LAM FACIAL PLASTICS

Hi

I've had my ears pinned and earlobes reduced by a wedge incision several years ago and I'm very dissapointed with the two vertical scars it left in the middle of the earlobes. I've had laser done to slightly reduce the redness but it didn't help much.

What else can be done? Is scar revision/microsurgery the way to go or should I try fillers (the scars are a bit sunken) and micropigmentation?

I would like to send you a couple of pictures in a personal message/email if possible.

okay, send me the photos.

That is quite an aggressive lobule reduction. Most of your lobule is gone. I see this problem as two issues:
1. the vertical scar could be improved with a z-plasty to break up the lines and also to lengthen the contraction. Multiple z-plasties would help break up and lengthen the scar as much as possible.
2. the lobule is primarily absent and would benefit from adding volume there. you can try something simple as Restylane which I am guessing should last quite a while. I could also do silicone microdroplets but to do that safely I can only ad a little and build it slowly over time.
best,
sml

Thanks for your reply.

This is probably a dumb question but when you say multiple z-plasties do you mean multiple surgeries months apart or making multiple z-shaped incisions during one surgery?

How much does z-plasty scar revision cost?

hi,
no, multiple z's during one procedure. cost would be $3000.
best,
sml

Sorry to keep bringing this topic back up but I was wondering if you could elaborate a bit on the z-plasty procedure. I have read your FAQ and I kinda understand the principle of breaking up the lines of a scar to make it harder for the eyes to follow but I can't help but picture a zig-zag scar being just as obvious, if not more. Is it because you believe my scars have widened due to tension and the zig-zag incision would redirect that tension and therefore result in thinner, inconspicuous scars?

our eye tends to see a straight line. i need to break it up to be harder to see. however, yes, it will not look as good initially, especially because of the zig-zag. it is the long-term gains. what defines long-term? difficult to say. possibly after a few weeks to months.
sml

our eye tends to see a straight line. i need to break it up to be harder to see. however, yes, it will not look as good initially, especially because of the zig-zag. it is the long-term gains. what defines long-term? difficult to say. possibly after a few weeks to months.
sml