What is the best treatment for the indented scar on my forehead? (Photo)

Question

I got a staph cellulitis infection above my eyebrow last year from something random I touched. It created an abscess that opened up and layers of skin came off. After antibiotics the abcess scabed over and then once the scabed came off I was left with this very noticeable indented scar. I have medium to darker skin (Indian decent), so is laser treatment an possible? Collagen injections/fillers? Or a surgical excision the best option?

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

Michael Ehrenreich, MD, FAAD · Answer

Treatments for this sort of scar might include multiple treatments with an ablative laser and dermal fillers.  Subcision might be helpful as well. Finally, the scar might be excised and sutured, replacing it with a smaller, more surgical scar.

What is the best treatment for the indented scar on my forehead? (Photo)

Answers (2)