Two years post facelift - should I have this scar excised? (Photo)

Question

Would you have this scar excised? I’m two years post-op. It’s hypo pigmented. It’s not raised. My main issue it that the scar Is too far from the ear. I’ve had 3 sessions of microneedlng, not much improvement. Should I ask the doctor to fix this or keep with micro needling? Laser? I don’t really want to do med tattoo but am open to feedback.

Vikram Mookerjee, MD · Answer

Hi, sorry to hear you are dealing with this, unfortunately it does happen in some cases. Micro needling and laser are unlikely to improve scar hypopigmentation. Tattoo is certainly an option and can be a non invasive way to blend the appearance of the scar. However, I would make sure that your tattoo artist has experience with facelift scars and can show you some of their results. The other option is a surgical scar revision. This would involve cutting our the hypopigmented scar and then advancing the facelift flap back to the ear. There may be a need to advance the deeper tissues as well, so avoid placing tension on the new skin to skin closure. I would encourage you to schedule an appointment with your plastic surgeon to discuss your options and the pros/cons of each approach. Hope this helps, and good luck!

Gary M. Horndeski, MD · Answer

Yes, the scars should be excised and re-positioned at the ear-face junction.  This can be done under local anesthesia and should take about 30 minutes.

Best Wishes,

Gary Horndeski, M.D.

Thomas A. Mustoe, MD, FACS · Answer

At this time the only solution to his the scar is to excise it and do some lifting of the underlying SMAS ( superficial muscle layer) to bro g the scar up under rather the earlobe and take all tension off the skin so it heals with a hairline scar. This can be done in the office under local anesthesia.

Two years post facelift - should I have this scar excised? (Photo)

Answers (3)

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