In general, it takes about six months to heal from a facelift procedure. Any visible scars will usually progress from a pinkish appearance to a white color that's nearly impossible to notice. Sometimes this can take up to one to two years. In most cases, the scarring won't change much in appearance after two years.
Simply rubbing a scar can improve its appearance. Another effective treatment is Silicone Sheeting, the most clinically studied option. A silicone scar sheet, lined on one side with silicone gel, is placed directly over the scar.
Scars after a facelift are visible but inconspicuous, and generally not noticeable unless examined closely. The facelift procedure scar starts at the sideburn and follows the contour of the ear, extending along the front of the ear and continuing under the earlobe and behind the ear, into the hairline.
Facelift scars are carefully placed to hide any scars that do occur. A traditional incision begins along the hairline and move around the ear. Some patients will need an incision under the chin as well. The hairline transition hides scars well, unless there is balding or thinning hair.
The incision is placed at the junction of the ear and cheek skin to hide the scar. In most patients, the incision will pass behind the tragus (the projection of skin in front of the ear canal). Placing the incision here means there is no telltale scar.
Scars will nearly always mature and flatten, but the time interval for this to occur is variable, from several months to several years. Lumpiness and thickening of the scar can be due to scarring in the deeper layers of skin, fat and muscle.
Conclusions: Scar redness fades on average at 7 months. This is influenced by the wound type and position. The authors advocate the use of the term "rubor perseverans" to describe the physiologic redness of a normal scar as it matures beyond the first month, a process that does not involve inflammation.
Stage 4: Maturation (strengthening) Even after your wound looks closed and repaired, it's still healing. It might look pink and stretched or puckered. You may feel itching or tightness over the area.
“Usually the scars will heal rather quickly - within the course of a few weeks to one or two months - but you may not see final results for up to a year. Individual factors also influence how quickly your body is able to recover from a wound.” In older patients, or where the skin is more lax, scars settle more rapidly.
Some collagen then breaks down at the site of the wound, the blood supply reduces and the scar gradually becomes smoother, softer and paler. Although scars are permanent, they can fade over a period of up two years. After this time, it is unlikely they will fade any more.
What causes keloids? After your skin is injured, your cells try to repair it by forming a scar. In some people, the scar tissue keeps forming long after the wound heals. This extra scar tissue causes the raised area on your skin that is called a keloid.
Mature scars can also flatten out as they go through this aging process, but it's important to note that scars will never go away completely. Even with some scar treatments, the appearance will be improved, but they will never totally disappear because the skin composition is different from the surrounding tissues.
Scars continue to grow and change throughout the recovery process which may take from twelve to eighteen months. Scar massage is an effective way to decrease scar tissue build up and help make scars less noticeable. Massage will not help soften a scar more than two years old.
An environmental factor that clearly has an effect on the appearance on skin scarring is sunlight exposure. Scars can be more sensitive to ultraviolet light for more than a year. An inability to respond to 'photodamage' may lead to worsening inflammation and altered pigmentation.
In the early stages, scar tissue isn't always painful. This is because nerves in the area may have been destroyed along with healthy body tissues. But over time, scar tissue may become painful as nerve endings regenerate.
Scar widening is due to tension on the maturing scar, either from pulling skin edges together to close a defect or scars being located in an area of tension and movement such as the back or the knee. Keloids are an overgrowth of scar tissue beyond the original borders of the scar.
It can take up to 12-18 months after your injury or operation for a scar to heal. A normal scar will become darker initially and after a period of time this will start to fade. Dark scars can remain for years or indefinitely in people with darker skin.
Scars seem to get worse before they get better. For about six weeks after surgery the scar becomes red, firm and hard. This is the body's way of making a very strong and solid scar. Over the next four months the scar will soften and lose the redness.
Scars can take up to 1 year to mature fully and go through four stages of healing. This slow process may explain why some people do not experience scar tissue pain immediately. Initially, the scarring may look minimal, but over 4–6 weeks, the scar may get bigger or become raised, firm, and thick.
You can begin using silicone gel for your scar as soon as your wound is fully healed and there is no more bleeding or scabbing. Generally, it takes about 3 weeks for a wound to fully heal, but this can vary by patient.
Treatments include surgery to remove the scar, steroid injections, or silicone sheets to flatten the scar. Smaller keloids can be treated using cryotherapy (freezing therapy using liquid nitrogen). You can also prevent keloid formation by using pressure treatment or gel pads with silicone when you are injured.
Methods for improving the appearance of scars include: Topical treatments, such as vitamin E, cocoa butter cream, silicone gel,onion extract products, and several commercial skin care products like Vaseline and Aquaphor that are sold over the counter may be somewhat effective in helping to heal scars.