Devastating facelift revision ear scars. Surgeon blamed first surgery for poor result. Correction options? (Photo)

Question

Facelift revision scars one year post op. Pixie ear and painful, pulled tragus left side; incision is closed over back of ear instead of stitched in crease. Right lobe was not stitched at bottom and separated. I believe an assistant performed botched closures. Doctor burned me with laser to incisions. Not enough skin to revise; very tight. What are my options? I am depressed and self-conscious and doctor and his nurse blamed prior surgery and refuse to refund. Suggestions appreciated!

Jeffrey H. Spiegel, MD · Answer

Right now, a large part of what's going on is the paleness of the scar.  Micropigmentation (or medical tattooing) may help a lot to blend that area in to the surrounding skin so you have a less visible scar.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

The revision of pixie ear lobe following facelift is usually an easy repair. Best tpo virtual consult with... Expect fees to be $4,000++ ranges.

Devastating facelift revision ear scars. Surgeon blamed first surgery for poor result. Correction options? (Photo)

Answers (3)

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