This patient in her early 50s was involved in a motor vehicle accident leaving a gash on her forehead. She had her wound repaired in the emergency room and followed up in our office with the wound seen in the before photo. The deeper tissue had not been approximated so we excised her scar and reapproximated the underlying muscles and the overlying skin for an anatomic closure. We also usedBotox around the wound to help remove any tension as the scar healed. We continued to useBioCorneum cream on the wound twice daily and three months after the excision we did a CO2 laser to her scar. The after photo shows the improvement we were able to obtain through the scar revision process.