My Facelift Scars Are Horrible, What Can I Do?

Hello! Thank you for the question! While tattoo is an option, it typically is not necessary. 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.Hope that this helps! Best wishes!

I perform facelift scar revision and these scars do well with surgical scar revision and some hair grafts, if appropriate. 

Some Facelift scars can be improved with simple excision and some scars actually require a revision Facelift in order to correct the problem.  The reason for this is that most unsightly scars occur due to inappropriate skin tension at closure.  Simple excision can sometimes represent a repetition of the initial mistake.