Facelift hypertrophic scars behind ears 6 month post-op? (Photos)

I agree with the experts that have answered before me.  These scars do not appear hypertrophic and should heal favorably over time. If they are perhaps more thickened and raised then they appear in the photographs, I  would treat with monthly injections of Kenalog/5FU.  However, it is the vascular nature of the scars that is really the issue. I would treat them with a PDL such as Vbeam, or with any IPL device. One or two treatments should make them indiscernible. Good Luck

Postauricular scars are commonly seen as red and can be hypertrophic.  Treatment of scars depends on the type of scars seen and can include the following treatments:-laser treatments to help both scars and redness of scars -injections of kenalog or a combination of kenalog and 5-FU -scar revision if poorly positioned scarThe key to great scars after a facelift is to avoid tension on the skin and lift the deeper layer of the face.  Placing too much tension on the skin can make scars wider than ideal.  Meticulous closure technique can also aid in scar appearance.

Your scars do not appear to be hypertrophic but show hyperemia.  I don't see any benefit from a surgical revision at this point.  Time will decrease the color, but if you revise it, the exact same phenomenon could occur after the revision.  Lasers might help.  If your scars were hypertrophic, a scar revision in the office is reasonable.

These scars don't appear to be hypertrophic.  They look like they are still healing, and are red - but minimally thick or raised.  They should continue to heal, and with injections can usually be taken care of.  The injections themselves can produce some of the redness which can then be treated with Intense Pulsed light.  If the scar feels a little irregular there are other lasers which can help.  A silicone scar cream such as biocorneum can also help with the scar.    

Hypertrophic scars after a facelift can sometimes be improved with injection of a steroid, as it sounds that you've had.  Scars can take up to a year to heal fully, so it probably would be best to wait that time before considering any surgical revision.  In most cases, this type of revision procedure could be done in the office with just local anesthesia.