I Am 8wks Post-op Neck/Face Lift and Now Have Very Visible Scars in Front of my Ears, What Can I Do?

Doctor Answers 11

Visible Facelift scars in front of ear at 8 weeks should be treated with IPL and 1540 laser now

Visible Facelift scars in front of the ear should be managed early as results will be best if treatments are started in the first 2 months.

While scar creams and massage do help and should be done, they are ineffective against red raised Hypertrophic scars.

If they are very red,angry ad itchy start with IPL or Intense Pulsed Light-I use the Max G IPL.

Once redness is reduced then I use the 1540 Non ablative Fractional Erbium laser. This is the best laser I have seen for reducing the bulk of scars and flattening the scar.

Avoid steroid or cortisone injections-they will cause tissue atrophy, thinning of the skin and blood vessel growth on the skin

Scars after facelift need rapid treatment

Visible scars can simply mean persistent redness or reflect the formation of hypertrophic or keloid scars. Pulsed dye laser, injected cortisone, super-potent cortisone creams and silicone scar gels like Biocorneum all have a place in making you look your best. Get in to see your surgeon as soon as possible for his or her recommendations. The younger the scar at treatment, the better the result.

Barry Resnik, MD
Miami Dermatologist
5.0 out of 5 stars 2 reviews

Facelift scars in front of ears

Incision planning is critical in facelift surgery.  I prefer an incision behind the tragus (post tragal incision) in both men and women as it is much hider to see than a straight line incision.   Facelfit scars are commonly seen as red and can be hypertrophic or malpositioned.  Treatment of scars depends on the type of scars seen and can include the following treatments: -laser treatments to help both scars and redness of scars  -injections of kenalog or a combination of kenalog and 5-FU  -scar revision if poorly positioned scar and reposition to a better location The key to great scars after a facelift is to avoid tension on the skin and lift the deeper layer of the face.  Placing too much tension on the skin can make scars wider than ideal.  Meticulous closure technique can also aid in scar appearance.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 166 reviews

Concern about facelift scar 8 weeks postoperatively

At 8 weeks post facelift, your scars are going to be red as a normal part of the inflammatory process. However, if they are already very wide or thick and elevated, those are different issues (photos would be helpful) and should be dealt with differently. Generally, it could be helpful to use a scar cream for several monthssuch as a silicone containing one. Full scar maturation can take up to a year.

I would discuss your concerns with your doctor (is he/she a board certified plastic surgeon or a physician of another area?) who may be able to better answer your concerns and alleviate your anxieties.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 30 reviews

I have very visible scars after my facelift.

8 weeks out from surgery,  I would likely wait to do anything surgical. I agree that silicone sheeting may help. I would avoid steroid injections unless they are thickened and raised.  If they are simply wide, it may require a revision later.  Be aware that wide scars may have resulted from excess tension during the closure and only time will help improve this.  Either the scar will improve, or your skin will relax a bit and allow for scar excision at a later date.  Im sorry you are not happy with your result at this time and wish you the best during your recovery.

Christian A. Prada, MD, FACS
Saint Louis Plastic Surgeon
5.0 out of 5 stars 260 reviews

Post-facelift scarring

Your scars are in the inflammatory phase. I tell patients that scarring will look worse 8 weeks after surgery than initially. At this point, you need a little patience. Scarring should improve over the course of a year. of course, if the scarring seems to be worsening, then there might concern about hypertrophy which can be treated by silicone sheeting or kenalog injections. Be sure to followup with your plastic surgeon and to continue to monitor the scarring.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

I Am 8wks Post-op Neck/Face Lift and Now Have Very Visible Scars in Front of my Ears, What Can I Do?

Eight weeks is early but if the technique used was the "straight line verticle incision" than revision can be done at 6 months. Need a photo posted. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Scars after face lift

The concern over the visibility of your scars is understandable. However, the best person to help you address these concerns and treat the problem is the original surgeon that performed your procedure.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Visible scar after facelift

Facelift scars usually look their worst at about 6-8 weeks. Give it time to fade, they usually heal very well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Treatment for facelift scars

If the scars are getting worse, there is concern for hypertrophic or even keloid scars forming.  Steroid injection, aggressive massage, or silicone sheeting may help.  Sometimes excessive tension at the skin closure can cause these types of scars, and may need to be revised at a later date.

Michael Orseck, MD
Greenville Plastic Surgeon
4.9 out of 5 stars 127 reviews

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.