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Ask Dr. Yang any questions about facial plastic surgery, including facelifts, necklifts, eyelid surgery (blepharoplasty), browlifts, otoplasty, and non-surgical treatments such as Botox and injectable fillers.
Hi Dr. Yang,
I have talked to you in the past about the scars I have behind my ears. I had the surgery about 1 year ago face and necklift..............still have the raised and red scars.
My question...........on the picture for pre-post auricular incisions the one scar looks like it goes into the hairline at a horizontal direction. Do most surgeons do this? I am asking because my incision goes straight down along side of my hairline so there is of course no chance of hiding it. I have had the laser and steroid injections none of which has helped much. I am waiting until the skin loosens up and hope I can get a scar revision. I want to consult a different doctor even though I will have to pay more. What are the chances this area will ever look normal again? I don't know if you still have the pictures that I e-mailed you.
I don't know if "most" surgeons do this (go into the hairline to hide the scar, instead of along the hairline), but it does seem to be the trend. On the other hand, I do know of several younger plastic surgeons who also were taught the hairline type of incision, and they seem to get good results with that when it heals well. If there is a problem, they would most likely also have the same problem with their patients as in your situation. If the incision is hidden inside the hairline, and the same healing problem occurred the scar is hidden by the hair, an possibly there may be a small bald spot. This is more easily hidden and some hair transplants could be placed into the bald area.
I looked at the photo behind the left ear that you emailed me in December again. I think that it is mainly the areas where you had the skin necrosis which seems to look the worst. For the most part the incision along the hairline appears to be flat, but there is a thin white scar. How does it look behind the right ear? Did the right side actually heal fine?
I think that the skin necrosis scars can be improved with a scar revision after the skin has loosened up so that they are less noticable if your hair is up. I am not able to give your chances of it looking normal, but there is definitely room for improvement. In life, we prepare for the worst, but hope for the best. I think that when all is said and done, it will look acceptable.
Hi Dr. Yang,
Thank you so much for your reply. I think I am just going to take the "wait and see" approach and not jump into anything. If at least the redness would go away it would look so much better. I guess it just bothers me that I have something I have to hide. I have to put makeup on it everyday. It could be worse.............it could be showing. I guess I have to be thankful that I had a good outcome as far as face and neck are concerned. I thank you for your support.
You're welcome. I think that waiting is a safe strategy. When the redness eventually goes away, the incision may not look bad at all. Since the skin is still pretty tight in that area, you have to exercise some patience while everything relaxes, before considering the scar revision. I do not want to minimize the sadness, disappointment and inconvenience that you have had to go through because of this healing problem; however, if I could help you put things into perspective, may be it may help to cheer you up.
Since there is nothing you can do to make time go faster, the redness fade faster (you've already tried the lasers), or make the skin relax faster, let's count our blessings that you face and neck result is good, and the skin necrosis did not happen in front of the ear (which can happen!) As you have read on the MMH forums, you are not alone. Some people have had worse complications than you, others have had very minor ones or none at all. In life, we play the cards that we are dealt, and play them the best we can. If life gives you lemons, you make some lemonade. In the future, when you look back at this predicament hopefully it will seem like a minor speed-bump, and not a life altering event. You have friends on Makemeheal, we are here for you.
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