How Can I Improve The Linear Indentation On The Back Of My Neck?

Q: Dr. Eppley, I wanted to know if you could help me or have any services/procedures for this. I have this line/indentation on the back of my head, it’s sort of in the middle too. It feels like mostly skin and fat when I touch it. I wanted to know if there is a way to reduce the appearance of this indentation. I attached a photo for reference.

A: Your assessment of the anatomic makeup of the linear indentation is correct. This is a classic linear indentation of the upper neck (it is below the nuchal line of the skull) due a scalp roll above it. (excess skin and fat) This is best treated by excision of the indentation and scalp roll and closure is done creating a smooth contour. There is a fine line scar as a result but you already have the appearance of a scar now due to the indentation.

Dr. Barry Eppley

World-Renowned Plastic Surgeon