2 years after facelift and I still have firmness around incision site. Is this normal? (Photo)
Doctor Answers (9)
Unhappy with face lift scar
- the problem is probably from over-tightening the skin at surgery,
- I would suggest a scar revision - it most likely to help,
- lasers chiefly fade pink scars,
- ultrasound won't improve it. Best wishes.
Scar Tissue From Facelift Incision.
Scar revision at 2 years is best
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Scar firmness after surgery
Unsightly scars can result from excess tension on the skin wound without adequate deep support. Less than ideal scars can be a product of the patient's skin and scarring type. Facelifts done similarly on 2 different patients will usually yield different scarring.
Steroid injections performed in a conservative manner can help scars, but bad scars usually require excision with deep tissue support, and reclosure
Steroid shots, massage and revision
Firmness around incision two years after facelift
Bad facelift scarring.
Your ENT/facial plastic consultant was perhaps a bit hard on your facelift surgeon, but technique and tension do play a role in the degree of ultimate scarring. Genetics, however, have a major role in the degree of scarring, and genetics may be as much "fault" as your surgeon's technique.
One way to find out would be to perform scar excision and revision, with precise, non-tension closure using fine suture technique. Then you would know that the best possible scar will result. I'd also consider topical scar pads after 2-3 weeks of healing, should you consider scar revision.
Ultrasound treatment can soften scar tissue to a degree, but steroids or scar revision would be the two choices I would suggest. Ultrasound improvements are liable to be much less worthwhile for the time, effort, and money spent (even if "free").
Unfortunately, the location of the scars cannot be changed, which is why I hate the hairline scars down the neck/scalp junction. Rather, placing the incision behind the ear and then crossing the bare skin behind the ear high where the pinna conceals the scar, and then extending the incision into the scalp, avoids the visible (and as in your case, unsatisfactory) scarring that now prevents you from wearing your hair up in a French braid or ponytail. This is avoidable in the initial choice of incision placement.
And is why choice of facelift surgeon is critical, right down to the minutia of incision placement.
Best wishes! Dr. Tholen
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