This section of the forum is dedicated to discussions addressing linear scars, depressed scars, keloid scars, hypertrophic scars, and other facial reconstructive topics. (Of note, Dr. Lam no longer accepts medical insurance so he rarely manages cancer reconstruction or trauma anymore.)
Hello Dr. Lam I have been watching you on youtube for quite some time now and admire your work and attention to detail with the patients. So here's my question, I am currently one month post op for the revision of two acne scars on my right cheek. The very well qualified plastic surgeon that did this stated that once he cut them out I would have one that is a small oval and the other that is just a small incision line, both of which would be flat and level with the surrounding skin. Having a couple scars do not bother me only the depressed look that they had. So now I have been looking at them and they seem to be still indented or maybe even more than they we before, what could be the cause of this? It's not just the incision line but the whole scar that is this way. I know it's still very early in the healing process and I trust what he told me, but just being a realist I just don't see the indentions raising up to normal skin level. Could this be caused by loss of collagen or fat from the acne lesions? Have you seen post surgical indents fill in with time? I know I'm asking a lot of questions but this is really affecting my life terribly especially in harsh lighting like outside or under fluorescents. Once I visit him for the last time in mid February, I plan on coming to see you for a consultation regarding the use of micro-silicon fillers or whatever in your professional opinion would suit me best. Thank you, from my research you are the best acne scar plastic surgeon in existence and would feel much more comfortable in your hands.
hi, unfortunately, i don't excise acne scars because i do not believe i can get consistently good and safe results. however, in general, when making incisions sometimes you can see temporary indentations that go away (don't know why) but sometimes they do not go away. either way, i would be helping you with silicone and i can easily put some in that area too when it is well healed. have a good weekend. s.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery