Will Laser Help with Scarring from an Upper Bleph Two Years Ago?

Incision lines for my upper bleph were not placed in the natural crease of my eyes. My revision doctor had just enough skin to redo my upper eyelids and place them in the natural crease, however my scars from the first doctor flare up and touch my eyebrows; they have nowhere to hide. I still have these scars today. Could IPL help? Can't do surgery again. My incisions lines can be viewed under my user name, Tara Anne. I posted a bunch of pictures. Also have "Dog Ears" at the ends of scars.

Doctor Answers (7)

Upper blepharoplasty scar

+2

The key to an excellent blepharoplasty is marking the patient appropriately before the procedure to ensure that the incision lines lie within the appropriate creases to make them imperceptible.  Unfortunately, if you have incisions from your initial blepharoplasty that are very near to your brows this may be difficult to improve with revision surgery.  IPL would only benefit you if there was hyperpigmentation of the scar making it more noticeable.  Lasers would be unlikely to prove any benefit in your particular situation.  Small standing cutaneous deformities (Dog Ears) may benefit from minor surgical revision to allow them to lay flat.  I would recommend you revisit your concerns with the surgeon who performed your secondary blepharoplasty so that they may help you obtain an optimal result.

Best Regards,

Jacque P. LeBeau, MD

LeBeau Clinic


Pensacola Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Visible eye lid lift scars

+2

Thank you for your question about improving your eye lid lift scars.

  • I am sorry you have this problem. IPL/lasers are unlikely to help your eye lid lift scars.
  • When was your blepharoplasty revision? The scars will improve for 18 months or more.
  • Dog ears can be improved surgically - ask your revision surgeon if this is wise.
  • Concealers and make up will help you conceal the blepharoplasty scar. Skin color is hard to match, I have not found cosmetic tattooing in the eye helpful. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.5 out of 5 stars 18 reviews

Visible scars after blepharoplasty

+2

Unfortunately, scarring is permanent and in your case there is no "easy" fix. I am doubtful that IPL would help. You may see some additional improvement with time. The dog ears could be treated either surgically or with steroid injection. 

Asaad H. Samra, MD
New Jersey Plastic Surgeon
5.0 out of 5 stars 23 reviews

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Upper eyelid scar revision

+2

The dog ears or excess skin at the lateral aspect of your upper eyelid blepharoplasty scars could be revised.  I would not expect IPL or any form of laser to be of any benefit.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 7 reviews

Treatment for Poor Eyelid Scars

+2

Unfortunately, once the skin is cut, even with very precise cosmetic surgery, the skin heals with collagen formation creating a permanent scar.  If your upper eyelid scars are visible because of poor placement and your skin is firm enough that the scars can not be shifted into a less visible location, then we must consider making changes in any other characteristics of the scars that make them more noticeable to you.  For instance, if they are paler than surrounding skin, you could consider having permanent makeup tattooed into the scar creating a darker color that blends better into the surrounding skin.  If the scars are too dark, then a laser might help lighten them to match the surrounding skin.  If there are slight bulges (dog ears) at the ends, then perhaps a minor surgical revision could smooth the scars, which would make them less visible.  The important thing is too understand that your scars are permanent, but scar revision techniques might still offer a  possibility of improving some of the characteristics that bother you the most, thereby making the scars less visible and objectionable to you.

Richard G. Schwartz, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 6 reviews

Will Laser Help with Scarring from an Upper Bleph Two Years Ago?

+1

       Hyperpigmentation and some scar qualities can be improved with laser, but blepharoplasty scars typically heal very well.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 177 reviews

Laser treatment of scars after blepharoplasty is probably not indicated.

+1

Blepharoplasty scars are usually highly acceptable. If not, scar revision under local should yield the best results.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.