Pink scars are new scars

Lavinia Chong, MD answers: Red lines from face lift sutures

I had a Face Lift 45 days ago. In the past week, I have been seeing thin red lines developing from the suture areas behind my ears and scalp incisions. What and why is this happening? Will they go away?


Lavinia Chong, MD
1 month ago

If the scars appear to be fine lined, flat, narrow but red-pink, the color is a consequence of their newness.  All scars undergo a process of maturation and remodeling, which occurs until they are flat, narrow, white lines.  Scar maturation also involves softening and flattening of the scars; it typically requires a minimum of 90 days, during which time the "inflammatory process" or pinkness will decrease, progressively.  Since your surgery was only 45 days ago, it is likely that your scars will improve, just be patient.  Good luck.

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More answers to Red lines from face lift sutures

A: Wound healing

Robert W. Kessler, MD
8 months ago

The body heals incisions by increasing blood supply to the area.This brings oxygen nutrients and all the cells active in healing the surgical site. Generally speaking the incision itself may remain red for a few months until the process is resolved. Complete healing and remodeling continue up to 1 year. You are still in a very early stage of healing.

When you mention red lines developing from the suture area behind the ear a few things come to mind. Sutures are considered foreign bodies and the body will have a reaction to them. The reaction to absorbable sutures is more dramatic and can cause localized inflammation. Tension across a healing wound may also appear this way as a scar widens to minimize the tension across it. Localized infection in the suture line may also present this way.

I would recommend returning to your surgeon for a follow up and express your concerns. There are things that can be done to improve the appearance of scars in the early post operative period. If this is just the normal increase in blood supply to the area after surgery all that is needed is your surgeons reassurance.

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