Puckering above scar on face (photo)

Question

I have a scar ony face that is 2.5 years old.  It is due to trauma where I received a facial laceration amd required stitches.  Suprisingly the scar doesnt vother me as much as the puckering above the scar that looks like a bump.  I have asked my dermatologist as well as a plastic surgeon about it and there response is, is that its so small that i shouldnt worry about it.  It does however bother me, i would love to find a solution that would flatten it out.  What is causing it? Is there excess tissue or fluid that can be removed ?  Ive tried rolling and massaging and nothing works, if anyone could provide a solution I would be forever grateful.   Thank you

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

This would need surgical removal or lasers to improve. Please see an expert for an evaluation.  Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Though nothing replaces an in-person examination it appears that your scar has become indented along your cheek region and the only way to improve upon this would be to either to use a needle to release the underlying scar tissue and place filler in between the skin and underlying muscles or excise the scar and re-suture the tissues in such a way as to prevent the scar from being pulled inward.  Hope this helps.

Puckering above scar on face (photo)

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