Scar revision and or laser resurfacing (or other skin lightening)? (Photo)
Doctor Answers 5
Thank you for your question. What type of doctors did you consult, and what type of surgeon performed your procedure? A brow lift should be completed by a board certified facial plastic surgeon. The board certified facial plastic surgeon will discuss post-procedural techniques, including lasers, to minimize the appearance of scarring.
Direct brow lift
You will hear differing opinions on the various types of brow lifts. Your wide scars can be removed and the skin re-closed with subcutaneous support sutures, and non-absorbable skin sutures. You have great eyebrow cilia, and they should cover the incision. There are other factors that can contribute to a wide scar - massaging, rubbing, sleeping in the prone position, dehiscence, medical issues leading to poor healing. With regard to the other techniques - they all have risks! The bicoronal removes scalp and hair, the trichophytic - another long incision - is often visible depending on your hairline and hairdo - and may leave you without scalp sensation. The endoscopic procedure is OK for a few years, but may ultimately fail in time. So don't second guess yourself on having a direct brow lift! Your consultants after the fact are probably concerned about how additional surgery will heal - a legitimate concern. It may take a few calls and consultations, but you should be able to find a surgeon to improve on your incisions. Best wishes!
Scar revision and or laser resurfacing?
For your scarring, I would recommend only localized dermabrasion or laser resurfacing. Tattooing would be an even more visible mess. Subcision would only create more scars (and scar contracture). Fillers are temporary and costly. You cannot undo the surgery, but improvements can be made. See one or more ABPS-certified plastic surgeons for definitive advice. Best wishes! Dr. Tholen
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