Scar Revision

Richard W. Westreich, 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


Richard W. Westreich, MD
13 months ago
By Richard W. Westreich, MD - Manhattan Facial Plastic Surgeon

The answer depends on the degree and scope of scarring as well as your skin type/color.

In upper eyelid surgery it is unusual to have scarring that requires a secondary corrective procedure. Scars that extend out of the eyelid do have an increased chance of visibility.

At 18 months, you should not expect any significant improvement from natural healing alone.

Options include:

  1. Scar revision: Usually improves but does not remove your scar. If the other side healed OK, then this side should also heal well with a minor scar revision procedure.
  2. Laser treatments: Depending on your skin type, then this may be a good non surgical option
  3. Steroid injetions: If the scar is raised or wide, this can promote an improved appearance to the incision.
  4. Silicone gel therapy: Usually more beneficial in the immediate period after surgery, but can sometimes help down the line. A good product is Kelocote, which should be used for 2-3 months. There is very little downside to this option and is safe for all skin types.

Good luck with resolving your issue

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