Will a second revision help my temple scars? (photo)

Hi Sats,I'm sorry to hear about your temple scars.  I will do my best to help you, although the procedure which I think will help you the most, I don't offer.For my facelifts, I also place my incision along the hairline, but I limit it to under the sideburn/ temple hair tuft.  That portion of your incision looks acceptable.  The extended incision along the temple will give an additional lift of the cheek skin and outer corner of the eye, but the trade off is a possibly visible incision.  The other location which will also give a lift to the cheek and temple is a vertical incision above the ear, but this will cause a visible shift in the hairline backwards.  Although the incision is hidden, it can look like hair loss and possibly a significant loss of hair in the sideburn area, if not all of it.Since the revision did not help, and possibly made the problem worse, repeating the same revision again will likely results in an even wider scar.  Cutting out the old scar and resuturing it may place even more tension on the skin since even more skin is being removed.  On your good side, the right amount of skin was removed, (not too little, and not too much) which is why that side healed better, because there was not too much tension on the incision.If the surgeon offers hair transplantation perhaps that would be a different strategy to hide the scar.  Instead of trying to make the scar thinner, simply cover it with an extra 1/4" of hairline.  If you research hair transplant specialists, you will find before and after photos of post-facelift hair distortions, loss of sideburns, and also perhaps some hair transplants to hide the incision.Since I don't offer hair transplantation, I don't have any pictures on my website to show what this procedure can do to help hide facelift scars.  You can Google Image search: Hair transplantation facelift scars, and you will see many before and after photos which may be able to help you.I hope you find this answer helpful. Best,Dr. YangP.S. If you find my answers or other doctors answers to questions are helpful, please +1 those answers to push up the better answers to the top, which helps others who read the same post, get to the more helpful answers first.P.P.S. There is a new feature on Realself, which is the "Follow" button. It is similar to the "Like" button on Facebook. If you like my response or any of the doctor responses while you research on Realself, you should "Follow" them. You will get email updates, when the doctors you follow post any new answers to questions, post new photos, or have any new reviews.

The #scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. We find that scar reducing product, BioCorneum , appears to be very effective. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Temporal hair line scars could be visible during the healing process. They tend to be pink and some times dark in certain patients like italians, latin and middle easterns.If the temporal hairline facelift scar is very visible after healing has occurred ( 1 year) revision scar could be necessary. After the first revision, scar could be visible as when the initial facelift was performed. If a secondary scar revision is necessary, it would be prudent to wait for at least 1 year to do so ( time required or the scar to fully mature). Temporal hairline facelift scar revisions are usually done in a way that the temporal hair grows within the scar, thus binding the scar. For doing that the surgeon cuts the skin in an inclined angle so the hairs grow through he scars. During the healing process, patients may use scar creams to improve the healing process. In my practice, facelift patients are recommended to apply Neocutis Bioserum Scar Cream on their facelift incisions. 

Thanks for sharing. The scar still is maturing and will improve with time.  At this time a silicone gel is proven to decrease redness and treat or prevent hypertrophic scars.  I would start with this.  Possible pulse dye laser or fractional laser would help. When you are closer to a year consider tattoo or hair grafting for more improvement.  Follow up with your surgeon.

Hello Sats,Thanks for your question.You are early after your revision so it will take a few more months to see how the scar revision finalizes.In the interim, I would make sure you massage your scar in a linear manner and apply a good sunblock on it every day, no matter what.  This will help the scar fade and soften.  Once it is no longer pink, you can decide whether you like it or not.  If it is still too noticeable, you could try another revision, but this time bring the temple hairline forward to reduce any tension at closure.  You could also have hair transplants placed into the scar to camouflage it.  I advise my patients to use a coverup makeup known as Dermablend.  You can find it at Dermablend.com.This will keep the scar covered nicely as you heal, so you don't focus on it so much and can live your life a little more normally.Good luck,Dr. Shah

Thank you for sharing your concerns.  Yes, it is true that the more tension one places on the skin, the more likely it is to scar and appear unpleasant.  The good news is that you are only 2 1/2 months or so after your last revision.  You need to give this time to heal and see where it will settle.  That said, if there is a continued unpleasant appearance after 9 months, I would recommend a nonsurgical treatment such as a fractional CO2 laser or deep microneedling to help soften the remaining scar.  Until then, just be sure to keep it out of the sun and contact your PS if it starts to thicken (which is rare).

The scars are not optimal but could also be worse.  Possibly consider hair transplantation around the scar to help camouflage these scar.

Healing from this incision can sometimes disappointing.  Revision surgery may not be the best choice since it has not worked.  Hair transplantation for a small area such as this should provide a result which will conceal your scars

Thank you for reaching out. It's understandable to have concerns about the scars in your temple area. I want to assure you that scar maturation is an ongoing process, and improvement can be expected over time.

To address the current situation, I recommend starting with a proven solution: a silicone gel. This can help reduce redness and manage or prevent hypertrophic scars effectively. Additionally, considering treatments like pulse dye laser or fractional laser may offer positive outcomes.

As you approach the one-year mark post-surgery, you might want to explore advanced options like tattooing or hair grafting to enhance the results further. Regular follow-ups with your surgeon are essential to monitor progress and consider any necessary adjustments.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.

 Sadly, my experience with scars in this position, that is in front of the hairline in the temples, is that they don't do well. Yours seem to be typical. When these are completely healed ( perhaps as long as a year), I suspect you will find that there is some residual discoloration and indentation. What are your choices? One would be to re-excise and re-close again. If you are lucky, it will heal better. I don't think tension is going to be an issue particularly if you wait six months or so and only excise the scar. In the meantime, you might try  BBL lasers or IPL lasers with or without micro fat grafting to try to improve the color and indentation respectively. Finally, you might go get another opinion from a well respected cosmetic surgeon nearby. Good luck and let me know if I can be of further help.