Scars face-lift

Normal face-lift scars are not usually too unsightly, but some patients want a treatment to soften them or get rid of them completely. A full-face phenol peel is the best option (Figure 30.19), but a local application of phenol precisely on the scar is also a possibility, in combination with another more superficial peel (to the papillary dermis, the Grenz zone or the basal layer). Standard scars from an upper blepharoplasty do not seem to respond as well to a... 

Along with laser and abrasion treatment, a full-face phenol peel is certainly one of the best options for treating facial scars. It is not completely effective, however, and it is often necessary to use chemabrasion - that is, a combination of a phenol peel followed (immediately or the next day) by abrasion with a diamond fraise or sandpaper. See Chapter 30 for more information on the treatment of acne scars and phenol peel face lifts. 

The peel will have the additional advantage of softening the scars from the face-lift at the same time as... 

Atrophic scars resulting from a face-lift... 

A surgical face-lift always leaves scars. If there are no serious complications, these scars are not really visible and patients do not complain. Secondary infections are not common but they are not rare either, and in some patients the skin surrounding the scar behind the ear becomes necrotic. 

The scar shown in Figure 30.18 is the result of a secondary infection after a surgical face-lift. Note the central atrophy... 

Atrophic scar after a face-lift, resulting from a local secondary infection. 

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