15 months post-op lower facelift - how long before scar revision is possible? (photos)

Question

I am 15 months post-op lower FL & necklift. I have these unsightly scars behind my ears. I would like to do a scar revision. I don’t have any scars at all from 2 knee surgeries so I assume these formed due to a tight pull & tensión on the skin. How long do I need to wait for scar revision? Does the skin have to stretch before this can be attempted? Are there other treatments that might improve the appearance? I’d like to wear my hair in a pigtail to exercise again. Thank you.

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

Jason Emer, MD · Answer

​I recommend getting a formal evaluation with a cosmetic dermatologist for after care. I recommend Silagen + Bioshield to promote healing. Any scarring can be improved with lasers and microneedling/prp. See an expert. Best, Dr. Emer

15 months post-op lower facelift - how long before scar revision is possible? (photos)

Answers (2)

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