It is usually best to follow the advice your plastic surgeon has given you. At 3 weeks post-surgery and assuming you have healed properly and all incisions have nicely closed I would leave it alone. If you have extremely dry skin you can apply a small amount of Aquaphor to the areas. This can be bought over the counter at most drugstores.
Thank you for your question! It is best to follow your surgeons advice. A delay of healing at the tragus is not a problem and generally looks very good in the long term.
With Warm Regards
Trevor M Born MD
Thank you for asking about your face lift.
- Since your surgeon is the one who has seen the problem, it is always smart to ask your own surgeon.
- In general, a dry scab healds faster if it is kept moist - so covering it with Vaseline or Aquaphor often speeds up the healing of any scab.
- There is nothing wrong with just bathing and leave it open - it will heal but often more slowly.
- Both are acceptable - it isn't a question of right or wrong but two reasonable choices.
- Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
You should follow your plastic surgeon's advice about this. In general, allowing scabs to separate on their own is best,, in other words don't pick aggressively at them. Vaseline can ease the separation
Both approaches to scabs is correct.The basic idea is to wait until the wound underneath heals by secondary intention.Aggressively removing scabs can lead to scarring over the tragus which is visible.Regular visits to your surgeon are suggested and he might also add an antibiotic ointment such as Bactroban to treat a low grade infection under the scab.
Hello, opinions will continue to vary... basic recommendation is to default to your PS recommendations. I typically keep a small amount of ointment neosporin, bacitracin, on any evolving area's. It depends on the look, area, and my expectations of the wound. Good Luck.
Thank you for your question. I don't believe there is definite answer and surgeon preference usually dictates course of postoperative treatment. I would follow your surgeon s advice. IN my practice it depends on the location and size of the scab. Very small superficial areas I usually recommend swabbing with alcohol and allowing a small scab to perform. The tissue beneath will usually heal and the scab will separate naturally over a week or so. This seems to heal more quickly and less fussy. The scar tends to be minimal.The important point is to not pick so that you minimize trauma and don't create a chronic wound. For larger more complicated areas Aquaphor or Polysporin may be more appropriate. Best of LuckDrG
The answer really depends on the nature of the scabs. Some patients develop seborrheic changes in areas of the facelift flap that can be addressed with a moisturizer. If what you are describing as a scab represents necrotic skin or eschar, other forms of therapy would be more appropriate. If this is eschar, the main factor is patience to allow the would to heal and sun avoidance to minimize pigmentary changes.
No photos. Crusting, scabbing or even eschar after facelift is almost always a circulatory issue. Frequently the subdermal tissue is thinned in this area in order to make a natural looking "trough" in the pre-tragal area. These small areas will usually heal without excessive scar and look very good. Larger areas may require revision. As for interim care there are a number of good scar creams, many that have "healing" components such as growth factors that can be applied.
I prefer the wet approach. So I would recommend some vaseline. When they are moist they will cause less contraction of the underlying tissue which can cause a scar. It also keeps them more pliable and usually less itchy.