Submit your question below about any cosmetic procedure to be considered for posting with an answer from one of our board-certified plastic surgeons.
Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
Do you recommend a Facelift for acne scars?
I had a consultation when I was 25 for potential Dermabrasion for acne scarring. I am now 47. He said I wouldn't have a good result because of the shape and depth of scarring. He said a facelift would be necessary to pull tighten the skin resulting in a smoother surface. I was wondering if that is something you know of or have done this procedure for this reason and if so was the result a good one? I also now have deeper than I want smile lines. Please advise the best you can.
Facelift for Acne Scars
Acne scars are frequently hard to treat. Dermabrasion or laser frequently will improve them some or completely. A facelift can help, but will not eliminate them. The fact that the underlying tissues are what we tighten and not the skin makes it less likely that the procedure will significantly improve your scars. However, since you have other lines from akin aging, doing a facelift to improve these will allow as much tightening as possible. If that does not help the problem enough, then a laser or laser and select excision would probably be an option.
Most people with facial acne scarring notice the scars tend to deepen and become more obvious with facial aging. It is also easy to see that acne scars are improved with skin tightening in the form of a facelift. For women with some skin laxity and acne scars facelifting as well as a chemical peel (30% TCA+ Jessner's), fat injections for individual scars, overall contour and skin improvement as well as scar revisions for the deepest acne scars. Dermabrasion is still a good option but harder to control.
In many cases if there is a combination of acne scars and loose or lax skin a facelift can lessen the appearance but not remove Acne scars.
If your goal is to plump the asked knee scars and you do not have loose facial skin then treatments with non-ablative fractional erbium laser is your best option.