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.)
First, thank you for having a forum where you can try to address our concerns. About two and half months ago, I visited a plastic surgeon to treat some deep acne scarring that I had on my forehead. It has been a struggle that I've had for years. At the consultation, the doctor said the best approach would be to cut out the scarring from the center of my forehead and do a skin closure with inside stitches.
He told me that it would look like a thin fine forehead crease when all is healed. I asked him this several times at the consultation and he said that this approach would greatly improve my condition. Before surgery, you can see the pic attached, the nurse at the consultation and his son said they would leave it alone.
Desperate for a fix, I trusted this doctor with this procedure. My concern now is that he's left a very noticeable incision line across my face. Yes, its only been almost three months, but I find that the results thus far are completely unacceptable for what he told me to expect and the 4K I paid him.
Upon my last consultation, he advised me that scars take months to heal. I get that. Three months into it, is this normal the way it looks? I told him I didn't like the indentation of the scar, thats my biggest concern and the redness and he suggested dermabrasion. I asked him about lasers and he told me he'd rather stick with dermabrasion. What am I really looking at to get this fixed? Is dermabrasion in your opinion a reasonable next step? Is the indentation I'm seeing now, at three months post-op normal even tho for the most part the redness has faded tremendously? Any help would be greatly appreciate before I head into my next appt on the 28th of Sept. Thanks.
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this may fade but it might not. hard to say. it may require a scar revision but doing it this early may limit the healing process. i would personally wait another 3 months before considering it at a minimum. if it starts to improve, i would wait longer. if it does not i would consider a scar revision but it will be tough because the skin is super tight at that point. dermabrasion will possibly help but also it can make a scar revision harder to perform. is this normal? hard to say but i understand your frustration.
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
So does that pretty much mean I'm screwed? Will it always look like this? If he wants to perform dermabrasion should I do it? Are lasers better? Injections? I meet with him on Monday and I dont know what to think since I'm not a doctor. I'm wondering as a doctor should this ever been attempted. I trusted he knew what was he was doing when he told me this was the best approach. but I didnt expect all this.
Also, is the indentation normal?? it seems like the lower layer of skin below skin closure is looser than the top part of skin, which is still somewhat numb. will that puff out and even out with the lower skin. I know hard to say over a pic. I'm just really worried. Thanks for all your help!!!!!!
as i mentioned, i really cannot predict the future. if it does not improve over the next year, you will need a formal scar revision. honestly, it is better to wait because the forehead skin is very tight and with the amount removed it will be super tight during a revision procedure and it would be better to wait toward a year for a formal scar revision in my opinion.
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
sorry rhonda, i do not allow external links to other promotional sites. 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