Options for correcting SMAS face lift scars?

I had a SMAS Face Lift, Brow Lift, and Liposuction under my chin in June 2008. The scar in front of my ear is perfectly hidden on one side, but is very visible on the other side. What can be done about this? I have been given cortisone injections on my neck and behind my ears because the incision scars were thick. Do I need scar revision or some kind of laser treatment for these scars?

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8 answers to “Options for correcting SMAS face...”

A: Facelift Scars

Wilfred Brown, MD

Hypertrophic or Keloid scar formation is a risk of any operative procedure - however when these type of scars form on the face, they take on more importance to treat. Generally, I wait 6 to 12 months post procedure before initiating active treatment of the scar. During the first 6 months, if the scar is... more

A: Hypertrophic scars can occur after facelift surgery

Scott Trimas, MD

Hypertrophic scars can occur after facelift surgery whatever type of facelift be it a smas lift or deep plane lift type of procedure. The best way to treat them initially is with steroid injections done in conjunction with vascular laser treatments. If after a year or so, they are still visible the best option... more

A: Scars May Be Revised

D.J. Verret, MD

There are many options for scar revision after facelift surgery. Sometimes, waiting is the best option as time will take care of a lot of irregularities in scars. For some patients, reexcision of the scar is appropriate while other may benefit from steroid injections or laser treatments. Meeting with a facial... more

A: Scar revision is a great way to improve your scars

Philip Young, MD

There are many options to improve your scars depending on how the scar looks, how wide, etc. If the scar is large and wide you may need to have it excised first and then have the remaining appearance of the scar resurfaced with dermabrasion and laser resurfacing to make it look even better. There are ways to... more

A: Scars can be revised

William Portuese, MD

The scars from the facelift can be revised, but one needs to wait at least one year after the facelift before attempting any revision surgery. Cortisone injections into the scars will help soften them up in the interim phase of the first year prior to embarking on any further revision. If they are truly... more

A: Wait for one year, scar revision might be needed

Hisham Seify, MD, PhD

I would wait for at least one year from the time of surgery. If there is enough laxity, the scar could be revised. Sometimes a deep plication might need to be redone to accomplish a no-tension closure.

A: If you have a little laxity the scars can be revised

Richard P. Rand, MD

Many things can be done to improve this.  Time, massage, injection of steroids, IPL treatments can all make this somewhat better but not like your other side.  The only way to really help the problem is to excise the scars and re-elevate the skin and close it under zero tension.  This... more

A: Face lift scar can be excised and a better scar created

Toby G. Mayer, MD

From what you have said it sounds like the "bad" scar is too wide or raised. It therefore shows. This can be removed and a new scar created with sutures below the skin to remove tension on the skin which often makes "bad" scars.

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