Best treatment for scars post facelift?

It has been 1yr post facelift and the scars behind my ears are still visible, raised and thick. There is some redness. they are itchy at times and a bit painful. I have tried silicone sheets and silicone gel but they caused irritation and redness got worse! Would steroid injections help? should I wait a bit longer before considering a revision surgery?

Doctor Answers 23

Keloid scars 1 year post #facelift: consider scar revision, silicone sheeting, #laser and steroid injection

Thank you for your question.

It would be helpful for us to see pictures.  Steroid is a known treatment for hypertrophied and keloid scars but after one year, and if your scars are wide and thick, you might want to consider scar revision and early treatment with silicone sheeting, silicone gel, laser and steroid injection, every 8 weeks.

Hope this helps!

Best regards,

Dr. Marc DuPere, Toronto Aesthetic Plastic Surgeon

Toronto Plastic Surgeon
4.8 out of 5 stars 59 reviews

Managing Scars Following Your Facelift

The #scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. We find that scar reducing product, BioCorneum , appears to be very effective.
If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Help for Stubborn Scars

Scars can be very tricky to reduce, and they become more stubborn as time goes on. Steroid injections can certainly help, as can certain laser treatments. But 1 year after surgery, you may be a candidate for a surgical scar revision. Please see a board-certified plastic surgeon who is experienced in this intricate procedure.

James N. Romanelli, MD, FACS
Long Island Plastic Surgeon
4.6 out of 5 stars 22 reviews

Revision Scar Treatment May Be Best

If your scars remain itchy, raised, and painful a year after surgery it's probably time to consider a scar revision procedure. You may make some progress with steroid injections and laser treatments, but scar revision surgery would probably give you the most comprehensive results. Without seeing photos of the scars or performing a personal exam, it's not possible to say with certainty what is the best treatment. Raised and thick scars can be excised, followed by early and regular treatment with silicone sheeting and gel, as well as steroid injections. Schedule an appointment with your plastic surgeon to determine the best course of action. Good luck.

Facelift Scars Can Take a While to Heal, But Steroids May Help

Thanks for your question. I'm sorry to read that your scars are not healing properly. Rest assured that scars can take a few years to fully mature, so you might not yet be at your final result at this time. Steroid injections can be used to help soften the scars and reduce the symptoms associated with them. There are many scar creams, so you might want to try another brand to see if it is more tolerable for you. I would wait to undergo revision surgery until there are no more changes with the scars. Best of luck.

Scars after facelift

Typicalls scars can take a full year to mature. Therefore, it is reasonable to consider further intervention at this time.  Steroid injections can often be helpful as well as scar revision surgery. I recommend you consult your plastic surgeon so he can evaluate the scars and offer further suggestions. 

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 50 reviews

Face and neck lift - scars still lumpy

Thank you for your question about your face lift.
  1. After a year, it is reasonable to consider steroid injections to thick scars.
  2. There are other injections that can be used and lasers sometimes help as well.
  3. I suggest you see your own plastic surgeon for her/his advice and treatment.
Always consult a Board Certified Plastic Surgeon.
Best wishes. Elizabeth Morgan MD PHD FACS

Have you tried 5 fu?

Most surgeons aren't using this yet, but I find that 5 FU works great on raised red scars, much better than kenalog injections. This anti cancer drug is injected into  hypertrophic sccars and they usually get dramatically better in a few weeks. It can be repeated if needed. HoPe this helps

Multiple treatment options for older scars

Hi SStarr77.  Sorry to hear you are having trouble with the scars this far out of surgery.  There are a variety of treatment options, depending upon your skin an in person examination is a must for a definitive recommendation.  Nonetheless, laser treatments will soften, flatten and remove the redness.  Steroid injections will do the same.  Revisional surgery is a consideration, and using different stitches may be helpful, but be prepared that the new scars may be similar.  Your original operating PS will be your best resource as they know their closure technique, your recovery course, history and other contributing factors.  Good luck!

Postop Facelift Scars

Alrhough your scars may improve with time, even over several years, it sounds as if they are uncomfortable and a source of significant concern to you.
Low dose steroid injections can be helpful in flattening scars and improving symptoms. 2 or 3 treatments placed 6 weeks apart usually helps.
Unfortunately,  they can sometimes thin the skin and cause redness from tiny blood vessel growth. It certainly worth a series of imjections. If not successful scar revision often can be quite helpful now that the skin has relaxed
Best of Luck

Lee A. Gibstein, MD
Miami Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.