What will be the best ways to remove the scar from facelift? (Photo)

Question

There was some dehisced incision which caused the scar to widen.

Anna Chacon, MD, FAAD · Answer

Scarring after a facelift, especially if there was some dehiscence (wound separation), can be concerning, but there are several effective ways to improve the appearance of these scars.

Best Ways to Improve Facelift Scars:

Silicone Gel or Sheets: These can be applied to the scar to help flatten and soften it over time. They are often recommended as a first-line treatment for scar management.

Laser Therapy: Fractional lasers or pulsed dye lasers can help reduce redness and improve the texture of scars by promoting collagen remodeling.

Microneedling: This procedure can help improve the texture and appearance of scars by stimulating collagen production.

Steroid Injections: If the scar is raised (hypertrophic), steroid injections can help flatten and soften it.

Scar Revision Surgery: In some cases, surgical revision of the scar may be recommended to improve its appearance. This is typically considered once the scar has matured, usually after a year.

Topical Treatments: Products containing ingredients like retinoids or vitamin C can support skin healing and improve scar appearance over time.

In summary:
Consulting with a board-certified plastic surgeon or dermatologist is crucial to evaluate the scar and discuss the most appropriate treatment options based on its characteristics and your skin type. They can tailor a treatment plan to help achieve the best possible outcome.

Chet Mays, MD · Answer

Thank you for your inquiry! Scar creams can be used on scars to minimize appearance as well as silicone scar sheets. Lasers such as Microneedling can also be performed to minimize appearance as well. We would love to see you in person or virtually to discuss treatment options or schedule a consult with a licensed aesthetician.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jeffrey H. Spiegel, MD · Answer

I'm sorry to see this.
There are a few best options:
(1)  the scar can be revised.  This would require you to still have some looseness of your facial skin.  
(2) the scar can be revised another way by bringing the hairline somewhat foreward.
(3) The scar can be lightened with laser treatments to make it less red.

Better photos will tell us more.

Nelson Lee Novick, MD · Answer

Unfortunately, surgery carries the risks for the subsequent development of stretch marks, dyspigmentation and even tram track stitch marks, all of which can be seen here. Especially if performed between the end of week four and the end of week twelve following their appearance, professionally performed, manual microneedling (no need for the added expense and risks of RF microneedling) accompanied by the application of appropriate Rx redness treating topicals can be quite effective in helping to lighten these scars and to blend them better with the surrounding normal skin. You would be wise to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist. Best of luck

What will be the best ways to remove the scar from facelift? (Photo)

Answers (5)

Answer: That's unfortunate

Answer: That's unfortunate

Answer: Professionally Performed Manual Microneedling Can Help Improve Post-Surgical Stretch Scars & Stitch Marks

Answer: Professionally Performed Manual Microneedling Can Help Improve Post-Surgical Stretch Scars & Stitch Marks

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What will be the best ways to remove the scar from facelift? (Photo)

Answers (5)

Answer: That's unfortunate

Answer: That's unfortunate

Answer: Professionally Performed Manual Microneedling Can Help Improve Post-Surgical Stretch Scars & Stitch Marks

Answer: Professionally Performed Manual Microneedling Can Help Improve Post-Surgical Stretch Scars & Stitch Marks

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Everything you need to know about Scar Removal

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