Facelift: Q&A
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Facelift Options for Patient with History of Keloids?
I have keloid scarring, what are my options for facelift? about 20 years ago I had several moles removed, two on my face. I discovered then that I have keloid scarring. They had to do a dermabrasion on the two on my face because they scars were raised up. They were located around my mouth. you can still see scars...
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10 Doctor Answers |
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Thsizit
in Ms
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Keloids and facelift options
If you truly have keloids, it is probably not facial keloids. The key distinction is whether they are hypertrophic scars or true keloids. See an experienced facial plastic surgeon for an evaluation.
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Facelift options
Essentially individuals who have true keloid formation need to be extremely careful about consideration for facelift surgery. Of course with rhytidectomy surgery there are incisions in and around the ear and any incision can be subjected to the processes of keloid formation in those individuals who form keloids. Some individuals do have minor hypertrophic scars or widened scars that are not true keloids, and might do well with facelift surgery, but essentially it is difficult to predict...
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Facelift and Keloids
In 35 years I've never seen keloids form in in facelift incisions around the ears. Keloids do form in the ear lobes, but the lobes are carefully avoided during the facelift. I would proceed carefully with an experienced surgeon.
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Facelift scars
It is unusual for a person that forms keloids to have keloids after a facelift. Bad scars may occur-raised, red, spread- but usually only in back of the ears. It sounds like you form hypertrophic scars though and not keloids. The former usually responds to cortisone injections or laser therapy.
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Facelift options for patient with history of keloids
If you are a "true" keloider than see in person boarded surgeons. I would be very careful because once you cut and heal with a keloid than it is very permanent.
From MIAMI Dr. B
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Facelifts in patients with keloids.
You should see an experienced facelift surgeon, since you probably would heal fine. True keloids are not common in front of the ear, but are seen behind the ear in dark skinned people. In fair skinned people, I have only seen wide scars due to the surgeon placing too much tension on the skin!
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Scarring after Facelift
The location of the scars after a facelift do not usually thicken or develop into keloids. Keloids are really unusual in that area of the face, it is most likely a hypertrophic scar which is easier to manage.
Good luck.
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Risk of Ugly Scarring in Cosmetic Surgery
The public describes the vast majority of ugly scarring as "Keloids". In fact, the great majority of raised, speed bump like scars are HYPERTROPHIC scars NOT Keloids. Hypertrophic scars are more common in certain ethnic groups, in certain areas of the body, when the incision or injury are oriented in a certain way, when there is tension on the wound, when the wound is exposed to UV light etc,
The basic philosophy of Cosmetic Surgery should be that if you are absolutely NOT...
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Keloid or hypertrophic scars after facelift
The majority of simply raised scars are what are called hypertrophic. They are frequent after procedures that put tension on the scar line and if any other injury occurs to the skin edge, like pressure from an instrument holding the skin or cautery. In facelifts, they are most frequent when there is tension on the skin after closure. Most modern techniques put the tension on the next layer below the skin and simply trim the loose skin, leaving no tension. Additionally, many of us use...
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Highlands Plastic Surgeon
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Hypertrophic or Keloid Scarring with facelift
It is more likely that you are experiencing hypertrophic scarring rather than keloid scarring. The former are easier to manage.
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