I had a MACS Facelift done exactly a month ago. One side of my face seems to be healing well and the other seems like it may have not been stitched up properly. There are raised bumps and 2 tiny holes in my skin. Should I give it more time to heal or is this something I should worry about? How long does it usually take the scar to heal?
MACS Facelift Scar Healing Time?
Doctor Answers (33)
Healing after Facelift
Proper healing takes time and is rarely symmetrical: one side almost always heals differently than the other.
What you describe is not unusual, and may be a result of some ingrown hair or extruding sutures.
Your patience will be rewarded.
Early scar from facelift
Scars look the worst one month after surgery, which is where you are now. Two weeks ago, it wasn't even a scar, just a "wound." This is an early scar--inflamed, red and lumpy. This is perfectly normal.
Stiches inside have yet to dissolve completely and may cause lumps as the body is dissolving them. Irregularities and "pleating" are not unusual because there is a difference in actual length on each side of the scar. All this usually settles down nicely and the redness fades over several weeks or months.
The tiny openings may be cysts from early hair growth or from pleating and these should resolve, too. It is also quite common for one side to look a little different from the other side. Ask your doctor, but I am sure he or she will let you use make-up. Please be reassured and best of luck to you.
This is not exceptional
Dear lady, I am one of the original authors of the MACS-lift technique. The problem you have experienced is not exceptional neither truly worrysome. The smal holes are either caused by hairs attempting to growh through the scar, which is actually the purpose in the MACS-lift sideburn incision, or they are due to a reaction to resorbable stitches which you have reacted to. In the latter case your surgeon will have to pick the small remnants of this stitch out, after which the wounds will close within a week.I
In either case the wound in this location should heal without problem, and end with a very unconspicuous scar. I am curious to know how it healed finally.
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Healing after a MACS lift
The problem may either be hairs growing back through the incision (which will help conceal the scar in the long run) or a reaction to dissoluble sutures. It will get better with time.
Healing after MACS Lift
This is a great question. First, the body is asymmetric -- so healing may be asymmetric. One side of your face may heal a little faster, have a little less swelling, etc. in the first few months. Generally speaking, these things even out over time. Second, with a hairline incision, as is used in the MACS lift and some other techniques, the hairs have to grow back through the scar. This can result in small cysts or ingrown hairs. Lastly, in any facelift, there is a step where a thin skin flap has to be elevated. Sometimes a very small hole will be created incidentally during this process. These generally heal over time, but may cause some delays in the overall result. Best of luck going forward!
Web reference: http://www.sanfranciscofacialplasticsurgery.com/facelift.php
Uneven wound after a facelift.
First, you should discuss this with your surgeon. It probably has nothing to do with the actual MACS sutures. You may have some deep sutures used to close the wound that are about to "spit" out. This can happen. Talk to your surgeon.
MACS Facelift Scar Healing
There are a few possible explanations that are most common and should self correct over time. The smal holes are either caused by buried sutures about to extrude or if self absorbing then close to the skin or hairs attempting to grow through the scar, which is a good thing. Although it may be a sub-clinical infection or the beginning of a hypertrophic scar it is less likely.
Regular followup with your Plastic Surgeon is suggested until this concern resolves.
Scar healing after a MACS lift
it appears from your photos that you have some degree of suture or hair irritation in the hairline. If there are any deeper sutures that can be removed, they should be. That will allow the incision to heal but it might need a small revision done in the office under local anesthesia at some point. At times if the deeper sutures used to close an incision can become infected, or hair gets caught in the incision, that can happen and then the incision looks like yours does.
MACS lift healing concerns may be ingrown hairs along the scar.
I agree with my friend Dr. Verpaele, who is one of the developers of the MACS facelift, and who has co-authored an excellent textbook on his technique. By one month, most types of dissolving suture will have completely reabsorbed, but there are a few kinds of long-acting suture that may have been used to maintain tissue tension, incision integrity, and decrease scar widening. This could be one source of the tiny holes and incomplete healing. The bumps may be the knots below the surface of the skin, but still palpable. You can wait, or your surgeon can easily remove them if that is determined to be the cause.
Another cause may be ingrown hairs, which can become entrapped in the scar. The bump may be the coiled hair beneath the surface, and the holes where the hairs have finally found an exit. This too can be easily corrected by your surgeon.
In either case, this is not a case of "incorrect sewing," but differential healing. Rather than being worried, you should schedule a recheck with your surgeon and express your concern. Any ethical, well-trained, experienced, and empathetic surgeon will want to help you get the result he or she has strived for on your behalf! Best wishes.
MACS lift and two small holes inthe skin
Without seeing photos I could not say what the two holes are? I suppose it could be some skin slough at the site of sutures? But I could not be sure without an exam or at least photos. See your doctor.
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.
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