Eyelid Surgery Q&A
75%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
477 Reviews
Eyelid Surgerybefore & after photos
View Before and Afters

Average Eyelid Surgery Cost: $3,875

Learn about Eyelid Surgery

2,264 people and 797 doctors are talking about Eyelid Surgery

Get Free Email Updates

What Can Be Done for Lower Blepharoplasty Incisions that Extend Beyond Outer Corner of the Eye?

asked 7 months ago by tg1
Latest answer by Francis (Frank) William Rieger, MD
Question viewed 209 times
Tags: lower eyelids, 3 weeks post-op, incision

After lower transcutanues bleph-the inscisions extend apprx 1inch beyond the outer corner of the eyes-scar is depressed on the right side and looks "bunched up" and bumpy as the sutures were so tight! (had mentioned this to P.S. DURING surgery but he ignored it)On the left side the sutures did not close the incision and the incision healed opened and indented. I am concerned that both incisions are Very obvious and will not heal or become flush!its been 3wks post op.and still look very "obvious"

7 answers to What Can Be Done for Lower Blepharoplasty Incisions that Extend Beyond Outer Corner of the Eye?

+1

Immediate postoperative eyelid scars.

This is a very good question. Eyelid scars will certainly look different months from now than they do right after surgery. I would wait to judge the overall appearance until more time has passed. You may be amazed at how good they may look several months from now. If they continue to look unsatisfactory to you, always express that feeling to your Plastic Surgeon. Good luck to you. Frank Rieger M.D. Tampa Plastic Surgeon more
Francis (Frank) William Rieger, MD

Tampa Plastic Surgeon

www.riegercosmeticsurgery.com

+1

Blepharoplasty Scars

Thank you for the question. Although I appreciate your concerns, you should be aware that at incision lines look much better at 3 months ( and at one year) than they do at 3 weeks. I would suggest continued follow-up with your plastic surgeon and evaluation of the scars many months from now. Best wishes.
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Timing Of Scar Revision Of Lower Blepharoplasty Scars

The first thing to appreciate is that despite how the scars may look now, it is early and there is plenty of time for improvement. I would give it at least three months and see how the scars are progressing. If you remain still displeased with their appearance or do not feel that their progress will be optimistic for a good final result, then you can have those scars revised. That could be done in the office under local anesthesia. Secondary scar revision of the lateral canthal extension of... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+1

Bad scars following blepharoplasty

You need to discuss your surgery with your surgeon. If there is a gap that was created due to the wound pulling apart, it will not improve with time. Document your concerns with your surgeon and with photographs. I would then wait a month or two from now and then revisit your surgeon. I have not seen incisions that extend 1 inch beyond the outer canthus of the eyelid. Hope this helps. Scars cannot be removed, only improved upon. more
Gary H. Manchester, MD

San Diego Plastic Surgeon

www.manchesterclinic.com

+1

Incisions fade over time

I can't comment on your incisions without seeing them, but I can assure you that at three weeks you haven't seen your final result. Your incisions will take a year to completely fade.
Michael McCracken, MD

Boulder Oculoplastic Surgeon
+1

Blepharoplasty scarring

I, too, do not extend the lower blepharoplasty scars. However, keep in mind that you are only three weeks postop and entering the most inflammatory phase of the healing process so you need to have a little more patience prior to assessing the results. It may all go on to heal nicely.
Robert L. Kraft, MD

New York Plastic Surgeon
+1

At this point your best option is to allow these incisions to heal.

Incisions that look obvious often heal surprisingly well. I personally like to avoid the lower eyelid skin/muscle incision whenever possible. When a skin approach is need, I avoid extending it laterally. I think surgeons like these because it simplifies surgery but I have never met a patients who liked these incisions no matter how well the may ultimately heal. That is not to say the these incisions may not ultimately prove to be a problem. However this is... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Ask a question