Scalp Indentation Following Head Injury

On the 29th of January this year (2018) I was bringing grocery shopping in through my front door. I was holding a bag full of glass jars when I tripped and fell over the front door step. I careened into the corner of the brickwork wall impacting the left parietal region of my skull on the top, just off centre of the stitch line. Since this was the very corner of the wall, this was a sharp object force trauma. I was in considerable pain with minor bleeding from the injury site and was concussed.

A few days later I noticed that there was a substantial indentation in the area of my scalp that impacted the wall. It was approximately 4 cm long by ~1 cm in width by ~5 mm in depth and remains unchanged to this day…

I have thus far been refused a CT scan by the NHS on numerous occasions although I am still attempting to get one. A number of clinicians have palpated this indented region and are of the opinion that it is limited to the soft tissue. Although an equal number have also been concerned by it.

The indentation is causing me significant distress as I usually have my hair shaved very short and it would present a visible asymmetry. I just want things to be as they were before (or as close as is possible).

I am thus left to ruminate upon the following:

Would I be correct in speculating that the indentation may be a form of Atrophic Scar? Possibly as a result of subcutaneous fat/collagen destruction due to the pointed impact?

Is the injury mature enough (~6 weeks old as of now) to consider reconstructive options or may time improve things naturally i.e. subcutaneous fat redistribution, if so how long approximately?

If there is no bone involvement and this is limited to the soft tissue then what would be the reconstructive options and associated costs?

And likewise for if there is a depressed skull fracture present.

Any experience, knowledge, insight or even speculation regarding something like this would be very much appreciated.

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