Can Old Lifestyle Lift Scars Still Be Repaired?

One of the shortcomings of the LSL, in my opinion, is the closure under tension. That means the incisions were closed tightly. Tightly closed incisions stretch, causing bad scarring. The dermis, the deep layer of tissue, rips apart and becomes wide, resulting in a wide scar. If you look at the problem from an anatomic point of view, how will creams and lasers put back together a ripped dermis? They unfortunately cannot. So there are no non-surgical ways of fixing bad scars beyond... more

The limited scars around your ears from the lifestyle lift result in the scalloped appearance you describe quite often.. The best way to correct these is to excise the scars, remove any tension on the skin by perfoming a SMAS facelift and then carefully insetting the skin like an artist places the paint on the canvas! I have had several opportunities to correct these problems with a happy patient at the end of each procedure. In the end, leave plastic surgery to the plastic... more

I have seen lifestyle lift patients in my practice who presented with thickened scars around the ears as well as behind the ears. A few of them have also had recurrent jowling and laxity in the neck because the lift did not hold. The reason that the scar thickens is because there is too much tension placed on the skin when it is being closed. This tension should be on the muscle. Many patients also get a "pixie ear" appearance when the ear lobe is stretched and closed... more

This is a problem that could happen with regular Facelift, Lifestyle Lift, Mini-Facelift, and any other surgical Facelift procedure. It's because the surgery was closed under tension at the skin instead of placing the tension where it belongs: at the subcutaneous tissues (SMAS). The best way to correct this problem is to remove the old scar, support the tissues at the subcutaneous (SMAS) level, and re-drape the skin carefully with out any tension. I have corrected this problem in several... more