Facelift surgery, or rhytidectomy, is a popular cosmetic procedure aimed at reducing the visible signs of ageing on the face and neck. While the results can be transformative, one common concern among patients is the potential for scarring. Understanding what to expect in terms of scarring can help set realistic expectations and prepare you for the post-operative healing process.

Types of Scars from Facelift Surgery

Facelift surgery involves making incisions in strategic locations to minimise visible scarring. The typical types of scars you can expect include:

1. Preauricular and Postauricular Scars: These scars are located in front of and behind the ear. The incisions usually follow the natural contours of the ear, extending into the hairline behind the ear, making them less noticeable.

2. Temporal Scars: These are made in the hairline at the temples. The goal is to lift the skin and underlying tissues to create a smoother, more youthful appearance. Temporal scars are generally well-concealed within the hair.

3. Submental Scar: In cases where neck tightening is also performed, an additional small incision may be made under the chin. This scar is typically very discreet and fades well over time.

 Factors Influencing Scar Formation

Several factors can influence the extent and appearance of scars after facelift surgery:

1. Surgical Technique: The skill and experience of the surgeon play a crucial role. A well-trained plastic surgeon like Mr Nassab will use meticulous techniques to minimise tissue trauma and ensure precise wound closure.

2. Skin Type and Genetics: Your skin’s natural healing ability and genetic predisposition to scarring will affect the final outcome. Some individuals may develop more noticeable scars due to their skin type.

3. Post-Operative Care: Proper aftercare is essential for optimal healing. Following our postoperative instructions regarding wound care, avoiding sun exposure, and not smoking can significantly impact scar formation.

4. Age: Older patients often have thinner skin with less elasticity, which may affect how well scars heal and how noticeable they are.

 Scar Healing Timeline

The healing process of facelift scars generally follows a predictable timeline:

– First Few Weeks: Initially, scars may appear red and slightly raised. Swelling and bruising around the incision sites are common during this period.

– 1 to 3 Months: The redness of the scars typically begins to fade, and they start to flatten. Swelling and bruising continue to diminish.

– 3 to 12 Months: Scars gradually become less noticeable, blending more with the surrounding skin. By the end of one year, most scars are mature, appearing as thin, pale lines.

 Minimising and Treating Scars

There are several strategies to minimise and treat scars after facelift surgery:

1. Scar Massage: Gentle massage of the scar tissue can help to soften and flatten scars. 

2. Silicone Gel or Sheets: These products are often recommended to keep the scars hydrated and promote smoother healing. They can be applied once the incisions are fully closed. CLNQ offer their own brand of silicone scar gel.

3. Topical Treatments: Prescription creams containing ingredients like corticosteroids or other agents may help reduce redness and improve scar appearance.

4. Laser Therapy: Laser treatments can be effective in reducing the redness and improving the texture of scars. They work by promoting collagen remodelling in the scar tissue.

5. Microneedling: This technique involves tiny needles creating micro-injuries in the scar tissue, stimulating collagen production and improving the scar’s appearance.

 What to Avoid

To ensure your scars heal as well as possible, certain activities and habits should be avoided:

– Sun Exposure: UV radiation can darken scars, making them more noticeable. Always use a high-SPF sunscreen or wear protective clothing if you need to be outdoors.

– Smoking: Smoking impairs blood flow and can delay healing, leading to more prominent scarring.

– Excessive Movement: Strenuous activities or movements that stretch the skin around the incision sites should be avoided during the initial healing period.

 When to Contact Us Following your Surgery

If you notice any unusual changes in your scars, such as excessive redness, swelling, pain, or if the scars are not healing as expected, it is important to contact us. These could be signs of infection or other complications that may require medical attention.

 Conclusion

Scarring is an inevitable part of any surgical procedure, including facelift or deep plane facelift surgery. However, with skilled surgical techniques, proper aftercare, and modern scar management strategies, the visibility of scars can be minimised. It’s essential to have a thorough discussion with your surgeon about your concerns and to follow their post-operative care instructions diligently to achieve the best possible outcome. Remember, the ultimate goal is to enhance your appearance and confidence, and minor scars are often a small trade-off for the significant rejuvenation a facelift can provide.