Recommended Over-the-counter Scar Treatment After Facelift?

Are there any products available to reduce Facelift scars and speed up healing?

Doctor Answers 14

Most Facelift Scarring Heals Without Intervention

The vast majority of facelift scars heal nicely without any type of intervention. Initially these scars are red and raised. For this reason patients are apprehensive and often request some type of treatment to facilitate healing.
When this scenario arises a variety of treatments have been utilized. These include topical vitamin E, mederma, scarguard, silicone gel and a variety of lotions and creams. Although these agents are popular, most of the data regarding their use is anecdotal.

Scarguard, Silicon Sheets, Mederma, Vit E

Any scars after surgery can be improved by proper care after surgery. Immediately after surgery clean the incisions with peroxide and apply bacitracin several times a day. After the stitches come out use Vit E lotion or cream to massage the scars daily for 3 months. In some cases where a scar starts becoming raised then immediately start using silicon sheets every night, or Scarguard or Mederma.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 85 reviews

Facelift scars

Thank you for your question. While scars will always be present, much can be done to make them as subtle as possible. Facelift incisions can be managed using a multimodal approach:
1) Scar massage - starting as soon as the surgical dressings come off and the incisions are sealed
2) Silicone sheets or scar gels for about six months to year
3) Fractionated lasers to help blend the scar into the background - done as a series, starting about 4 weeks after surgery and repeated every four weeks for six months.
4) Sunscreen to prevent the scars from darkening

Your incisions should be very subtle based on the placement of the incisions, but may need a full 6 months to 1 year or more to fade.

Recommended over-the-counter scar treatment after facelift?

Hello! Thank you for the question! 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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 22 reviews

Facelift scars can be improved and made better

Facelift scars should be treated aggressively to give you a lifetime of satisfactory results.  I treat many facelift scars with pulsed dye laser, early neosporin application, and fractional laser skin resurfacing.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 93 reviews

Neaclear Scar Advantage for scars


Thank you for your question.

I would recommend the product Neaclear Scar Advantage. It promotes optimal scar healing with ingredients such as liquid oxygen, vitamin C, vitamin E, vitamins A & D, cortisone, and silicone. You apply the product a few times a day and should see scar reduction in a less than a few weeks.

Best regards,

Dr. Speron

Sam Speron, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 1 review

Scar Creams

In general, Facelift incisions by a qualified, reputable, board certified Facial Plastic Surgeon or Plastic Surgeon should heal very nicely. The reason: blood supply in the face is excellent. Scar creams, although they may provide some piece of mind to the patient are of questionable therapeutic value to a normal healing facial wound. If the incision looks questionable, application of a silicone based cream may be helpful.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 81 reviews

Silicone gel for scar treatment

Many different manufacturers produce silicone gel preparations with a variety of additives. I prefer the ones with sunblocks. However, additives may result in a higher risk of allergic reaction.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 72 reviews

You can try Mederma for scars

There are many product that will help. These are Merderma, Scar Gard, and vitamin E. You can  bu vitamin E over the counter, break the gel cap and apply the vitamin E over the incision.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 110 reviews

The gels are effective, but consider what your surgeon recommends

Hi Njgirl

The silicone gels available over the counter are highly effective and easy to use. However, if you are having an issue with your facelift (like getting it to heal faster) this is really something you should discuss with your surgeon. The scars do tend to fade with time. However if the face lift scars seems to be developing a ridge or is red, your surgeon has means of treating these issues. They may also recommend the silicone gel. However, the office based treatment for the scar is very effective and can help you heal following the facelift but you will only get this care from your surgeon if you let them know that you are having an issue.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 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.