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.)
About a year and a half ago I had a bike accident and cut my chin. The doctor stitched it up, but it left a raised scar. I'm prone to hypertrophic scars.
A dermitologist told me there isn't much to do about scars on the chin, but I wanted a second opinion. Is there anything that could be done to help reduce this appearance? I don't mind having a mark, I'd just prefer that's it's more flat. This mark can be seen from a normal viewing angle.
I can take a better picture later if that would help. Thanks!
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not sure if you have heard of them but the large 20x30cm dermatix sheets would make a huge difference. I used them following surgery and the results were amazing. they take the redness out and even flatten keloid scars that are years old. They are normally very expensive but there is a seller on ebay that sells them for around £24 (usually £107). my scars became almost invisable after 7 weeks. certainly worth a try for the small price. They are reusable too.
you can try the silicone gels or sheets. they help but what would help better is KTP or PDL laser on it and injection of 5FU. that would be the first course of action. if it does not help, then a scar revision is probably your best bet. the risk that i worry about in area of hair-bearing tissue is that you could lose some hair around the scar after a scar revision. i am very careful to limit that risk but i would still want to communicate that risk. best, 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