Doomed to Have Bad Scar After Brow Lift? (photo)

Question

Had a direct brow lift procedure first in 2010 and the left incision healed nice, the right scar was quite a bit wider than the left. In 2011 I had the brows lifted a little higher with a different physician, and while the left incision has not gotten very wide(about 1 - 1.5mm at most) the right was again wider, with a width of around 2.5-3.5mm (4mo post op). I've contemplated having revision, but I feel it will turn out the same way. Is there anything can really be done, or should I accept it?

Jason D. Bloom, MD, FACS · Answer

This is an area that can be prone to hypertrophic or widened scars because it is constantly moving.  While a surgeon would have to evaluate the scar to see if there was enough laxity for revision, if a scar revision was considered, treatment of the area with Botox pre-operatively would help to prevent the area from moving, while the healing process is occurring.

	Also, you could also consider laser treatments with a pulse dye laser (ex. Candela Perfecta V-Beam) to remove the redness from the scar and soften it up.  We perfom laser scar revision in our office all the time.

Sam Naficy, MD, FACS · Answer

A few suggestions:

	
		Stop having the brow lifted any more
	
		Apply topical silicone gel (such as Scarfade) and concealing sunscreen (such as Total Block) to scars
	
		Consider IPL treatments to lessen redness of scars

Vincent P. Marin, MD, FACS · Answer

Tension on an incision can lead to increase width of the scar over the course of the healing process.  There is some discrepancy in the appearance of your scars.  However, only your operating surgeon can give you an accurate answer regarding what was done. It would seem possible that a scar revision in conjunction with Botox should produce a more appealing scar.

Best of luck.

Richard W. Fleming, MD (retired) · Answer

Your experience is the reason I have never done a direct brow lift, but I have revised many of these. I cannot explain why you have experienced such frustration trying to improve the scars, but I would try to revise the scars again. They will always be present, but if they are reduced they can be hidden by hair transplantation  with micrografts.

Doomed to Have Bad Scar After Brow Lift? (photo)

Answers (4)

Answer: Scar Secondary to Direct Brow Lift

Answer: Scar Secondary to Direct Brow Lift

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Everything you need to know about Brow Lift

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Doomed to Have Bad Scar After Brow Lift? (photo)

Answers (4)

Answer: Scar Secondary to Direct Brow Lift

Answer: Scar Secondary to Direct Brow Lift

Browse related questions

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.