Tracheotomy Scars and Neck Lift?

What kind of procedures would be good for patients who want a tracheotomy scar removed and a neck lift? Is Botox an option?

Doctor Answers 14

Traceotomy Scar and Neck lift

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A neck that has the aging changes which would require consideration of a necklift will not be helped by Botox.  A tracheotomy scar can be revised simultaneously.

Tracheotomy scar and neck lift

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Tracheostomy scar can be treated at the same time as a neck lift. See you plastic surgeon for your specific needs.

Tracheotomy scar

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A tracheotomy scar can be revised at the same time as a neck lift and typically requires a flap of muscle and fat to fill in the depressed scar.

Botox and neck scars

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You would need an examination to determine the type of scar and evaluate the redundancy of the neck, but Botox usually doesn't help necks that need a neck lift. See a plastic surgeon in consultation.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Trachetomy scar can be revised with a neck lift

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You can do both at the same time if you would like.  botox is not a great option and will slightly improve your neck bands for a very short time. A neck lift is the best option for most necks. 

Philip Young, MD
Bellevue Facial Plastic Surgeon

Tracheostomy Scar and Neck Lift?

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Thank you for the question.

Tracheostomy scars may be revised (not “removed”).  This may help improve scars that are depressed and/or wide.  The procedure can be done at the same time as a neck lift is performed. Botox will not be helpful here.

I would suggest in person consultation with a board-certified plastic surgeon.

I hope this helps.

Tracheotomy scar and neck lift

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A tracheotomy scar can never be removed, only improved.  The scar can be reoriented to the relaxed skin tension lines so that it heals in a much better position.  Sometimes a small flap of tissue underneath the tracheostomy scar is created to smooth out the underneath contours of the neck where the tracheostomy was done.  This all depends on how long a trach-tube was in place.  A neck lift is a completely separate procedure performed with a 1-inch incision under the submentum and 2 half-inch incisions behind the ears.  Fat removal is performed in the entire neck including fat above and below the platysmal muscle.  Platysmaplasty is also performed to tighten the neck muscles to give definition to the jawline.  

Neck lift with concurrent scar revision should be an option

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While the tracheotomy scar likely passes deep to the plane of the neck lift, and will act like an "anchor" unless a releasing procedure is performed, this should be possible at the same time as your neck lift.  However, as with any scar revision you are trading one scar (in the case of the tracheotomy, a scar performed under "non-cosmetic" conditions) for another one, albeit on that is performed with cosmesis as the primary consideration.  

Botox is not an option for this. 

Harry Mittelman, MD
Los Altos Facial Plastic Surgeon
5.0 out of 5 stars 2 reviews

Neck Lift and Tracheotomy Scar

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A tracheotomy scar revision and a neck lift are 2 completely seperate procedures which potentially could be done at the same time. Both can be performed with very nice results if performed by the right surgeon. Botox will not help either.

Tracheotomy scar and necklift procedure

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It is entriely possible to revise your tracheotomy scar at the same time as a necklift procedure. That being said it is not possible to entirely remove a scar but improvement should be expected. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

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.