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Can a Face Lift Scar That Was Cut Horizontally, Below the Temple, Be Fixed? (photo)

I had a face lift 10 months ago. Because my plastic surgeon knew I was concerned about losing my hair (it is very thin) - rather than extending the cut vertically from the top of my ear into my hairline, he extended the cut horizontally out onto my face on both sides. He told me the scars would not show, but they do. They dent inward, and the skin puffs at the end near my eyes. The face lift looks great, but I am self conscious about these scars. Can anything be done to make them look better?

Doctor Answers 17

Horizontal scar fix

Thank you for your question and the picture. From the photo, there is scar indentation and skin puckering close to the lateral canthus. You are 10 months out and the question would be to what longer, try a non surgical modality or surgically revise the scar. I think you should wait longer to give more time for the scar settle. You could try fillers like juviderm. to see if the depression will improve. but, even with that, I would caution you as you may not like the results of the filler. In general, scars take longer than a year to settle and it may take up to two years,

San Diego Plastic Surgeon
5.0 out of 5 stars 9 reviews

The scars can be improved.

This is a difficult problem to improve, but we have treated simular scars with improvement.

The system we use is as follows:

  • The area is injected to fill the zone of depression with Juviderm
  • The depressed area and surrounding area is treated with a fractional laser blending the edges. Several passes and a relatively high energy are used over the area of depressed scar.
  • The key is that this is all done at the same session to get the best results.

This can be repeated after several months for further blending

(We treat deep acne scars also in the same fashion with improvement.

Also, even though you are at 10 months, these scars will improve with further time but you are likely to get the most improvement if you add the above technique.

Dr. Mayl

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
4.5 out of 5 stars 7 reviews

10 Months After Facelift and Scar

   Fillers could help the depression.  Laser may help as well.   The scar could be reexcised and closed in a more linear fashion without depression.  Kenneth Hughes, MD Los Angeles, CA

Scar revision for the temple incision for a facelift

This can be improved. But you might have to have it opened and reclosed. The other option is to break up the tissue below it and add some tissue in there.

Philip Young, MD
Bellevue Facial Plastic Surgeon
3.5 out of 5 stars 41 reviews

Facelift Scar between the Temple and Eye

The scar between your hair and eye can be revised. The tuft of hair above your ear which  you lost as part of the surgery should also be replaced because this will limit your hair styles.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Scars post facelift

I would go back to your plastic surgeon. I think they can be revised to your satisfaction. It may require excisoin or dermabrasion or a combination.

Robert Brueck, MD
Fort Myers Plastic Surgeon
5.0 out of 5 stars 39 reviews

Scar on the face after face lift

I have not seen such an approach for a face lift. 

That said, techniques vary from region to region.

Such facial scars are permanently visible but can be improved as follows:

  • Meticulous scar revision done under magnification with early suture removal,
  • Can be done in the office.
  • Tape the scar for at least six weeks afterwards
  • If your surgeon is not Board Certified in Plastic Surgery, consider having such a surgeon do your revision.

Best of luck.

Bad facelift scar.

You need to have the excess skin removed with a scar revision and reconstruction of your sideburns.  This should be done by someone very experienced in this type of surgery which we escribed in our textbook. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Facelift Temporal Scar Revision

An incision and resultant scar that extends beyond the temporal hairline can be treated by  variety of approaches from re-excision to fractional laser resurfacing. They can be difficult to improve because the scar lies in an unnatural area where wrinkle lines do not normally exist. Which treatment approach is best is debatable and no one can say for sure which one will provide improvement for you. The good news is that they are all easy to do in the office. Because the scars re indented with a small dogear, I would opt for open scar revision followed by laser resurfacing shortly thereafter.

Noticeable temple face lift scars could be treated with scar revision and possible hair transplants

Iit appears that you had a prior facelift to this last one and your surgeon was trying not to further shift your hairline and/or take away more hair. Whatever the prior existing conditions were, scar revision is worth trying and a session of hair transplants might also be considered. 

Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon
4.5 out of 5 stars 14 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.