I would like to know if Botox would help in raising the scars (indented)? (photos)

Question

The scar is quite old. I would like to have it raised to the same level as the rest of my skin on my face.

Bryson G. Richards, MD · Answer

Unfortunately, botox will not be able to help improve an indentation caused by a scar. This is a tethering effect of scarring. The best treatment is either a needle subcision or scar revision.I hope this helps.- Dr. Bryson Richards

Jerome Edelstein, MD · Answer

Fillers are usually used rather than Botox to raise depressed scars to make them more even with the rest of your skin.

Kevin G. Rose, MD · Answer

Botox would not help with this scar, a filler such as Belotero or Juvederm Ultra would be the best option.  I recommend finding a board certified plastic surgeon in your area and having a consultation.

Michael I. Echavez, MD · Answer

Botox would not raise an indented scar.  Injectable fillers, however, can sometimes be used to help raise an indented scar.

Naveen Somia, MBBS, PhD, FRACS · Answer

Sorry your photo did not come through and I assume it is a surgical, traumatic scar and not an acne scar.Scars are indented due to many reasons.The top 3 are1. The underlying muscle was not repaired and over time it separated2. The underlying fat died/ atrophied over time leaving a small area of volume deficit that forced the scar to become indented3. Deep dermal sutures were not used for support.Sometimes surgical scar revision is essential if the reason is 1 or 3. Surgical scar revision + Fat transfer is necessary if it is 2.  If Surgical scar revision is not indicated ( as the scar is small ) subcision + filler would helpHope this is useful

Dean P. Kane, MD, FACS · Answer

Dear orey:Botox is a muscle relaxer and works cosmetically to reduce the creases, lines and wrinkles of facial expression. On rare occasion, a scar may tether to a underlying facial muscle and Botox may release the pulling effect but don't rely on this effect for a scar remedy.The attached photo is not visible so I cannot comment on it. Every
scar is different. Each person and each body or face site that the skin is cut
or punctured will heal with a different quality of scar.

Some
are flat and thin but many are thick and ropey, red or pigmented brown.

Some
pull causing a contracture or are lumpy. There are many different treatments
depending on the quality of your scar(s) which I will address below.

When
it bothers you, we may consider the following options:

1. 
Waiting for the scar to “mature” i.e. become soft and flat

2. 
Massaging the scar, using scar creams and silicone sheeting to soften it

3. 
IPL and vascular laser and light therapies to reduce the redness and
‘ropeyness’

4. 
Steroid injection to reduce the growth and lumpiness

5. 
Retinoids, hydroquinone skin therapy to reduce the thickness and pigmentation6. Fillers and / or Subcision, a technique to cut the scar loose and fill the separation with filler or fat

7. 
Surgical removal and revision of the scar.

A
scar is permanent and many times becomes imperceptible. Time, of course will
help scars improve.Please seek the evaluation and opinion of a well experienced Board Certified Plastic Surgeon to provide you your best options.All the best!

Sejal Shah, MD · Answer

Hi-Unfortunately your photo did not upload so it is difficult to make a recommendation.  However, Botox would not help for this situation.  Fillers can help temporarily for these types of depressed scars.  For depressed acne scars, I have found subcision and laser resurfacing treatments very helpful as well and provide a more permanent solution. Best of luck!

Ken Landow, MD · Answer

it doesn't raise any indented scars...for scars, lines, depressions and other surface imperfections, a filler is the treatment of choice...of depending on the situation, possibly laser treatment

Manolis Manolakakis, DMD, FACS · Answer

Your best bet would be to either do fractional laser resurfacing or plumbing with either filler (temporary) or even some sort of collagen stimulator (i.e. PRP)  good luck

John McFate, MD · Answer

Thank you for your question and picture.  Botox is typically a treatment to correct lines in areas of animation such as between the eye brows, forehead, ect.  Botox works by stopping the action of specific muscles that cause these lines.  According to your picture, I don't believe botox would be the right treatment to correct the scar on the left cheek.You may be a candidate for a filler product, such as hyaluronic acid to help fill in the depressed area.  This procedure may help improve the scar but not completely take it away.  I recommend you consult with a board certified plastic surgeon to discuss your options.

I would like to know if Botox would help in raising the scars (indented)? (photos)

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