How Can My Deep Forehead Scar Be Improved?

Q: Dr. Eppley, I have a forehead scar. Had an obagi blue peel for mild acne scars with good results. 4% hydroquinone for 4 weeks then bumped up to 10% compound for several weeks before procedure. Have been wanting scar revision. Assuming similar skin prep. Have had sever attempts at fillers with no results. Would prefer scar revision. Please reach out for consult. 

A:Deep inverted scars in the glabellar furrow area always require excision/scar revision to get the best contour. You simply can’t push them out with filler or fat injections due to their deep inversion. But I also find that scar revision may still be prone to some postop inversion. albeit a lot better than preop. For this reason I will sometimes place an ePTFE implant or a dermal-far graft on the bone below it to help push out and maintain the contour along the w-plasty scar line.

Dr. Barry Eppley

World-Renowned Plastic Surgeon