Determine exactly what you don't like about your blepharoplasty scars

Edward S. Lee, 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


Edward S. Lee, MD
13 months ago

It's unfortunate that your result is not what you had expected. It is very important that you speak with your original surgeon about this. One, it will give you peace of mind that the surgeon knows how you feel. Two, every good surgeon wants to know when things are not absolutely perfect. We're here to make you happy and help you achieve your goals.

In terms of scar management or scar revision:

Dr. Westreich covered many of the options available to you. It's also important for you to decide what aspects of the scar are the most disturbing to you. Is it that it's intended? Or is it the width that bothers you most?

The indentation or depth of the scar could be adjusted independently of the width with a percutaneous release and/or injectable fillers. This may make the scar much less noticeable, because it would then be easily hidden with cover up make up. It's often the change in contour that our eyes first notice, i.e. that the scar is depressed or fixed.

The width may of the scar may or may not be difficult to fix. It depends on the reason why the scar is wide in the first place. Often, scars widen because of tension. If there is tension on the scar after a revision, the scar will again widen out to the same width.

These are just a few suggestions. I hope they help. It's always important for you to discuss these matters in person with a well trained surgeon prior to making any decisions.

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