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Opinions on What is Happening to my Chin Scar - 2nd Surgery Post Op
asked 1 year ago by Second Surgery in New York and Central Florida
Latest answer by Sam Naficy, MD
Question viewed 1,433 times
Tags: chin, female, pocket, puckering
Has first face lift with neck lift almost a year ago. Chin scar did not heal correctly, so 3 weeks ago, I had a revision of the chin scar. A week after surgery, the healing is worse than the first surgery. Can anyone tell me what is going on? Take a look at the pic. At each end of the scar there is like a pucker or a pocket eat end of the scar. Opinions on how to correct this? THANKS for any opinions.
28 answers to Opinions on What is Happening to my Chin Scar - 2nd Surgery Post Op
+1
Scar under Chin
The best treatment for the appearance of the scar under your chin 3 weeks after revision is to be patient. It will improve. Massage or silicone application may be helpful - ask your surgeon for recommendations.
+3
Too early to predict how this will turn out.
The "sub-mental" or incision below the chin takes the longest time to heal of any of the facelift incisions.
Typically if a lot of work has been done, it will take three months or even longer for it to "mature".
To prevent this we use pressure on the incision starting at two weeks by cutting a foam pad the follows the junction of the face and neck and secure it with a 2 inch ace bandage. We ask the patient to wear it for six hours a day till the scar softens...
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+2
Chin Scar Treatment
Having a prominent and long scar under your chin can certainly be very concerning. Time will help as my colleagues have written. For your consideration I would suggest you can also use a silicone gel tape product such as Mepiform.
Bernard Shuster, MD
Hollywood Plastic Surgeon
Hollywood Plastic Surgeon
+2
Chin Scar after Facelift
You are very early in the postoperative period. The abnormalities you are seeing are most likely the result of postoperative swelling. You need to allow time for the swelling and induration to subside before you can truly assess your results. This can take up one year. In the meantime, I would suggest gentle massage and warm compresses, at the discretion of your current surgeon. Good Luck, Dr. Corrado
+2
Facelift chin scar
At the early postop point where you are it would be best to massage the scar and give it time. Use your thumb and some emu oil or vit E and massage the scar in circular motions against the bone.
+2
Under-Chin Scar Revision Problems
The prominence at the ends of the incisional scar represent some skin bunching with fat excess. Because you are quite early in the healing process, this will likely improve quite a bit with time. If contour issues persist beyond 3-4 months, a little fat removal can help.
+2
Healing after scar revision
Judging from your photograph taken one week after your revision, it appears that the edges of the incision are still inflamed and swollen. After any surgical procedure, your body has to proceed through three distinct stages of wound healing. After one week, you are just entering the second stage. Irregularity and redness are common after one week in almost every surgical incision. This may be even more pronounce in a revision as there is already inflammation and scar tissue from the first...
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Gregory J. Vipond, MD
Pasadena Facial Plastic Surgeon
Pasadena Facial Plastic Surgeon
+2
Fullness at either end of chin scar and neck lift
The primary goal is to determine if this is due to skin or muscle. In the former case, time may produce an improvement within 6 monhts. In the latter, it could be the platysma, in which case the Botox may be useful.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+2
Chin Scar Revision takes time to heal
Thanks for your photo and history. Based on that, your chin scar is definitely still healing, and the puckering you see in your scar should flatten and dissipate with time.
Scars take about 6-12 months to fully heal. The process is called scar maturation. While it seems like a long time, most of the healing occurs right after surgery, usually within the first 1-3 months after your procedure. It's during this 6-12 month healing time, and...
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Roy Kim, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+2
Revision of facelift chin scar
Based on your picture, there seems to be more skin and tissue on the sides behind the scar. It is unlikely to be muscle but this could be determined by a physical exam. Since it is only a week after your revision, the best thing to do is wait to see if it improves (2-3 months may be reasonable). If it persists, ask your surgeon about improving it. A little in-office liposuction may help along with a small scar revision. Perhaps posting your picture in 2-3 months would be useful for more...
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Karol A. Gutowski, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Chin scar
Based on your photos it appears that you have a excess skin on either side of the scar. This may resolve with time and massage. Laser tightening (Smartlipo) may also help.
+1
Takes time to heal, but can use massage or laser to help speed healing time
You need to give it time to heal as you are only a few weeks post-surgery. You might try using vitamine E oil and massage, or you could use a laser to help speed the healing time.
see video
+1
Pleats under the chin after Face Lift
The pleats might flaten out with time...give it several months and ask the Face Lift surgeon his/her opinion as they performed the surgery.
+1
Bunching of skin scar after Facelift is called a "dog ear" massage may help
The bunching that you see at the ends of your chin scar after a Facelift is called a dog ear. It is excess skin that was not removed or tightened during the Facelift chin scar revision and has the shape of a dog's ear.
You are very early after your revision. Massage and time should lessen the appearance-give it at least 3-4 month possibly 6.
The reason it occurs is that the surgeon did not want the scar of the incision to pass outside the jaw line where it would be visible...
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+1
Scar revision healing timeline.
As you know from experiencing the healing from your primary lift, there are changes going on for months. Revisions take even longer, as the surgeon was working on scarred tissue, not virgin tissue. Ask about massage, silicone containing scar gels and ultrasound treatment. These things are proven effective.
Ritu Chopra, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+1
Scar revisions can take a while to heal
Dear SecondSurgery,
Scars can take at least 6 months to fully heal. I have experience with this, as well as photos taken at monthly intervals after closing incisions or cuts on the face. At 1 month it may look good, at 3 months, it may be darker, but at 6 months, it all resolves and looks great.
Stay optimistic, it's still too early to see if it worked.
Best,
Nima Shemirani
Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
The final results of scar revisions do not appear for at least 6 months
Remember that you have only recently had a revision of your chin scar. Any revision generally has more swelling and a longer recovery time. Because you are concerned, however, you should contact your surgeon and be seen in order to determine if your healing is progressing well. Best of luck!
Jen Yuan Chow, MD
Pasadena Facial Plastic Surgeon
Pasadena Facial Plastic Surgeon
+1
Chin scar healing after revision
Scar revisions can greatly improve the appearance of an unsightly scar. If a scar is too wide or too thick it can usually be improved by removing it and closing the wound again. Scar revisions, however, have no guarantees. While good technique can give your tissue a nice set up to heal well, the most important part of the equation is your ability to heal. The good news is that in most cases scar revisions result in a significant improvement in the appearance of scars.
I would not be too...
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+1
Chin Scar
Remember that one week after surgery the scar has not even begun to mature. It is way to soon to begin an aggressive scar routine but, eventually, your surgeon will have you begin scar massage. This will help smooth the result.
Marc Schneider, MD
Fort Myers Plastic Surgeon
Fort Myers Plastic Surgeon
+1
Chin scar
3 weeks after surgery it's too early to tell what the final result will look like. It's not uncommon for scars to look red or a little full in certain areas. Your surgeon may have also used some deep dissolvable sutures which sometimes cause some fullness. I'd give it some time before you start to worry. If you have any urgent concerns, I'd recommend you talk to your surgeon. I'm sure he/she would be happy to answer any questions you may...
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Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
Be Patient
More than likely, this scar will mature over time and look just fine. Your surgeon may consider injecting a small amount of dilute steroid in the area to help swelling resolve quicker. Otherwise, I recommend aggressive massage. Things should look much better over the next few months.
Andrew C. Campbell, M.D.
Board Certified Facial Plastic Surgeon
+1
Chin scar following revision
One week after surgery is too early to evaluate the appearance of a scar. This will improve with time. If the prominence visible at the ends of the scar persists, they may be a candidate some conservative liposuction.
Roger J. Oldham, MD
Bethesda Plastic Surgeon
Bethesda Plastic Surgeon
+1
Chin scar after surgery
At three weeks post revision of a chin scar, it is too early to comment on the quality of the revision. Give it six months to a year.
+1
Scars Take a Full Year to Reach their Potential
3 weeks after scar revision, it is far too early to make a call on how it will look eventually. Scars take a full year to remodel. In the cases of revision surgery, scars will take longer (especially in the initial phases of healing) to settle down.
+1
Give it Time + ??
If only the scar was revised, then the fullness at either end may need some further work in the future. If the fullness represents platysma muscle, Botox may offer a temporary improvement. If it is fat, it could be debulked with Liposuction. As far as the scar itself goes, time will allow for further improvement Please follow up with your surgeon for the best result.
George Sanders, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Chin scar after facelift
Seems to be healing well. Allow time to pass, swelling to resolve, and healing to progress. If the irregularities at scar ends persist, you may need minor revisions to these areas by skin and/or fat removal. Don't become excessively concerned. This is an easy problem to fix, and if your face otherwise looks good, your procedure has been a success.
+1
Submental scar
You are only 3 weeks after your revision. Its too early to tell how you will heal. You plastic surgeon will likely recommend some form of scar massage therapy. It generally takes 6-12 months for all scars to truly mature (heal and fade). Please followup with your PS for his/her care plan.
+1
Chin Scar after facelift
You are still very early from your scar revision. The most important thing is to monitor for signs of infection. The scar appearance will improve greatly over the next 6 weeks and should flatten out. Followup closely with your plastic surgeon and discuss preventive measure to minimize swelling and infection.
I wish you a safe recovery
Paul S. Gill, MD
Houston Plastic Surgeon
Houston Plastic Surgeon
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