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  • It is currently Sat May 18, 2013 2:18 pm

African scarring

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.)
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African scarring

Postby priam18 » Mon Sep 06, 2010 6:25 pm

Hi Dr. Lam

Just writing to see if you can offer any advice or suggestions for some scars on my face.

I'm an AA male. When I was younger, I received two scars on my face with a burnt knife. One is right below my left eyelid, and the other is on the side of my face. The scars are short, about 3-4 mm, and are dark (about two shades darker than my natural skin tone). Without being able to take a picture, the best I can describe them as is a slightly depressed small knife wound scar that's two shades darker than my natural skin tone.

I've been very self conscious about this over the years, but am not sure what to do. Would I be a candidate for fillers to raise the depression, or maybe a dermabrasion?

Thanks in advance
priam18
 
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Joined: Sun May 25, 2008 11:33 pm
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Re: African scarring

Postby dr. lam » Mon Sep 06, 2010 8:58 pm

hmm, this is a tough one:
1. if they are depressed lines, typically fillers won't do well because it is hard to fill in a line compared to a wider depression.
2. if it is depressed, a scar revision would be in order but then you will have to deal with a line that will take time to look good.
3. if it is darker, then a gentle bleaching cream may help but the fear obviously is haloing around the line itself. this is not easy. typically, if there is any early halo around the line, stopping the product should be reversible.
4. dermabrasion carries too much risk for skin color changes and it would only be beneficial for a depressed scar. it does not really help color.
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
dr. lam
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Location: Dallas Texas
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