SMAS facelift scars - should I consider scar removal surgery or other treatments? (photos)

Question

I had a SMAS facelift and neck lift in March 2020 the neck lift was revised in sept 2021 but I have been left with stretched scars behind my ears. I have been using silicone gel and strips since the procedure but they are still pink. My surgeon has suggested micro needling. I would appreciate some advice on this please and whether I should consider scar revision surgery or any other treatments? Many thanks.

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

SMAS facelift scars - should I consider scar removal surgery or other treatments? (photos)

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SMAS facelift scars - should I consider scar removal surgery or other treatments? (photos)

Answers (1)

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Recommended reading

Everything you need to know about Scar Removal Surgery

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