Noticeable scar in front of ear after third Facelift. (photo)

When people have more than one facelift there is less and less skin to remove each time. Even though time moves forward and gravity never stops, the amount of skin is reduced with each operation, leaving little for a revision of your current situation. The good news is that time will improve the look of your scars. I'm not a fan of the location your surgeon(s) used for your scar line. It is placed in front of the ear instead of being hidden behind the little notch that covers the hole (called the tragus). I prefer the scar to be hidden behind the tragus. If you wait long enough one of two things should happen. One, the scar will get less noticeable and not bother you. Or, two, you will have enough softness and laxity to move the scar into a more discrete location. Be patient, it can take a good amount of time. Possibly a year or more. I hope this helps!

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello! Thank you for the question! While tattoo is an option, it typically is not necessary. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Hope that this helps! Best wishes!