improve the appearance of scars, it’s important to get a professional evaluation to determine the best course of action for your specific situation. Early intervention can often yield better results, so seeking advice sooner rather than later is beneficial.

Please schedule an appointment with your healthcare provider or a specialist to discuss these options and create a treatment plan tailored to your needs.

Do I have trapdoor deformity and what can be done to minimize the appearance of my scar? (photo)

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Do I have trapdoor deformity and what can be done to minimize the appearance of my scar? (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.