I had a MACS Facelift done exactly a month ago. One side of my face seems to be healing well and the other seems like it may have not been stitched up properly. There are raised bumps and 2 tiny holes in my skin. Should I give it more time to heal or is this something I should worry about? How long does it usually take the scar to heal?
MACS Facelift Scar Healing Time?
Doctor Answers 40
Healing after Facelift
Proper healing takes time and is rarely symmetrical: one side almost always heals differently than the other.
What you describe is not unusual, and may be a result of some ingrown hair or extruding sutures.
Your patience will be rewarded.
Early scar from facelift
Scars look the worst one month after surgery, which is where you are now. Two weeks ago, it wasn't even a scar, just a "wound." This is an early scar--inflamed, red and lumpy. This is perfectly normal.
Stiches inside have yet to dissolve completely and may cause lumps as the body is dissolving them. Irregularities and "pleating" are not unusual because there is a difference in actual length on each side of the scar. All this usually settles down nicely and the redness fades over several weeks or months.
The tiny openings may be cysts from early hair growth or from pleating and these should resolve, too. It is also quite common for one side to look a little different from the other side. Ask your doctor, but I am sure he or she will let you use make-up. Please be reassured and best of luck to you.
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Uneven wound after a facelift.
First, you should discuss this with your surgeon. It probably has nothing to do with the actual MACS sutures. You may have some deep sutures used to close the wound that are about to "spit" out. This can happen. Talk to your surgeon.
Scar healing after a MACS lift
it appears from your photos that you have some degree of suture or hair irritation in the hairline. If there are any deeper sutures that can be removed, they should be. That will allow the incision to heal but it might need a small revision done in the office under local anesthesia at some point. At times if the deeper sutures used to close an incision can become infected, or hair gets caught in the incision, that can happen and then the incision looks like yours does.
This is not exceptional
Dear lady, I am one of the original authors of the MACS-lift technique. The problem you have experienced is not exceptional neither truly worrysome. The smal holes are either caused by hairs attempting to growh through the scar, which is actually the purpose in the MACS-lift sideburn incision, or they are due to a reaction to resorbable stitches which you have reacted to. In the latter case your surgeon will have to pick the small remnants of this stitch out, after which the wounds will close within a week.I
In either case the wound in this location should heal without problem, and end with a very unconspicuous scar. I am curious to know how it healed finally.
Scar healing after surgery
I agree with the previous authors stating that the scar healing takes between 6-12 months and in some cases longer. It is also not uncommon for one side of the body to heal faster than the other. There is an interesting theory that right handed people heal faster on the right side and that left handed people heal faster or better on the left side. I do not necessarily subscribe to this theory, however overall one side usually heals faster for some reason.
The scar healing is a process that the scar goes through while it matures. Early after surgery the scar is pink, may be tender and sensitive. As it continues to mature it acquires whitish characteristics. In individuals with darker skin the final scar may be actually darker rather than lighter.
During facelift surgeries surgeons generally place several layers of sutures to maintain the position of the skin and deep muscle. Some sutures may be more reactive and create more inflammation than others. Some patients may have difficulty with absorbing the sutures, because you are so early from surgery it is possible that your body is going through the early healing stages and may be having a little difficulty with the suture material breakdown. When the body is unable to break down the suture it will commonly spit it out and that may be the cause for the small openings. Fortunately, in those cases once the suture is removed or has come out the inflammation decreases and the scar heals. It is very important to discuss your concerns with your plastic surgeon to make sure that there are no other issues such as an infection. I don't think it is fair to expect that someone is able to diagnosis an infection based on a picture placed on the internet. However, follow up care is a part of the overall facelift process. I am confident that your surgeon will not be offended by your questions or concerns.
Healing after a MACS lift
The problem may either be hairs growing back through the incision (which will help conceal the scar in the long run) or a reaction to dissoluble sutures. It will get better with time.
Is this normal healing?
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.