I have a neck lift and liposuction to address a double chin. Generally I am please with the results however the scarring is considerable and I would like to know what options I have. I have now had 3 sessions of vbeam laser and several LED treatments. I have used Scar Therapy Silicon Gel and keloidal cream as prescribed. I have been told I have hypertrophic scarring and have been offered a scar revision by my surgeon. Should I wait and see or consider other options/treatments?
September 12, 2022
Answer: Neck lift revision vs scar revision Thank you for sharing your photos and questions. It appears your issue is due to hypertrophic, or excessive, scarring. Additionally, the incisions might be less visible if they had been placed appropriately within the hairline. In the short term, Vbeam and light based therapies are a reasonable options as the inflammation and hypertrophy need to be under control before additional treatments may be performed. If performed by the appropriately credentialed surgeon, steroid injection may also be helpful in the short term. Ultimately, you will likely need a revision neck lift, or at least a scar revision, to remove the excess scarring and reposition the incisions closer to the hairline. The most important issue here is to be sure to consult with a board certified facial plastic surgeon or general plastic surgeon that has a lot of experience with neck lift AND dealing with hypertrophic scarring. Best wishes, Dr. Harmych
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September 12, 2022
Answer: Neck lift revision vs scar revision Thank you for sharing your photos and questions. It appears your issue is due to hypertrophic, or excessive, scarring. Additionally, the incisions might be less visible if they had been placed appropriately within the hairline. In the short term, Vbeam and light based therapies are a reasonable options as the inflammation and hypertrophy need to be under control before additional treatments may be performed. If performed by the appropriately credentialed surgeon, steroid injection may also be helpful in the short term. Ultimately, you will likely need a revision neck lift, or at least a scar revision, to remove the excess scarring and reposition the incisions closer to the hairline. The most important issue here is to be sure to consult with a board certified facial plastic surgeon or general plastic surgeon that has a lot of experience with neck lift AND dealing with hypertrophic scarring. Best wishes, Dr. Harmych
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