Rhytidectony and chin lipo 5 years ago and HATE the scar it left - how can the scar be improved? (Photos)

Question

I am wondering what you think I should do about this chin scar and extra skin/fat that I still have. I HATE the indent that the scar is causing and it's quite embarrassing and so obvious that I had something donedone. What should I do?? my surgeon told me to do CO2 laser, and that would fix it. I don't believe this is going to solve the problem that is bothering me. Is there a way to detach the scar tissue from the underlying underlying skin?? what would you do if you were me?

Anna Chacon, MD, FAAD · Answer

Hi, thank you for sharing your concerns and the photos—it's completely understandable to feel frustrated when a scar continues to bother you years after surgery. Scars from rhytidectomy and chin liposuction can be tricky, especially if they leave indentations or tethering to the underlying tissue.

CO₂ laser resurfacing can help improve surface irregularities and texture, but it often doesn’t address deeper tethering or indentation. If the scar is pulling down or tethering the skin, sometimes a procedure called scar release or subcision can help—this involves carefully detaching the scar from the underlying tissue to allow the skin to lay more smoothly. In some cases, combining scar release with fat grafting or filler can help restore volume and camouflage the indentation.

Each scar behaves differently, and the best approach depends on how much tissue is tethered, the quality of your skin, and your overall healing. It’s completely reasonable to be cautious if you feel CO₂ laser alone won’t solve the issue, and seeking a surgeon experienced in scar revision and facial contouring may give you a more predictable improvement.

If I were in your shoes, I would want a tailored approach that addresses both the scar tethering and the residual contour concerns, rather than a one-size-fits-all laser treatment.

Nelson Lee Novick, MD · Answer

So sorry that you are disappointed and having this frustrating problem.
Keep it simple would seem like the best advice here. If the chin Indentation is the sole concern, then the use of Subcision, a simple, relatively inexpensive, minimally invasive technique that has over a thirty year track record of safety and efficacy for elevating and smoothing all kinds of indented scars (including those resulting from surgery) is a very viable treatment option  It may be performed with or without the addition of filler.  I have personally been performing subcisions since 1995 with very gratifying results. Regarding the upper neck, you might wish to consider the use of targeted platysmal Botox injections along the jawline and upper neck to help tighten the area. Additional benefit can be obtained with the use of a robust HA contouring filler to better define the jawline and provide further lift and straightening of the upper neck. You would be wise to consult an experienced, board certified cosmetic dermatologist. 
Hope this helps and best of luck.

Darryl J. Blinski, MD · Answer

Beaded on posted photos you need secondary revision of full open neck lift abc muscle repositioning. Expect fees to range from $15,000 to $20,000. Best to virtual consult with .

Rhytidectony and chin lipo 5 years ago and HATE the scar it left - how can the scar be improved? (Photos)

Answers (3)

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