What Can I Do to Get Rid of This Scar on my Forehead?

The picture submitted shows a moderately hyperpigmented albeit favorably placed horizontal scar, parallel to relaxed skin tension lines (frown lines)  If the scar is not significantly depressed, I would suggest use of hydroquinone (bleaching cream) and sunblock (spf > 30).  If the scar is depressed or wide, excision and closure may be of benefit.  Given the pigmentation in your skin type, I would be cautious with the use of any laser and understand that the possibility of further hyperpigmentation exists with any excisional technique.

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

Your scar is hyperpigmented, but in a favorable direction. I would recommend holding off on any surgical interventions and treat with retin-A, hydroquinone, and avoidance of sun exposure. The main concern is creating a larger or darker injury - so be conservative and patient.


Be healthy and be well,James M. Ridgway, MD, FACS