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

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

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

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.

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

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. 

Natalie, you are correct in identifying this result of scar revision, but it can be revised if need be down the road. Your doctor may advise trying silastic sheeting or a scar gel topically for at least 6 weeks, which may help somewhat. You can purchase some of these products over the counter at your pharmacy. A vert limited surgery can be performed if it does not resolve within 3 to 6 months.

Your doctor has tried to keep the incision as relatively short as possible. There may be a little dog ear there or it may just be swelling. Please contact them as they may advise massage to the area. Let it settle down and in 4-6 months you will know if it went away or if a revision may be needed.