What can I do to cover up the scars from a facelift? (Photos)

One option is to redo the scars so the incision line lines up with the contour of the helical crus, behind the tragus, across the tragal notch and in the crease of the lobule, ensuring that sutures do not leave marks.

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

I'm sorry that you are experiencing this. However, surgeries of all kinds, including plastic surgery, carry the risks for infections, prolonged downtime, dyspigmentation,, as well as the subsequent development of stretch scars and tram track stitch marks (besides the unrealistic expectations that the results of these surgeries last a lifetime (which of course is not so, since there are continual age-related changes, such as loss of volume in bone, muscles, fat, etc. that become apparent every five years or so that almost inevitably will necessitate further cosmetic interventions).
Professionally-performed, manual microneedling (no need for the added expense and risks of RF microneedling) can be used to help better blend in both color and texture the scars with the surrounding normal skin. since the ideal window of time for achieving optimal improvement in treating post-surgical scars is between the end of week four to the end of week 12, it would be wise to seek proper treatment asap before the scars become fully "mature.' .
You would also be wise to consult with a board certified cosmetic dermatologist scar treatment expert. Hope this helps and best of luck.

It's understandable to be concerned about the appearance of scars following a facelift. At four and a half months post-surgery, it's not uncommon for scars to still be noticeable, but they should gradually improve over time. Here are some steps you can take to help manage and cover up your scars:

Medical and Professional Options

1. **Consult Your Surgeon:** It's important to discuss your concerns with the surgeon who performed your facelift. They can evaluate the healing process and may suggest treatments such as steroid injections, silicone sheets, or laser therapy to improve the appearance of your scars.

2. **Scar Revision Surgery:** In some cases, if the scars are particularly problematic, a minor surgical procedure to revise the scars might be recommended.

Topical Treatments

1. **Silicone Gel or Sheets:** These are often recommended by dermatologists and plastic surgeons to help flatten and fade scars. Products like ScarAway or Mederma can be effective.

2. **Over-the-Counter Scar Creams:** Creams containing ingredients like onion extract, vitamin E, or hyaluronic acid can help improve scar texture and appearance.

3. **Hydration and Moisturization:** Keeping the scar area well-moisturized can aid in the healing process. Use gentle, non-comedogenic moisturizers.

Camouflage Techniques

1. **Makeup:** Specialized makeup products can help conceal scars. Look for high-coverage, long-lasting concealers or foundations designed for scar coverage. Brands like Dermablend or Cover FX offer products tailored for this purpose.

2. **Color Correcting:** Use color-correcting concealers to neutralize the discoloration. For example, a green-tinted concealer can help counteract redness.

3. **Application Tips:** Apply a primer before makeup to smooth the skin surface. Use a brush or sponge to apply concealer and foundation for even coverage. Set with a translucent powder to increase longevity.

Additional Tips

1. **Sun Protection:** Protect your scars from sun exposure, as UV rays can darken them and make them more noticeable. Use a broad-spectrum sunscreen with at least SPF 30.

2. **Massage:** Gentle massage of the scar area can improve blood flow and promote healing. Your surgeon can show you the best technique.

3. **Patience:** Scar healing can take up to a year or more. Continue with your skincare regimen and follow your surgeon's advice.

When to Seek Help

If your scars are not improving or if you notice signs of infection (such as increased redness, swelling, or discharge), it's crucial to seek medical attention. Persistent, highly visible scars or complications should be evaluated by a healthcare professional.

Remember, your surgeon is your best resource for advice tailored to your specific situation. They can provide the most appropriate recommendations based on your individual healing process.