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What is the Location of the Scars for a Lower Blepharoplasty and How Noticeable are They?

asked 6 months ago by Tretion in Morristown, NJ
Latest answer by William Portuese, MD
Question viewed 347 times
Tags: incision, scarring

I'm having a lot of trouble locating pictures of the scars that come from a lower blepharoplasty surgery - both post-op and long-term. Where can I find these? What is the location of the scars, and how noticeable are they?

22 answers to What is the Location of the Scars for a Lower Blepharoplasty and How Noticeable are They?

Lower blepharoplasty is a tricky operation, but the scars should not be visible.

Hi. 1) So now you know not to worry about the scars, but there are things to worry about. If lower blepharoplasty is not very skilfully done, the shape of the eyes can be affected. Common poor results include outer corners of the eyes pulled down, lower lids rounded and pulled down, and lower lids hollowed out from too much fat removal. 2) Ask to see a lot of before and after pictures when you go for a consultation.

George J. Beraka, MD
Manhattan Plastic Surgeon

Incisions for a lower Blepharoplasty...

The placement of incisions is a common concern with most patients, but fortunately the lower eyelid is an area that usually heals wonderfully so that a scar cannot be seen. For many lower lid procedures, the incision lies inside the lower lid, and is usually held together by one suture that dissolves. When the incision is outside the eyelid, it is placed just below the lash line, and if it is performed correctly, that incision virtually disappears over time. If you have any... more

Andrew Miller, MD
Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

Location and visibility of lower blepharoplasty scars

A transconjunctival approach for lower blepharoplasty does not involve external incisions and is performed for all fat removal from the lower lids. When needed, as is common for patients over age 50, a small pinch of skin is removed below the lash line through a subciliary incision. This incision is closed with tissue glue, not sutures, which allow it to heal imperceptibly. The eyelashes themselves camouflage the incision.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Bleph scars fade fast!

One of the reason you might be having difficulty locating the scars from the lower blepharoplasty is because they tend to heal inconspicuously! The incision for a lower lid blepharoplasty is made just below the lash line.

George John Alexander, MD
Las Vegas Plastic Surgeon

Lower Eyelid Blepharoplasty

There is no simple answer. There are various techniques for lower eyelid blepharoplasty and a good plastic surgeon whould be trained in all techniques since there is a correct surgery for each person. If you have a large amount of excess skin in the lower lid, a subciliary (below the lash) should be performed to remove excessive skin. If there is minimal excessive skin, a transconjuctival blepharoplasty will help with bulging fat. If there is ectropion, other incisions will be necessary. more

Jacob Freiman, MD
Miami Beach Plastic Surgeon

Lower Eyelid Incisions For Cosmetic Surgery

Blepharoplasty incisions are usually placed right below the lash line. They typically heal very well and seldom are perceptable long term. Sometimes, the incision can be placed in them pink portion of the lower eyelid to remove excess fat when excess skin is not the issue. These incisions heal very well also. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Blepharoplasty, eyelid surgery uses hidden internal and/or a barely visible external incision

There are a number of ways to make incisions for the lower eyelids. It really depends on what is being treated. If you have good skin and only bags, I prefer a completely hidden incision inside the eyelid called transconjunctival. An alternative that adresses extra skin can be added or substituted that is made right below the lower eyelashes. This incision heals quite well and should be barely visible once it heals, and then only to the trained eye.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Lower Blepharoplasty Scars

The scars can be inside the eyelid, in which case they cannot be seen, or just below the eyelashes, in which case they are very hard to see after a few weeks.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Incision placement for lower eyelid surgery

The incision for lower eyelid surgery is placed either along the lower lid lashes and/or inside the lid (tran-conjunctival). Generally, the scar heals very nicely and it is hardly noticeable after the healing process. Sometimes, there may be a small incisional scar placed along the lateral upper lid region. This is due to whether or not the eye muscle is involved in the tightening/resuspension as part of your lower eyelid surgery.

Kim-Chi Vu, MD
Portland Plastic Surgeon

Lower Blepharoplasty Scars?

Thank you for the question. The scars associated with lower blepharoplasty surgery tend to heal very well ( whether just below the eyelashes or within the conjunctiva). Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

This skin heals nicely so that is why you don't see them

The one beauty of putting scars under the lower lid lashes is that this very thin skin heals so quickly and so nicely. You would have to ask to be shown pictures of these scars at one week and one month, since beyond that time frame they are settling in all ready. And some of us do a technique called "Transconjunctival" fat removal. WIth this method the scar is actually on the inside of you eyelid and cannot be seen at all. It is used to slip out the fat from... more

Phillip C. Haeck, MD
Seattle Plastic Surgeon

Lower lid blepharoplasty (eye lift)

Incisions are typically inside the lid (transconjunctival) or under the lashes (subcilliary) Both are well concealed. The difference in choice depends on surgeon and complexity of operation. Lower eyelid procedures are some of the most rewarding facial plastic procedures that exist. Patients are almost universally happy with their results. Best of luck

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Scars from lower eyelid blepharoplasty

The reason you cannot find pix of scars from lower eyelid blepharoplasty is because they are non-existent. No matter your complexion or propensity for visible scarring, lower eyelid scars are nearly always undetected by several weeks after surgery.

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Lower blepharoplasty

If incisions are made from inside the eyelids, of cource they are not visible from out side. This type of incisions are usually used when only fat is removed without skin excision. In conventional blepharoplsty incisions are made below and very close to th lash lines, sometimes with extentions into laugh lines. They heal quite nicely and are well concealed.

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon

Location of Lower Blepharoplasty Scar.

The reason that you are having trouble locating pictures of visible scars from lower eyelid blepharoplasty surgery, is that the incisions for this procedure heal quite nicely and are not visible. Lower lid blepharoplasty incisions can be made in 2 locations. One kind of incision is inside the lower eyelid, so that in its natural position, the incision is not visible. The other kind of incision is made just below the lash line, in the natural skin crease. In this way, fully healed, the... more

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

The scars are usually invisible

You can't find the scars because they can be on the inside of the lid or right below the lashes. In either case, they are virtually invisible.

William B. Rosenblatt, MD
New York Plastic Surgeon

Lower lid scars

Lower lid scars can heal extremely well. If you require skin excision the incision is usually jsut below the lash line. If you just need fat removal, it is done along the conjunctiva internally.

Steven Wallach, MD
Manhattan Plastic Surgeon

This is the point is that lower eyelid incision can heal very nicely.

The goal is inconspicuous scars after eyelid surgery. A properly done infracillary incision will blend with the shadow created by the lower eyelashes. This means that you will only see these incisions in the immediate post op period. If you do find after photos that exhibit these scars, I would advise steering clear of such a surgeon.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower blepharoplasty incisions

The incisions for lower blepharoplasty are very difficult to notice. They are most frequently don on the inside of the eyelid where they are invisible. Sometimes, an incision is made below the lashes. This heals remarkably well and is almost always not noticeable after a few weeks to months

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon

Scars are rare in lower blepharoplasty

There are two basic ways to perform a lower blepharoplasty. If you just have excess fat and not extra skin, the surgery can be safely performed with incision inside of your lower eyelid. In that case the incision is totally hidden inside of the eyelid and is invisible. If you have excess skin then an incision is made on the lower eyelid, just beneath the lashes. Skin in that area heals very well and noticeable scars are very rare. Hope that is helpful. more

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

Lower lid incision for Blepharoplasty

The skin incision for a lower lid Blepharoplasty is usually placed 2 mm below the lashes in a natural fold and the extent of lateral extension depend on the extent of skin laxity being corrected. The incision can extend upto 1/2 inch towards the ear along a crows feet wrinkle for best result. If there is only a skin pinch being done, then the incision is frequently limited to just below the eye with no lateral extension. Geberally, the lower lid skin incision can be red for 2-3 weeks before... more

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

www.bostoncosmeticsurgerycenter.com

Scars from Lower Blepharoplasty

Whether the procedure is carried out from inside the eyelid or transcutaneous (the incision is made just under the eyelashes), the scars usually become indiscernible after a couple of months which may account for why you can't find photos of them.