There are ways to manage this scarring

Mark Berkowitz, 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


Mark Berkowitz, MD
13 months ago

I am sorry to learn of your dissatisfaction after your blepharoplasty.  Unfortunately, when the upper eyelid incision runs beyond the eyelid crease, the chance of visibility of this line increases.  Many times the cosmetic surgeon treats the fullness past the eyelid crease with eyelid surgery, although it is not caused by the eyelid at all.  This  fullness is usually related to a drooping eyebrow, and the physician would need to lift the brow at the same time as the eyelid surgery in order to avoid lenghthening the eyelid crease incision.

The other thing that I do to avoid a skin incision is during lower eyelid surgery, I use  a CO2 laser.  Utilizing this laser, I gently remove the fullness (fat) from the inside of the eyelid.  There is NO scalpel, NO skin incision, and NO stitches! (see video)

That stated, it appears that your scar line is wider than you would like.  Speak with your surgeon as he/ she may be able to revise the scar.  This should lessen the width, although it may not make it disappear.  I have been successful using the Mixto fractional laser on scars to decrease their width and visibility.   Depending upon your skin type a permanent tattoo artist may be able to fill in the scar to match the surrounding skin.  

Lastly, there are some terrific makeups that should easily cover this area.

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