Unsightly bump on forehead under scar. What is this? (Photo)

Question

I was hit in the head with an object about 5 months ago. This caused a very deep laceration that I had repaired in the ER. There is still a bump on my forehead that is very hard and immobile. It feels like it's deep in the muscle or even extra bone. I was reading that it could be a calcified hematoma, bone bruise, or osteoma and that these are difficult to treat. I plan on getting a scar revision anyway. Is there a way to remove this bump during a scar revision? Or is will it go away on its own?

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

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.If you had a lot of bruising and swelling it could've been a hematoma that has since calcified It could also be due to the deep sutures that they usedEither way, it may have to be emoted for contourThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

Carlos Ayala, MD, FACS · Answer

This may be an osteoma caused by a bony inflammatory response to trauma or a sebaceous cyst.  Either way it can be excised when scar is revised.

John L. Burns Jr., MD · Answer

Likely you had a hematoma which has calcified or hardened leaving a mass.  This might need to be excised.

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