Thick facial scar adhered to underlying bone corrected for enhanced appearance

This is a case of huge dermal scar revision. Due to road traffic accident the patient had a skin abrasion 5 months back. He was very unhappy due to a depression in the lower jaw and upper neck region on the left side with absence of hair growth in the affected region, and a thick scar that was adherent to the underlying bone, which was affecting his appearance. He wished to have the complete scar revision to enhance his facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully removed the thick scar tissue which was strongly adherent to the underlying bone. The depression was reconstructed by the mobilization of platysma and skin by following double layer closure. The patient was happy that his appearance was greatly improved.  

Preoperative view showing thick scar adherent to the underlying bone

Intraoperative view after complete removal of scar tissue and platysma flap mobilized and raised

Platysma flap used to cover the bone and reconstruct the depression

Immediately after double layer closure

Postoperative view immediately after suture removal following seven days of surgery