Thank you for all of the information about scar revision, especially the youtube videos. Your content really helped me understand the realistic possibilities for scar revision. I suffered a laceration to the face from broken glass in March of this year. The injury was sliced a flap of skin from on top of my cheekbone. The glass beveled the injury. That is, the thickness of the flap was uneven. It was very think at the top and paper thin at the bottom. I had to wait for nearly an two hours in the emergency room for before the attending physician sewed the flap back to my face. I have no doubt that most of the flap died before the physician sewed it bank to my face.
I kept the wound very clean, took Bactrim during the first two weeks, and kept petroleum jelly on the wound until it fully closed. After that, I wore silicone scar strips for at least 8 hours a day for 6 weeks. Despite this the scar hypertrophied. At 4 weeks, a local cosmetic surgeon looked at the scar. He suggested I come back in 6 months. His thought was dermabrasion would benefit me the most. The same week I saw the cosmetic surgeon, my dermatologist gave me an intralesional injection of triamcinolone. I received a second round of triamcinolone 6 weeks later. The hypertrophy improved, but the scar is still very leathery and uneven.
After reading your content and watching your videos, I question whether dermabrasion alone would help me. The scar is in the shape of a right triangle. The straight lines draw the eye directly to it. The emergency room doctor did not close the wound beyond the borders. As a result, it seems like the skin pulled apart underneath the wound. It is very thin and lacks suppleness. When I smile, the wound does not move and it causes the skin under my eye to bunch up.
I am a professional, and I have to appear at speaking engagements and in advertisements. People seem to see the scar and not me. The scar haunts me daily. Given the hypertrophy, shape, poor underpinning, and adverse affect on my career, would I be a candidate for revision at 6 months? Thanks so much for your time. I would like to come see you in Dallas if you think you can help me.