Face/neck lift scars 16 months post-op. Revision? (photo)

Question

Thank you for your input. Im 64 and had deep plane face and neck lift 16 months ago. The right side of my face has scarring and pulling. Does this need to be revised?

Gianfranco Frojo, MD · Answer

This is a suboptimal facelift scar result/outcome in my professional opinion. There is some lateral sweep deformity, tragal distortion, poor incision planning, and hypopigmented (lacking color) widened scars. I would recommend considering revising this if it bothers you. I would ensure to find a reputable American Board of Plastic Surgery certified surgeon. Ideally, this surgeon has also completed an Aesthetic Society accredited aesthetic surgery fellowship. This will ensure your surgeon has the most amount of legitimate plastic surgery training and certifications.

William Portuese, MD · Answer

You have hypopigmented areas due to loss of the pigment in your skin from stretching the skin too tight. You're going to need an in-person examination to see if you have enough skin to see if it's worthwhile revising these incisions.

Stephen Prendiville, MD · Answer

The photo shows a certain amount of sun damage that pre-existed your facelift combined with hypertrophic scarring.  These days, I generally combine fractionated CO2 laser resurfacing with a deep plane facelift.  Currently, fractionated CO2 laser of the face and neck would help blend the scars and improve the sun damage.

Lexie Wang, MD · Answer

does it NEED to be revised? technically... no. however, i'm sure you don't love how it looks. unfortunately this is the result of a lift that relied too heavy on pulling and tension and that's why you literally experience pulling and then the tension has dragged the incisions wide. it would not be very easy/feasible to fix this right now bc you probably had too much skin removed, and the only way to address this would be to somehow recruit more skin (that you don't have) to then cut out the old scars. best would be to see someone in person so they can feel your skin laxity and see if that's possible but I doubt it looking at the pics.

Ronald J. Edelson, MD · Answer

Ideally you would like to remove those white areas. That would depend on how much looseness there is at this point. Probably can get some worthwhile improvement

Connie Hiers, MD, FACS · Answer

You lost some pigment due to interruption of blood flow. Hopefully, you do not use any tobacco products. I would suggest no further surgery now, but micro-needling for the scars and cosmetic, not artistic, tattooing for the areas where piment is lost.  The pulling will slowly improve over time as your tissue loosens and stretches.

Face/neck lift scars 16 months post-op. Revision? (photo)

Answers (6)

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