Conservative treatment for facial Keloid and Hypertrophic Scars

Raffy Karamanoukian, MD answers: Help to remove facelift keloids

Sept 2007 I had a Light Lift where the surgeon cut in front and behind my ears and pulled the jaw bones up.  This was in Houston. I have moved away from Houston and I have keloids in front and behind my ears and they itch and are sensitive. I have ask two dermatolgist what to do and they don't know. Please help me.  Will the lumps just keep getting larger or should I try to find a plastic surgeon


Raffy Karamanoukian, MD
9 months ago

Hypertrophic and Keloid Scars of the face should be treated conservatively with compression, massage, and intralesional injection of corticosteroids.

The mainstay of treatment is conservative and an experienced dermatologist or plastic surgeon will be able to appropriately treat the condition.

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More answers to Help to remove facelift keloids

A: Minilifts often = maxiscars

Brent Moelleken, MD
10 months ago

You will see a common theme among patients who have undergone minilifts:  hypertrophic or keloidal scarring.

Why would a minilift result in large scarring?

When incisions are closed after a real facelift performed by an expert facelift surgeon, they are closed with minimal tension.  That means not too tightly at the place where the sutures are placed.  The reason for this is simple:  wounds that are closed under tension stretch, forming thick scars.

So ironically, to avoid the burden of having a real facelift- which in reality is 48 hours of healing time but admittedly much greater pricetag-- patients incur more scarring and deformation, not less.

In the short term, scarring can be minimized by kenalog injections, various creams and gels, and application of topical treatments (each of which has specific therapeutic windows).

After 6 months, scars are usually considered mature enough to be revised.

Revising minilift scars usually involves converting the minilift to a real facelift, reforming the delicate earlobe, tragus, hairline details so they are much less detectable, and sometimes undetectable.

Plastic surgeons who specialize in revision facelifts are your best bet for consultation regarding the above issues.

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