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Dog Ear After 10 Weeks of Neck and Face Lift?

I had a almost two inches scar under my chin. After 10 weeks is looking like" dog ear." My doctor says that he can fixed opening the incision again become this widther. I m worry at this point because I think the scar is wide enough, so after it is fixed this will be very noticeable. What can be another option to avoid this procedure.? Thank u so much!

Doctor Answers (14)

Face lift dog ear scar

+3

The scar may improve with time. Taping it down at night might help.

  • If it is hard, thick, raised, red - a very low dose steroid injection should flatten it.
  • If it is white, soft, raised and puffy at the ends, it will need surgery.
  • Ideally touch-up surgery isn't done until 6 months after surgery. But a raised, bothersome scar can be fixed much earlier.Three months after surgery - two weeks from the date of your question, would be fine.

Have your surgeon take a photo and draw on the photo what s/he plans to do - so you can be sure it will be acceptable to you. Best wishes and good luck.


Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Dogears after facelift

+3

Dogears are easily corrected.  The surgeon should be able to show you the extent of the scar you will have after the revision.  Fortunately most under the chin scars are unobtrusive.

 

Dogears are visible because of their contours.  A flat scar, even if it is longer, should be easily hidden under your chin  (and can be camouflaged with make-up).

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 11 reviews

Dog ear after face lift

+3

It is difficult to say exactly what can be done without seeing pictures. It is possible that you have some skin redundancy in the incision site or thickness in the scar. It is a little bit early to attempt a scar revision. I would attempt a series of kenalog injections to see if the scar will settle out and become less noticeable. If that does not work it is very reasonable to go back and revise the scar by cutting it out and re-closing the wound. This typically results in a good outcome.

Todd C. Miller, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

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Face lift dog ears in the under chin area

+2

This can be corrected with excising the dog ears. It will be wider but this should heal great if done correctly. I'm confident your plastic surgeon will do a great job. If it is red and irritated it could be some inflammation going on and steroid injections may help. Over time it should help as well and you may not need anything done to it other than pressure dressings and massage. This would should be evaluated by our plastic surgeon.

Philip Young, MD
Bellevue Facial Plastic Surgeon
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Facelift - Dog Ear After 10 Weeks of Neck and Face Lift?

+2

With the understanding that it's hard to tell via the photos alone, I think that you might benefit from a bit of lipo of each of the dogears.  Simply extending the incision risks leaving a similar appearance but in a more visible location (actually, was skin removed via that incision?  That can contribute to this look.)  If not, even better.  A little lipo of the fullness, a procedure which can easily be done under local anesthesia alone, may help flatten things out to the point that they're not noticeable.  I would try to avoid a surgical revision of the dogears in this location (at the ends of a tummy tuck is, of course, a different story).

I hope that this helps and good luck,

Dr. E

Alan M. Engler, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 148 reviews

Dog ear under chin

+2

It is a minor in office easy fix. The width of the scar isn't important but its visibility. Better pictures could get a more precise answer

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 16 reviews

Submental Dogear Scar Revision

+2

Dogears at the ends of a submental incision are not rare. If they have not flattened out after six months, a minor surgical revision of them wil solve the problem. It will extend the scar slightly but that should not be a visible problem as these scars heal very well.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 26 reviews

A picture is worth a thousand words.

+2

It is unusual to have a dog ear in this location.  It is unusually for the sub mental incision to be this big.  Generally dog ears do improve but by 10 weeks one expects to see much improvement to be evident.  Fixing the dog ear should be a minor, office based procedure.   Consider posting a photograph for a more specific answer.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 16 reviews

Scar revision

+1
There are always pros and cons of surgery and I would continue massaging for a number of months before considering this. All scar revisions lead to new scars and although improvements can be made the scar is always longer. Wide scars occur when there is usually tension on the wound - this is uncommon in this region unless skin has been removed. If no skin has been removed I would not be concerned about the scar being wider. You may need a little liposuction at the edges of the dog ears as well if you choose surgery in the long term.
I would definitely massage over the coming months. As others have said tping the ends down can help and elastoplast tape with a silicone strip inside can help to soften the scar. 

Gary L. Ross, MBChB, FRCS
Manchester Plastic Surgeon
5.0 out of 5 stars 16 reviews

Dog ear under chin

+1
10 weeks is still early for a scar revision.  I would attempt depending on how much consternation it is causing you.  Otherwise, I would wait 6 months.  In the meantime, massage with silicone gel cream.  If you do decide to revise, have your surgeon undermine the area that caused the dog ear.  Simply undermining will eliminate it without having to extend the scar an additional length. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.