Why are my facelift scars so red and obvious, and will I need a revision? (Photo)

The color in your scars will fade with time. I would not consider a scar revision until at least 6 months to a year if it is deemed necessary.  You have flat scars which are usually not helped by revision surgery.  Laser treatment can help.  At some point, if you are dissatisfied with incision placement, you would need to wait until the tissues become looser again before revising.

Your are still in the healing stage, wait 6 months and see how you are doing. If you are still unhappy talk to your surgeon about possible scar revision or scar therapy treatments. Good luck.

I am sorry hear about your concerns. At only 4 weeks post op, it is too early to evaluate your scars as a final result. It can take months for the scars to fully heal. If you are worried about your final result, I would recommend voicing these concerns with your surgeon. In the event that your scars fail to improve with time, there are options to improve their appearance such as a skin resurfacing laser or scar excision. Best of luck with your healing process!

These scars are not ideal and not usually what is seen.  Tension is a major player with visible scars so a scar revision to close the skin again under no tension would be a consideration in a few months time.  Also the placement of the scars behind the tragus would help camouflage a large portion of the scar in front of the ear.  Finally, the use of only a small running suture could reduce the reaction of buried sutures that can sometimes be seen through the skin.  

Thank you for your question. The redness should resolve with a little more time. Treating with a laser can be helpful to help resolve the redness. In addition, there are some good camouflage techniques that can get you through this tough time when they are so red. Talk to your surgeon about options.

Dear urenoughThank you for your questions and photos!  The scars are very red in color- they can be improved with injections and or Intense pulse light .  They will face with time - can take up to a year and a half.With Warm RegardsTrevor M Born MD

The postoperative redness will improve significantly over time.  I cannot comment on the eventual outcome because the type of facelift procedure, utilization of SMAS, tension upon closure, etc are only known by your Surgeon.  I recommend discussing scar camouflage techniques with your Surgeon's aesthtician.  In addition, use of a 1540 non-ablative fractionated laser can be helpful. 

At four weeks post surgery, it is still relatively early, and you can expect significant improvement in the scars over time.  Silicone tape/ sheeting/ gels, massage, laser and/ or light based treatments, and camouflage makeup all have a role in helping you get through the scar healing phase with the best possible results. At this point I would say your scars are a little below average in terms of redness, and the positioning of the scar itself.  Almost certainly they will improve.   And in any case it could easily be revised in six months to a year if necessary. I would work closely with your surgeon to help get the best possible outcome. Good luck.

Hello. It is normal to have redness in the incision for 3-6 months after surgery, but it will gradually improve after that. It’s not reaction from silicone tape, so I recommend you wait for 6 months before revising. I hope this is helpful. / Dr. Kanit W. Thailand

Thank you for your question and for sharing photos. Unfortunately, your scars aren't the norm for facial plastic surgery. You could be having a reaction to the silicone tape and it also could be tension with the scar. You should definitely look into scar creams and have a follow up with your surgeon to see what he recommends. Best of luck!