Skin Depressions: Causes and Treatment Options

Skin indentation

Hello, doctor.
There is a depression on the inner side of my forearm, approximately 0.5 cm deep and 3 cm long, which has been present for over five years and is somewhat painful.
I had liposuction on my upper arms (bat wings) about ten years ago, but the forearms were not treated.
I'm not sure if this is a complication from that surgery.
Which specialty should I consult? Thank you.

Mi Mi, 50~59 year old female. Ask Date: 2023/04/20

Dr. Wu Yuxin reply Dermatology

You can start by seeing a dermatologist.

Reply Date: 2023/04/20

More Info

Hello,
Thank you for reaching out with your concerns regarding the skin depressions on your inner forearm. Based on your description, it seems you are experiencing a skin depression that has persisted for over five years, along with some discomfort. This situation can be quite distressing, and I appreciate your willingness to seek answers.

Understanding Skin Depressions: Causes and Treatment Options
Skin depressions, or indentations, can arise from various causes, and understanding these can help guide you toward appropriate treatment options. Given your history of liposuction surgery on your upper arm, it is possible that the skin depression you are experiencing is related to that procedure. Liposuction can sometimes lead to irregularities in the skin surface, including depressions or contour irregularities, especially if the skin does not retract properly after fat removal. Other potential causes for skin depressions include:
1. Scar Tissue Formation: Surgical procedures can lead to the formation of scar tissue, which may pull on the skin and create indentations.

2. Fat Atrophy: If there has been a loss of fat in the area due to previous surgeries or other factors, this can create a sunken appearance.

3. Dermatological Conditions: Certain skin conditions, such as scleroderma or localized lipoatrophy, can also cause skin depressions.

4. Injury or Trauma: Previous injuries to the area may have resulted in changes to the skin and underlying tissues.

5. Aging: As we age, our skin loses elasticity and fat, which can contribute to the appearance of depressions.

Given the complexity of your symptoms and their duration, it is advisable to consult a dermatologist. A dermatologist specializes in skin conditions and can perform a thorough examination to determine the underlying cause of your skin depression. They may also consider your surgical history and any other relevant medical history during the evaluation.

Treatment Options
The treatment for skin depressions will depend on the underlying cause identified by your dermatologist. Here are some potential treatment options:
1. Dermal Fillers: If the depression is due to loss of volume, dermal fillers can be injected to restore a more even skin surface.

2. Microneedling: This procedure can stimulate collagen production and improve the texture of the skin, potentially reducing the appearance of depressions.

3. Laser Therapy: Certain laser treatments can help improve skin texture and promote healing.

4. Surgical Revision: In cases where the depression is significant and bothersome, surgical options may be considered to correct the contour.

5. Physical Therapy: If there is discomfort associated with the depression, physical therapy may help improve mobility and reduce pain.

6. Observation: If the depression is not causing significant issues, your dermatologist may recommend monitoring the area without immediate intervention.

In conclusion, it is essential to seek a professional evaluation to determine the best course of action for your specific situation. A dermatologist will be able to provide you with a tailored treatment plan based on the findings from your examination. Please do not hesitate to reach out for further assistance or clarification regarding your condition. Your health and well-being are paramount, and addressing these concerns is an important step toward feeling better.

Best wishes for your health and recovery.

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