Blepharoplasty scar management is definitive

Raffy Karamanoukian, MD answers: What can I do to lessen scars after blepharoplasty?

I had upper & lower bleph done 18 months ago. Am happy w/ lower as my bags are gone (am 49 years old & they were aging me more). I am very unhappy w/ the results of my upper as i have a visible indented scar that extends beyod the eyelid crease. In almost all lighting, the scar is visible as it extends approx 1/4 inch &is quite wide. On the other side , it is smaller but is white.

Even make-up cannot hide these scars. I feel that people look at them instead of giving me eye contact. I have to style my hair to conceal these scars. I usually pull my hair back or away from my face but now they must be like curtains hiding these scars.

Please advise if anything can be done to lessen the scars. Tx


Raffy Karamanoukian, MD
9 months ago
By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

Evident scars are rare after blepharoplasty, but given the popularity of the procedure, occur quite often. I often see patients with visible scars after blepharoplasty elsewhere who are unhappy with their scars.

The preoperative position of the incisions is crucial to the overall success of the surgery.

The management of these scars is very definitive and is based on the reason the scar developed in the first place. The three most common reasons are:

  • Incorrect placement of the scars outside the eyelid skin margins
  • Pigmentation
  • Dehiscence of the cut orbicularis muscle

These can each be addressed precisely after consultation and examination.

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