• Essays
wasperformed FacialSurgery.com
Steven M. Denenber, M.D.

Essays >> Rejuvenation I >> page 16
Will there be any scars?


Yes. Anytime the skin is cut a scar is formed. The task of the facial plastic surgeon is to hide scars skillfully where they cannot be seen, and when they must be visible, to make them as inconspicuous as possible.  The final appearance of your scars depends upon the thickness and texture of your skin, how well your body healed from surgery, and the care you take in cleaning the incision lines after surgery.

In a woman the scar is hidden in the hair and close to the ear. Where the incision follows the sideburn, it is usually hair-thin and can be all but invisible to the untrained eye.



These two photos show the location of the face lift incision in a female patient. She has already had surgery, and the scars can be seen if you look closely. The red line on the right photograph shows the location of the incision.


In a man, the incision is designed slightly differently. Also, a man's bearded skin will often be pulled into the region behind his ear as the skin is advanced during the face lit. As a result he may have to shave behind his earlobes.

For part of the tightening of the skin underneath the chin, a three-quarter inch incision will be hidden just underneath the chin. Suction lipectomy is sometimes used to aid removal of fat from this area.

Scars improve in appearance as the healing process continues. At first your incision lines will be pink, lumpy and slightly swollen. As the swelling subsides, the scars become thinner and fade until eventually, in most cases, they become hair-thin white lines.

Complete scar maturation can take up to one year, with most of the improvement occurring in the first two months. Usually, your hair will hide the scars right away, even if your hair is short.

Now it's time for a little tough talk about scar placement. Not every plastic surgeon places the face lift incisions in the positions that we describe here.  If you are getting second opinions from other plastic surgeons about your upcoming face lift, you need to discuss scar placement and see before and after photographs of the plastic surgeon's patients to see for yourself if you like how his scars come out. The following photographs will illustrate the two most common incision placement errors that Dr. Denenberg sees in patients who have had face lift operations elsewhere.



The photograph on the left shows poorly-placed face lift scars that are too obvious behind her ear. They do not hide well.  The diagram on the right shows her incision line in red.  The blue line is where we prefer to place the incision (dotted line is behind the ear).



The left photo shows where Dr. Denenberg places the incisions around the sideburn. If you look closely, you can see a thin white line under her sideburn.  If the incisions are placed poorly, as in the patient pictured at right, the sideburns may be removed during the operation, resulting in an unnatural appearance.



Show me my bookmarks

Clear all red checks in the Essays




All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg