Scar Revision: Deep Indented Forehead Trauma Scar - Fraxel or W/Z Plasty or Combo?

My fiancee's trauma scar on her forehead is indented and looks like she got hit with a hatchet. What scar revision methods would have the best results for this? Fraxel re:store, W-plasty, Z-plasty, or a combo? Or other? (the photo is not of my fiancee - she is too embarrassed to post a pic, but this pic gives you an idea of what hers looks like, although hers is a vertical scar). Thank you in advance for you replies.

Doctor Answers 4

Z-plasty probably the best choice

Z-plasty for scar revision will accomplish 2 things:


  • Minimize tension on the closure to prevent a recurrent depression
  • Camouflage the scar by breaking up how the light is reflected from the scar making it less noticable 

Augusta Plastic Surgeon
4.8 out of 5 stars 45 reviews

Forehead Scar Revision

If your fiancee's scar is representative of the picture then I would recommend a surgical scar revision.  It could be a z-plasty, w-plasty, etc.  This depends on the nature of the scar and the surgeon's experience with these techniques.

Dr. ES

Scar Revision: Deep Indented Forehead Trauma Scar - Fraxel or W/Z Plasty or Combo?

First do the scar revision than after healing for 6 weeks if needed treat with laser. Discuss with your PS. From MIAMI DR. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Scar revision is the only choice for a deep depressed scar. Fraxel doesn't work.

Fraxel therapy is very disappointing for scars.  The scar in the photo would require a revision, the specifics of which depend upon the orientation and depth of the scar as well as the expectations of the patient.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

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