Can Botox for scar treatment help my scar revision surgery?

Question

Hi doctor,

My scar revision surgery is not healing well, and it seems worse than last week. Please see the attached picture. Involuntary frowning causes lines to run through the scar; can this be causing problems? Is it worth taping my forehead so I cannot make frown lines? Is it worth getting Botox to stop frowning till I am healed? I am using a vitamin C and silicone scar cream to attempt better removal of hyperpigmentation. Is this a problem? I cannot tell if it is this or the creasing making it worse. I am starting to get very depressed about this scar revision. It was bad enough getting mugged and getting this wound. Now it is not healing even after a scar revision surgery.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Thanks for the query. I have seen the attached picture (attachment removed to protect patient identity). It looks like it is a very early stage following scar revision. It looks good right now. But it will take time for the scar to get better. The following might help: Daily massage with silicone ointment. Silicone sheet application at night. Low-dose Botox around the scar to prevent the scar from stretching due to facial muscles can also help. After a few days, fractional CO2 laser resurfacing can also help. Consult your specialist doctor, discuss with him or her, and start using the medicines after their consent. But most importantly, it takes time, and being patient really helps.

I hope this helps you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I saw the new images also (attachment removed to protect patient identity). It is getting better. As days progress, it will become better, do not worry. Botox will help prevent the scar from stretching due to muscle action. But, get it done as soon as possible. Once the Botox action kicks in, you can get fractional resurfacing done. Tapes do not help that much.

Thank you.