9 months post op - scar tissue and skin cone deformity. How can I improve this? (Photos)

Question

I am 9 months post op deep plane facelift and I am facing some problems on both sides of my head: - my cheeks loos volume and they look „pressed in” - I have small cones (marked yellow) of the akin where the incision ends. They look terrible - around those „cones” I have a scar tissue under my skin, it feels like the skin is literraly glued to the muscle What kind of treatment can I do to resolve the scar tissue? Will it help the cones to dissapear or do I have to have them removed by a surgeon? Why do I have the holes in my cheeks? Looks like something was removed during the surgery… I had full cheeks before the facelift. Someone recommended the shockwave therapy to me to break the scar tissue but wont it breakdown even more fatt in my cheeks?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thanks for your question and photos. At 9 months post-op from your deep plane facelift, what you’re seeing is likely a mix of scar tissue under the skin (fibrosis) and tension from the incision closure—especially where the skin ends behind the ear or in the temple area. Those small “cones” or raised bumps at the end of the scar are often excess skin or puckering, and the tight feeling you're describing sounds like the skin is adhering too closely to the deeper muscle layer.

As for your cheeks looking “hollow” or “pressed in,” it’s unlikely anything was removed, but it’s possible that natural fat shifted, scar tissue pulled things tight, or volume was unintentionally reduced during repositioning. It can happen even in expert hands.
What Can Help
1.  Microneedling with radiofrequency, subcision, or scar release treatments can loosen that stuck-down scar tissue.
2.  Fillers or fat grafting can restore lost cheek volume and smooth contour irregularities.
If the small cones really bother you, a tiny scar revision surgery can remove the excess skin and blend the area better.

See a board-certified plastic surgeon with experience in facelift revisions. A good physical exam—and ideally a full set of photos—will help create a clear plan.

Warmly,
Earl Stephenson, Jr, MD, DDS, MBA
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Darryl J. Blinski, MD · Answer

Close some photos to show your problems but must do a virtual in person consultation expect only surgical remedies of Scarry vision fat grafting as best option options expect fees to arrange from $10-$18,000. Best of virtual concert with.

9 months post op - scar tissue and skin cone deformity. How can I improve this? (Photos)

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9 months post op - scar tissue and skin cone deformity. How can I improve this? (Photos)

Answers (2)

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Everything you need to know about Deep Plane Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.