Should I get scars addressed sooner than later from face lift?

Question

I'm 2 months post op, I'm very upset with scar placement but on top on neck it's very thick. When I sleep if I move at all that neck scar feels like it's ripping so I'm wondering is he scar thick from stretching? My scars in front of ears I'm so upset they aren't more around my ear shape. I don't wear my hair up anymore it's so bad, wish I never had done

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a more detailed and bespoke plan I would encourage you t discuss with your surgeon in person.I am sorry that you have to deal with this scarring , I am sure you are frustrated. I would encourage you not to despair , there are multiple treatments that can be initiated that can improve your scarring , from IPL laser to improve the hyper pigmentations , to resurfacing lasers and scar gels and treatments. and you can safely do most of those treatments right now ( 2 months out), you actually should do those treatments before the scar completely matures to get the best results.I hope this helps, best of luck!

Kyle Kimura, MD · Answer

I'm sorry to hear you are going through this after surgery! 
I think the problem is somewhat two-fold in that the scar looks a bit thick and wide (which can sometimes happen when there is excess tension on the incision during recovery) and that it is very red/erythematous. For the thickness I would strongly consider something like microneedling to try and break up some of that scar tissue. For the redness, you may benefit from laser resurfacing, though I do think that it may be a bit early for the laser component. I may wait another month or so as it looks like there still may be some inflammation playing a role. I would also make sure you are using a good scar cream and massaging the area to help with lymphatic flow and break up some of the deeper scar tissue. 
I hope this helps and best of luck,Kyle Kimura, MD

Anna Chacon, MD, FAAD · Answer

Hello,

I'm sorry to hear about your concerns following your facelift. It's understandable to feel distressed about scar appearance and discomfort. Here are a few insights that might help:

Timing for Scar Treatment: Generally, addressing scars sooner rather than later can be beneficial. Early interventions, such as silicone gel or sheets, can help improve scar appearance and reduce thickness. However, it's crucial to follow your surgeon's guidance on when to begin these treatments.

Scar Maturation: Scars can take up to a year or more to fully mature. During this time, they may change in appearance and texture. Thickening can sometimes occur due to tension or movement, as you've experienced with your neck scar.

Consult with Your Surgeon: It's important to discuss your concerns with your surgeon. They can assess whether the scar is healing as expected or if additional treatments, such as steroid injections or laser therapy, might be beneficial.

Camouflage and Styling Options: Until your scars improve, consider hairstyles or accessories that make you feel more comfortable and confident.

Remember, you're not alone in feeling this way, and there are options to help address your concerns. Consulting with a dermatologist or plastic surgeon specializing in scar management might also provide additional solutions.

Best wishes for your healing journey.

Chet Mays, MD · Answer

Thank you for your inquiry! Scar creams can be used on scars to minimize appearance as well as silicone scar sheets. Lasers such as Microneedling can also be performed to minimize appearance as well. We would love to see you in person or virtually to discuss treatment options or schedule a consult with a licensed aesthetician.

Raffy Karamanoukian, MD, FACS · Answer

I would begin with vbeam laser immediately to reduce scar hyperemia. Topical Sequel Dark Scar Corrector and Plato's Scar Serum can help with a home regimen. Finally, fractional laser with laser-delivery of exosomes will also help.

Best,
Dr. Karamanoukian

Best, 
Dr. Karamanoukian

Nelson Lee Novick, MD · Answer

The ideal window of time to achieve maximal benefit from scar treatment is between the end of week four after the injury or surgery (as in this case), when the wound is healed enough to withstand treatment and the end of week twelve when the scar is considered "mature."  Optimal improvement is achieved before scar maturation, so early intervention is advised. Long gone are the days when the people were advised to wait a year for the scar to mature before treating. You would be wise to seek consultation with a board certified cosmetic dermatologist scar treatment specialist. Best of luck.

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