What is the best method to correct an atrophic scar on my forehead? (photo)
I am a 35 yo male. I recently had a cystic acne around my eyebrow area which left behind a depressed contour/atrophic scar. What is the best method to correct a newly formed atrophic scar?
Dear Austin Casey,
It appears that you have a slight contour depression in between the brow area. However, I am not certain if it is due to the acne and it does not look like a newly formed scar. An atrophic scar is an indented scar that heals below the normal layer of skin tissue when the skin is unable to regenerate tissue. These can occur due to acne and chickenpox.
This contour irregularity can be treated either with fillers such as hyaluronic acid which will lasts 6-9 months and requires repeat treatment or fat grafting can be done to correct the contour defect. That would be a permanent solution once the fat engrafts.
I hope this answers your questions. Have a great week ahead!
Dr. Terence Goh
Sorry to hear about the scar! It must have been a traumatic experience.
For most optimal results, I would advice a combination of subscision + filler/ rejuran & resurfacing laser.
Whether an atrophic scar would benefit from subscision + filler/ rejuran would depend entirely on clinical examination.
If suitable, my recommendation would be subscision and rejuran instead of filler for your scar over the glabella area. It is important to note that there are blood vessels from the eyes that supply this area which if compressed/blocked by fillers can lead to blindness.
Hope this helps.
Dr David Deng
Dear Austin Casey
If the area between the eyebrow area was previously intact and a recent cystic acne resulted in the depression/contouring, then perhaps you could consider subcision with the placement of fillers.
This process is fairly comfortable with the use of numbing cream and through the use of a blunt cannula, the instillation of the filler (in my own practice I prefer the use of Radiesse as it is a collagen-stimulator) is fairly uncomplicated in the right hands.
There may be some mild swelling post procedure but should die down in 2-3 days. Minimal social downtime as well.
Regardless, please consult your doctor who can review it in real life as photos can sometimes be deceiving.