9 months post deep plane facelift - What is the best way to treat scarring in front of the ear? (Photos)

Question

What can be done about the scaring in front of the ear? Would you restitch, laser, other? It feels slightly indented as well. The other side is not bad and much closer to the lobe. I’m 9 months out:

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

Your scar is a bit too far forward. It should be revised to hide it. That is typically a minor office procedure, but, it depends how tight the rest of your face is as it may be better to do after more time.

Anna Chacon, MD, FAAD · Answer

At nine months post-surgery, there are several options to improve scarring in front of the ear:

Scar Revision Surgery: If the scar is significantly indented or uneven, a minor surgical revision might be an option. This involves excising the scar tissue and carefully re-suturing the area to improve the cosmetic appearance.

Laser Therapy: Laser treatments, such as fractional laser or pulsed dye laser, can help reduce scar redness and improve texture. They work by encouraging collagen production and softening the scar.

Microneedling: This procedure can help improve the texture and appearance of the scar by promoting collagen remodeling.

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

Topical Treatments: Silicone gel or sheets can be applied to the scar to improve its appearance over time. These are often used in conjunction with other treatments.

Dermal Fillers: If the scar is indented, dermal fillers can be used to elevate the scar to the level of the surrounding skin temporarily.

Consult with a dermatologist or plastic surgeon to determine the best course of action based on your specific scar characteristics and skin type.

9 months post deep plane facelift - What is the best way to treat scarring in front of the ear? (Photos)

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9 months post deep plane facelift - What is the best way to treat scarring in front of the ear? (Photos)

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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.