Scarring: Addressing Indentations After Surgery - Dermatology

More Info

---

Hello! Thank you for sharing your concerns regarding the indentation in your scar from the accident you experienced 21 years ago. Based on your description, it sounds like you are dealing with a scar that has developed a noticeable indentation over time, which can sometimes occur due to various factors related to the healing process.

Scarring is a complex biological process that occurs after an injury, and it can be influenced by several factors, including the depth and severity of the injury, the individual's skin type, age, and even genetic predisposition to scar formation. In your case, the indentation you are experiencing could be due to a few reasons:
1. Atrophic Scarring: This type of scar occurs when the skin loses collagen and fat, leading to a sunken appearance. It is common in scars that have healed poorly or have been subjected to tension during the healing process.

2. Scar Tissue Formation: Over time, scar tissue can change in texture and appearance. The feeling of tightness or "catching" you experience when moving may indicate that the scar tissue is adhering to underlying structures, which can happen if the scar was deep or if there was significant trauma to the area.

3. Underlying Structures: If the injury was severe enough to expose the bone, as you mentioned, it is possible that there could be changes in the underlying tissues, including muscle or fascia, which could contribute to the sensation you are feeling.

Given that the indentation has become more pronounced and is causing some discomfort during certain movements, it would be advisable to seek a medical evaluation. Here are some steps you can take:
- Consult a Dermatologist or Plastic Surgeon: These specialists can assess the scar and determine the best course of action. They can evaluate whether the indentation is purely cosmetic or if it is affecting the underlying tissues.

- Imaging Studies: Depending on the examination findings, your doctor may recommend imaging studies, such as an ultrasound or MRI, to assess the condition of the underlying tissues and to check for any abnormalities that may not be visible on the surface.

- Treatment Options: If the indentation is determined to be a cosmetic concern, treatment options may include dermal fillers to restore volume, laser therapy to improve the texture of the scar, or surgical revision if necessary. If there is an underlying issue with the muscle or fascia, physical therapy may also be beneficial.

In summary, while the indentation in your scar may not be causing significant functional issues, it is worth having it evaluated to rule out any underlying problems and to discuss potential treatment options if desired. Seeking a consultation with a dermatologist or plastic surgeon would be a good next step. They can provide you with tailored advice based on a thorough examination of your scar and its effects on your daily activities. Thank you for your question, and I hope you find relief and a solution that works for you!