Can someone give me advice about big neck lift scar? (Photo)

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for sharing your experience and concerns. From your description, it sounds like you have residual scarring from the procedures, possibly from the liposuction entry points as well as the neck lift.

Flat scars may be considered “mature,” but their visibility can still be distressing, especially if they are lighter than the surrounding skin. While sun exposure is not usually recommended for scar management (as it can sometimes worsen discoloration), there are a few approaches to consider:

Topical options: Silicone gel or silicone sheets can help soften and flatten scars and may improve their appearance over time.

Procedural treatments: Fractional laser, microneedling with radiofrequency, or chemical resurfacing can help blend color and texture differences.

Injections: Steroid injections are helpful if scars are thickened or raised, but they are less effective on flat or hypopigmented scars.

Scar revision surgery: This may be an option if the scars are poorly placed or bothersome in shape, though it carries a risk of creating new scars.

The best choice depends on whether your main concern is texture, color, or placement of the scars. A tailored treatment plan can significantly improve the cosmetic outcome.

I am sorry that this has happened to you. But, besides being expensive, aggressive cosmetic surgeries engender the risk for post-surgical infections, prolonged healing, and the development of dyspigmentation and stretch scars and tram track stitch marks.
I have personally had success in repigmenting hypopigmented scars employing a combination of manual microneedling (no need for the added expense and risks of RF microneedling) accompanied by the topical application of prescription medication pigment enhancers, such as tyrosine and latanoprost.
You would be wise to consult with a board certified cosmetic dermatologist scar treatment specialist and best of luck.