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.)
Thank you for providing this forum. I was wondering if there is anything I can do to improve my scar. 70% or more of it is as good as I could hope. Unfortunately there is about an area 2.5 inches long that is a little wider and deep. The depth is more the problem I believe as far as aesthetics are concerned. This scar is 16 years old. I'm attaching 2 pictures one of the good area that doesn't need to be improved and one of the bad area. I don't think the depth shows well in the picture but it's sunken on the right. Also the scar is usually white. I've been experimenting with self-tanners and it's given it a bit of color and red because I just shaved.
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based on the photo, i would say that a geometric broken line repair may be your best bet. in general this is not a great option in the back because people want to wear hair there and sometimes you can lose a little bit of hair around the incision line. if you keep your hair shaved down the GBLR may be your best bet. however, it won't get rid of the line but just soften the appearance. also, it will look worse for several months. something you need to plan on. 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