What Is The Best Treatment To Improve My Forehead Scar?

Q: Dr. Eppley, Hello! I have a scar on my forehead indented with a small amount of tissue over and it is same color as skin. Any options for improvement? Here is a picture of what it looks like. I am just particular about it and cover it with makeup daily:) My brother thought Juvederm would work, but I am looking for something a little more long term. Thank you so much.

A: When evaluating scars it is first important to evaluate its physical characteristics. That is the key to determining the best treatment for its potential improvement. Your vertical glabellar (between the eyebrows) scar has one feature that makes it the most visible…it is wide with a depressed gap between the skin edges. When you have a depressed scar the only chance for improvement is excision and reclosure to level out the skin edges and make the scar more narrow. In addition to prevent recurrent collapse of the scar line, the closure should not be a straight lone closure but that of a broken line or geometric closure like a w-plasty pattern. Your small forehead scar revision could be done in the office under local anesthesia.

Dr. Barry Eppley