5 days since primary closure of forehead cut, is Botox recommended to lessen scar widening? Scar revision rec? (Photo)

Botox can be used to help with scars especially if there is a significant amount of muscle tension on the wound edges or if there is a lot of underlying movement, like around the mouth. I think best would be to give a chance to heal first. then you can consider scar revision and or lasers etc to make it better

Thank you for the photo and your question. I hope you're healing well! First, you are lucky in that your injury runs parallel to the forehead lines -- this will help the overall camouflage after healing. Second, the main thing to do is to follow directions from your doctor regarding activities and would care. Third, avoid getting any sun on the area, as this can make the scar more pigmented than the surrounding skin. Lastly, if you have a lot of forehead movement, small doses of Botox could help to reduce the tension on the wound. Best of luck!

At this time, I think you should let your scar heal better and apply a silicone gel or silicone sheeting. Then, at a year or so, you can consider scar revision. Fillers may help to even out any indentation. I've also had success with microneedling.

Wow, another use for Botox?! Theoretically, an interesting premise, but I have seen no research to back that up. Put that Botox money into a good scar cream and moisturizer! Massage the scar twice daily with moisturizer and use the scar cream at night. Because the scar is lined up parallel to the normal lines of your forehead, you have an excellent chance of a good scar. Good luck and also seek the advice of a plastic surgeon.

Dear IslackThank you for your question and photo!  OUCH! Hope you are feeling better.  If you have a lot of forehead movement- you raise your eye brows and make forehead lines- then weakening the forehead muscles may minimize the scar ( a fold/line can sometimes be created in the scar/wound ) by decreasing the movement of the frontalis muscle.  The BOTOX would work for 3 to 4 months in the critical time of healing and may not need to be repeated.  As for a revison- hopefully you will not need one!With Warm RegardsTrevor M Born MD