Evaluating facelift scars

Facelift scars

One of the questions I get asked most frequently by those interested in getting a facelift is this: will there be scarring? And if so, will it show? Both very valid questions. In this blog we’ll address these two questions, as well as what alternative options there are available to you.

Will there be scarring after a facelift?

There is often some minimal scarring of the incisions made during a facelift. Any procedure that involves incisions has the potential to have scarring. A good surgeon will take steps to minimize the appearance of scarring, and proper wound care after your procedure will go a long way toward minimizing scar appearance as well. Your plastic surgeon will provide you with detailed wound care instructions.

Will my scars show?

The answer is a bit less clear cut. But before we discuss scarring appearance, let’s discuss visibility. Because the good news is, facelift incisions are small and often done in naturally concealed areas, such as along the hairline, or just in front of or behind the ears. During a necklift procedure, the incision is often made behind the ears or on the chin. This means that no matter your personal level of scarring, it will be fairly hidden within the contours of your anatomy. 

As for scar appearance, this can depend on your genetics, ethnicity, age, and just your skin’s overall tendency to show scars. Everyone is different, and it’s not always clear cut who will have visible scarring and who won’t. Choosing a highly skilled plastic surgeon makes a big difference as well. 

What if I’m unhappy with my level of scarring?

Rarely, a patient has more intense scarring than normal. This may show up as red, raised scars. Others have the complication of keloid scars. If either of these situations happen, or even if you have less noticeable scarring but still would prefer to further minimize its appearance, there are some things we can do to help. There are certain topical scar treatments available. For keloid scarring, corticosteroid injections can help. Your doctor may also recommend scar revision surgery in rare cases. 

Are there alternatives to a facelift?

If you are still hesitant to have surgery just yet, there are other options available to you. Injectable fillers and Botox can each help in their own way to make your face look youthful. PDO threads are a short term solution for lifting sagging skin. Profound RF uses radio frequency energy through micro needles in the skin to cause major tightening as well as rejuvenation of collagen elastin and hyaluronic acid in the skin. The good thing is that these treatments involve no scarring or surgery. The drawback is that these treatments often require multiple visits, and results last 6 months to a year. 
Dr. Edmund Fisher has over 15 years of experience as a facial cosmetic and reconstructive surgeon. If you’re considering a facelift, give our offices a call to schedule your consultation today!

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