AboutAlan M. Engler, MD, FACS Expertise Dr. Engler has answered over 2700 plastic surgery questions for Allexperts. His expertise is in cosmetic plastic surgery including breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts etc.
Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction."
Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), and the Dr. Keith Ablow Show. Videos of his appearances are available on YouTube (SEARCH FOR "DR. ENGLER"). His website is www.bodysculpture.com.
Experience Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on amazon.com, barnesandnoble.com, etc.
Education/Credentials Dr. Engler graduated from Yale University (undergraduate) and the College of Physicians and Surgeons of Columbia University (medical school). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York.
Question Three years ago, at the age of 35, I tried a subcision procedure to lessen the indentation of the glabella lines. It was performed twice, as the doctor was unsatisfied with the initial results. When the swelling went down, more lines formed than were there previously, and the indentations are now deeper. The scar tissue beneath the skin did not go away, lending a heavy brow look. Is there any way to break up the scar tissue at this point?
Answer from Dr. Alan Engler
www.bodysculpture.com
Hi David,
Getting rid of scar tissue is very, very difficult. Anything that you do to try to remove it risks causing more and additional scar tissue. This can apply to any part of the body.
That doesn't mean that scar tissue can never be removed. It can and has been removed, or diminished, in many situations; it's just that it's hard to guarantee in advance that that can be accomplished.
In your case, I would think it will be very hard to do...you may want to consider Botox injections two or three times a year to soften the muscles around the creases.
But it's hard to me to offer an absolute solution to this without being able to examine you. That being said, I think it will be hard to eliminate the scar tissue you're talking about.
