Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this? (photos)

Question

Hello. I am hoping that someone can please help alleviate my concerns. I had scar revision performed on my cheek two weeks ago (from a previous motor vehicle accident) and there is a large lump at the top of the scar. It is my understanding that this is a dog-ear/standing cone deformity. What can be done to remove this? How long do I have to wait before any medical intervention? I am hoping that this can be resolved or removed as soon as possible. Please advise. Thank you for your help.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

I recommend using silicone gel with growth factors while you heal. After healing, this can be improved with lasers, microneedling/prp,fillers, and possible excision. See an expert. Best, Dr. Emer

Steven Wallach, MD · Answer

You are only two weeks out from surgery, and this may be related to swelling as well. You need to give it time to settle first.

Karol A. Gutowski, MD, FACS · Answer

Give it some time for swelling to resolve. If not resolved, ask your surgeon to cut out the extra tissue.

Henri P. Gaboriau, MD, FACS · Answer

2 weeks post op is relatively a short period of time. First you need to massage the scar with some Silicone gel. it will help to flatten the scar. I usually wait about 6 months before performing a surgical excision of the cones.

Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this? (photos)

Answers (7)

Answer: Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this?

Answer: Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this?

Answer: Standing cones 2 weeks post op

Answer: Standing cones 2 weeks post op

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Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this? (photos)

Answers (7)

Answer: Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this?

Answer: Dog ear/standing cone deformity at top of surgical incision on cheek. How do I remove this?

Answer: Standing cones 2 weeks post op

Answer: Standing cones 2 weeks post op

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.