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Keloids forming in the scars after a facelift procedure is extremely unusual. Hypertrophic scars (firm raised scars) can occur more frequently. Though not often, this type of scar can occur with darker skin types. Post-operative scar management with topicals and injections can help prevent and treat hypertrophic scars.
Scarring is always a possibility after a facelift, however, its very rare for it to be a problem. Keloids are possible, in patients who are predisposed to them and sometimes present after facial surgery. Its important to follow up with your physician regularly so he/she can keep an eye on this and treat when needed.
Hello! Thank you for the question! Keloids following a facelift are uncommon. However, keloids have a genetic predisposition. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself. Follow your surgeon's instructions for postoperative care of your incisions as well as when to begin scar therapy.Hope that this helps! Best wishes!
Keloids have the highest chance of forming in incisions around the ears in patients with greater skin pigmentation, but still the risk is very small. If you have previously had ear piercing in the past without keloids and your Surgeon does not place inappropriate tension on the skin closure, I would place your risk at negligible.
This is a good question. The risk of keloid or hypertrophic scarring with a facelift is very small. Keloids are genetically based, and if you have developed keloids in the past, then your risk increases. Individuals that are hyper-pigmented have a higher risk of keloid formation.