Is there anything I can do to remove this scar on my forehead? (Photo)

Question

When I was young I got into a little accident and got up and hit my head on the Concrete on the window and I hope and pray to god that I can do something to fix it. Is there something I could do

Raffy Karamanoukian, MD, FACS · Answer

Surgical scar revision, subcision, and injectable fillers can help reduce the indented scars on the forehead. Best, Dr. Karamanoukian#Realself100 Surgeon

Nelson Lee Novick, MD · Answer

First, let me say how sorry I am that you are so distressed. Although there is currently no form of treatment that can completely eliminate a fully mature (over three months old) scar from any cause, including, as in this case, trauma, we do have some simple and relatively inexpensive methods for improving their appearance significantly. Since the scar is depressed (indented, atrophic), it needs to be elevated so that it becomes more flush with surrounding skin and less able to stand out as a result shadowing in the crater with tangential (side) lighting. Subcision, with or without the adjunctive use of a biostimulatory filler would be a simple, quick and relatively inexpensive approach to achieving this. Once this is done, then microneedling, another quick, simple and relatively inexpensive approach, may be used to blend any residual textural and color irregularities. For more information on both of these techniques, you can check out the archives of RealSelf.com. In doing your vetting, be wary of medspa places, as well as others hawking so-called "next-big-thing"--to-come-along, "one size fits all,"  relatively expensive light and energy-based devices, such as fraxels, whose hard science to support their uses lags far behind the heavy marketing and advertising they get these days. Make sure that you consult with a board certified aesthetic physician. Best of luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, you are a candidate for a scar revision with surgical excision of your scar and multi-layered closure.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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