Scar Revision / Scar Repair Pictures
Performed By
Dr. George C. Yang
Case: 12007
Scar Revision / Scar Repair
51 year old, Female, Medium skin tone
This 51 year old woman had a facelift performed in South America approximately 1 year prior to the consultation. She was very self conscious about the incisions when she had her hair up. The incisions were very obvious for two reasons. First, the pre-tragal incision (incision in front of the ear cartilage) which was too straight and too far away from her ear upper ear cartilage. Second, there was widened scar causing a gap in her temple hairline. This was caused by too much tension on the incision from too much skin removal. An additional problem with the type of incision that was used is that her sideburn hair is almost completely gone. She has almost no hair below the top of her ear. __________________________________________________________________________________________________________
I will post a Facelift incision "tutorial" about the nuances of facelift incisions. A well designed facelift incision should not show any obvious signs of a facelift. These are the basics which all facelift surgeons should be proficient at regardless of if they do mini-lifts, SMAS facelifts, deep-plane facelifts, etc. If they do a very comprehensive facelift and the result is good in the neck and jawline, but you can never show your ears, or put your hair up ever again, it seems counterproductive ... don't you think. (A golf Analogy for the golfers out there: 300+ yard drive, but then you 3 or 4 putt when you get to the green.)
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Before
After
Scar Revision / Scar Repair Photos - Angle 1
Details: Right Facelift incision: Before (performed in South America), main problem which is making this incision very obvious when she has her hair up is: 1)hair loss in the temple area, 2) the incision is too straight and placed too far away from the curve of the upper ear cartilage. This created a widen scar which acted as an arrow pointing at the lower part of the incision which is in a decent location. Notice that after the scar revision, although the lower half of the scar was not revised it is not as obvious as it was before, because there isn't a large white (scar) arrow pointing at it. 
Scar Revision / Scar Repair Photos - Angle 2
Details: Left Facelift Incision: the left facelift incision has the same problem as the right side. An additional note, the patient asked if she could convert her incision in front of the ear cartilage (pre-tragal) to an incision behind the ear cartilage (post-tragal). However, I told her that I would not be able to slide the skin back far enough without revising the entire facelift. Also, since she had her original facelift only 1 year ago, her skin was too tight already, and re-doing the facelift may not give me enough skin to cover the ear cartilage with a post-tragal incision. 
Scar Revision / Scar Repair Photos - Angle 3
Details: Left Facelift Scar Revision- Red Line represents prior facelift incision; green dotted line represents planned new incision contoured around the ear cartilage. 2 inches of skin in front of the ear needed to be lifted up in order to "advance" or move the entire flap of skin backwards to realign the hairline, and take any tension off of the incision line. Right photo: photo taken immediately after the procedure 
Scar Revision / Scar Repair Photos - Angle 4
Details: Right Facelift Scar Revision- the scar revision was designed and performed in the same way as the left side. |
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After photos were taken 1-4 Weeks after surgery/procedure.
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