3 Months After Upper Blepharoplasty, Scars R Irritated and Red, Oc - What is the Best Cream, Treatment? (photo)

Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Using ointment or Vaseline does well - avoiding creams and lotions to eyelids. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Hope that this helps! Best wishes!

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I would recommend massaging the scars a few times per day. The mechanical motion can speed up the fading of the redness. Also, a silicone based gel cream once per day can speed things along. Hydrocortisone cream or strips with steroid (Cordran) can help with irritation or itching. They will get much better with time.

 

At 3 months, it's still relatively early in the scar maturation process. I typically put my postop patients on BioCornium which is a silicone based gel with SPF. Just be careful not to get in your eyes. Gentle massage with your fingers will also help. Even in UK, you can still find reputable plastic surgeon for advice and treatment.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery 

Three months is still fairly early in the healing process, as scars will significantly improve in the first year. These scars should continue to improve over time.   It is important to keep these scars out of the sun as they heal.   Typically the outer portion of the scars heal last as the skin past the corner of the eye is a little thicker and takes longer to fade.  At this point you could try a silicone based scar treatment such as BioCorneum with SPF to help improve the appearance of your scar.  

I must say that the scars seem somewhat long, beyond the corner of the eye.  I recommend a sun screen and, perhaps, 1% hydrocortisone cream to the area on the cheek.  The scars will fade with time.

Talmage Raine MD FACS

 

There is a lot of over the counter scar therapy you can use that can improve your scars. We have Bio Cornium, scar guard many other things that can improve. It takes 6-9 months for the scar to mature naturally.