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.)
I am a 38 yr old physician of east indian descent. I was recently struck on the right chin with a squash racquet and required sutured closure of a laceration. I had a colleague suture my laceration. He did his best to approximate the closure but did not use any buried stitches. I have been using kelocoate twice daily. I have a 3/4 inch by 1.5 mm linear scar running across my my right chin. In addition, I have lost hair growth in the region. I am wondering what my scar revision options are: early laser treatment, w plasty our geometric line closure after 6 months.
You do not have the required permissions to view the files attached to this post.
w plasties are truly a poor man's GBL. go with a geometric broken line. silicone can help but it won't do too much until you can actually do the scar revision. loss of hair is hard to fix and a scar revision has a potential for greater hair loss. as a hair transplant surgeon i am always careful with the hair follicles when i cut down through the skin but that does not mean that you will not have further loss.
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