Eyelid Surgery: Q&A

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Risk of Upper Eyelid Blepharoplasty for Keloid Prone Skin?

Hi, I have "keloid prone skin" and I was wondering what would happen if I get the incisonal upper eyelid blepharoplasty??? I have one uneven monolid eye and one big (in comparison) double lidded eye. I would just like to even out my eyes

18 Doctor Answers | Asked by ceelyxo in Richmond Hill, ON
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Upper lid blepharoplasty - risk for keloid prone skin?

Excellent Question. In general, the risk that upper eyelid surgical scars will form keloids is extremely low, even in those with a history of keloid formation in other areas. Be sure to discuss your history and concerns with your surgeon. Good luck.
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There are special precautions that you can take with people who are prone to keloids

It is relatively unusual to get keloids around the eye skin. That being said, there are special precautions that you can take with people who are prone to keloids such as the type of suture used and following the scar formation closely.
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Scarring after eyelid surgery

Upper eyelid blepharoplasty incisions tend to heal very well, even in patients who are prone to keloidal scarring. It may take many months after surgery for the scars to become as smooth and flat as we would like. Occasionally small cysts form along the incision line where the sutures were placed. These cysts often resolve without treatment but occasionally need to be opened by your doctor.

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Upper eyelid (blepharoplasty) keloid risk

This is historically a very rare area to develop keloids, even in patients with a prior history of keloids elsewhere on the body.
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Little to no risk of keloid in eyelid skin

In almost 18 years of performing eyelid surgery, I have never encountered keloids around the eyes. You are a safe bet to proceed. Best of luck. Dr. G
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Low risk of keloid with eyelid surgery

The risk of keloid formation following upper eyelid blepharoplasty is extremely low. However, if the incision on the inner (medial) portion of the eyelid extends too far towards the nose, it is possible to form a thick, raised, hypertrophic scar, possibly even a keloid in that area.
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Keloid after blepharoplasty

I would agree with the other surgeons that a keloid of the upper eyelid is not going to happen. However, you will have to consider the possibility of a hypertrophic scar, which is sometimes confused. Hypertrophic scars don't overtake the margin of the original incision like keloids do. So your scar could thicken, become raised, slightly wider. That too is still very uncommon in eye surgery. But if too much skin is removed, and the closure line is... more
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Upper eyelid surgery and keloid risk

IMHO, the risk of a keloid from an upper eyelid surgery is astronomical...have consults with plastic and cosmetic surgeons or occuloplastic surgeons for further advice.
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Low chance of keloids

The chance of forming a keloid on the eyelid is extremely low. When done properly, a blepharoplasty leaves very little tension on the scar, which can be a contributing factor for keloid and hypertrophic scar formation. I have never seen a keloid on the eyelids.
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Uneven upper eyelids

I'm not certain what exactly is meant by "keloid prone skin" as many individuals mistake exuberant scar or hypertrophic scar with "kelods" which are a specific pathologic scarring seen most commonly in African-Americans and Asians. Hypertrophic scarring is definitely related to increased tension at the wound closure but "Kelois" can forn on any incision with or without tension such as a simple ear lobe piercing. Generally the reason why Keloid of the upper... more
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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.

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