Internal Scar Tissue after Facelift - how can this be corrected?

Question

I have thick internal scar tissue inside my face and neck 3 1/2 years post-op facelift and platysmaplasty. The scar tissue is beneath the skin, and it is palpable. It causes much discomfort 24/7. I have had Kenalog injections and lymphatic massages without success. I also had a minor revision with my original surgeon to remove dissolvable sutures that did not dissolve. He only removed those sutures that were in my neck area. That helped with my discomfort somewhat. How can this be corrected?

Maribel Belmontes Castillo, MD · Answer

You can try to improve fibrosis with the application of collagenase enzymes and radiofrequency therapies

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Internal Scar Tissue after Facelift - how can this be corrected?

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