Why the Ears Heal Slowly after a Facelift and How to Improve Healing in this Area
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- เผยแพร่เมื่อ 29 ก.ย. 2024
- A woman had a mini facelift 5 weeks ago but after that, but she has scabs on her ears that are not fully healing. She wants to know how to help heal the scabs because it has gotten worse despite the use of antibiotic creams. She also wants to know if she has pixie ears.
Dr. Amiya Prasad, an oculofacial plastic surgeon, explains that in face lifting surgery, the area which has the least amount of oxygen or blood supply is the very edge of the skin flap by the ears. Even in patients who are non-smokers, they can also have a compromise in the oxygenation of these tissues that can affect the integrity of the skin. This may lead to necrosis or the death of the tissue if the area turns black.
In this woman's case, Dr. Prasad says that she is dealing with a breakdown of the skin resulting in scabbing and bleeding. It's very critical at this period that she prevents any bacterial infection because she has an open wound. Dr. Prasad recommends that she washes her hands frequently. In his practice, he uses a material called extracellular matrix (ECM) which he uses in incisions to help with the healing process of the skin. It heals by duplication of the normal cells so that the incision lines heal beautifully.
Pixie ear by definition is an earlobe that tends to be pulled downward because it looks like it has a little point. From the photo the woman submitted of her left ear which looks rounded, Dr. Prasad can't say that she has a pixie ear. He advises that she wait for about 6 months before planning any type of revision work or other cosmetic intervention until she can see the changes after everything settles.
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I don’t remember her saying anything about smoking. She has an infection! I just had a full face neck lift and my ears never looked like that! She should be on antibiotics I can see the infection.
Hi @lisaaustin4561,
I hope you understand that this is not my patient, as I was just offering guidance as she submitted her pictures and concerns.
Can you tel me please what is the consequence of removing the stitches from the wound which is not healing properly? Would the wound just open up more under influence of inflammation? I am due for removing stitches on 4-3-2023 but they are not really improving as you can see
Not sure how to upload my pics here :(
Hi N B,
This is something you should be asking your doctor who stitched you as they know details about your situation that cannot be seen in pictures. I hope this clarifies things for you.
He definitely needed a haircut in this video.
Hi Renee Kerner,
Yup, I need a haircut in a lot of my videos because my hair grows very fast. My hair is really long in the videos when I announced temporary closure of the practice due to quarantine laws, and even longer when the practice reopened a few months later. They are on my channel in case you are curious.
@@AmiyaPrasadMD lol...that’s okay. I love your videos. I should have such a head of hair...
Thank you for watching, @@reneekerner8404!
@@AmiyaPrasadMDit’s cute. Leave it long💃🏽
Thank you,@@AskIvy! Even if I try to cut my hair before recording videos, it grows pretty fast.
Thank you so much for posting this video. I suffered a pretty painful hematoma after a deep plane facelift which then led to the skin on the back of both my ears coming off. It was very red and it had very tiny white pimples then the top of it started to turn very dark red which I think may have been the beginning of necrosis.
I’m now beginning with the early stages of fibrosis and my doctor has given me one session of ultrasound and I am to take another session after two weeks.
I am a non-smoker and I am not around people who smoke.
Very informative! Thank you!! 🤗
You're welcome, Lillie Arvizu! We do have a more recent and updated video about facelift scar healing, for your reference - th-cam.com/video/tRBCYXlbQ6o/w-d-xo.html
Thank you!
You're welcome, Kate Roth! I'm glad you found the video helpful.
i disagree with below comment about a hair cut! your hair looks great!!!!
Thank you for the compliment, jarroyomaranata! Hard to keep up with it because it grows very fast.
@@AmiyaPrasadMDenjoy it while you can lol
Thanks, I think, @@tiffany3294. Perhaps my hair has been this thick longer than you think.
This guy is the best! Always good advice.
Thanks so much for your kind words, sharonanne116! And thanks for watching!
If someone is smoker , how long does he needs to quite smooking to prep for surgery
And is it same for diabetics people??
Hi @gyaniadmi2347,
You should quit smoking as soon as possible because because reduced tissue quality due to smoking can affect your surgery, and the toxicity within your body from smoking affects surgical healing. I hope this clarifies things for you.
Doc what is the treatment protocol after a lower face n neck left ? What is to be applied on the stitches which is on the front of ear , behind and chin so that there is minimal scarring.. so basically post op care .. please … will be super grateful❤
Hi Sunilla Eti,
You can refer to these more recent videos on how we minimize the appearance of facelift incisions in front and behind the ear, what causes widened or visible scars in front of the ear, and the factors in facelift recovery time:
th-cam.com/video/tRBCYXlbQ6o/w-d-xo.html
th-cam.com/video/ctJStLopsig/w-d-xo.html
th-cam.com/video/viE5AO3MYMU/w-d-xo.html
Hi doctor which sture materal do you use?
I have a turquoise coloured piece of thread coming out under my ear lobe😮
Hi Corina Love,
Sorry to hear about your problem. Since I do not know details of your surgery, I suggest you follow up with your surgeon to get this corrected. I hope this helps you.
The fibrosis is under my chin.
Sir Hindi me banyena video plz
Hi Vishal Kanse,
Sorry, I don't speak Hindi.
Dr. Prasad- You are adorable, but you need to get a good haircut!!
Thanks, Katharine Lang! It is shorter in some videos, but it does grow very quickly! I'm aware that it's a bit unruly at times :)
Katharine Lang No! I love it, it’s adorb... too many men cut off their gorgeous hair and too short these days. Let it grow Dr. Prasad 👍😊
Thanks for the compliment,@@lorraine8368! It grows way too fast, no matter how I cut it.
his hair is perfect!
Thank you,@@mishkathlay! It grew very long during lockdown - th-cam.com/video/79AheREfdgk/w-d-xo.html