5 Weeks Is Early to Worry But You Can Start Treating Eyelid Crease Scarring

Mark Berkowitz, MD answers: Should Blepharoplasty scars be less evident by now?

I had eyelid surgery 5 weeks ago and my scars are still prominent even with makeup. I have followed recovery instructions and use an oitment my doctor had me start 5 days after surgery to hasten healing.

My scars are not only a very visible and long redline, they also are thick and raised -- very promenent when I close my eyes and touch my scar. The doctor said this is no problem, such evident scaring is normal at 5 weeks. However, I have read in more than a few articles and websites that eyelide scars should be not much noticeable by this time.

Am I impatient? Or, if red, thick texture lines at 5 weeks is not usual, what should I do? This is my second eyelid surgery. Does that make a difference?


Mark Berkowitz, MD
13 months ago

I am sorry to learn about  your concerns.  After 5 weeks I would still expect your being able notice  the eyelid crease incision ( I assume your are speaking about an upper eyelid surgery.)  Everyone is different in the amount of time that this takes to heal.  If the area is raised you can very  gently massage the area 2-3 x/ day for 5 minutes.  Please also speak to your cosmetic surgeon about creams that can be massaged  into the area to improve the line faster. 

As an Ocular Plastic Surgeon I am routinely asked to improve incision lines and contours of the eyelid after blepharoplasty.  Some patients need to have the scar line removed and resutured; others can benefit from laser skin resurfacing; but more often than not watchful waiting is all that is necessary.

Lower eyelid surgery is accomplished at my office without any skin incision at all.  I gently remove the fullness (fatty tissue ) from the inside of the eyelid. I then tighten the skin with CO2 (carbon dioxide) laser resurfacing. NO stitches, NO skin Incision and NO scalpel.

Being your second eyelid surgery should not make a difference in the healing of the skin unless you had a lot of scar tissue from the prior procedure.

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