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Silicone Gel for Eye Bag Removal Scarring

asked 3 years ago by lec in engalnd
Latest answer by Stephen Prendiville, MD
Question viewed 5,723 times
Tags: silicone implant, aftercare, surgery scar

I had an upper and lower eye bag removal 6 weeks ago. Now I have a visible scar below my right lower eyelash. My surgeon gave me a silcone gel and said to see him again in 3 months. Will this silcone gel sort the problem out?

17 answers to Silicone Gel for Eye Bag Removal Scarring

Silicone gel may help scars

Studies have shown that silicone is the only topical treatment that may improve the appearance of scars. There are different kinds of silicone on the market but it doesn't matter which one you use. I recommend it for most of my patients. So, give it a try.

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Quality of scar probably unrelated to use of silicone gel

Although many surgeons use silicone gel and silicone gel sheeting to influence scars, we do not know the exact mechanism of why it works. It also does not work all the time. You have to look at the characteristics of the scar you are trying to affect (i.e. pigmentation, thickness, redness, width, firmness, itchiness, etc.etc). Silicone gel and sheeting may help with thickness, firmness, and redness. But so might tincture of time so it is not so clear as to whether the use of these products... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Silicone Gel for Eyelid Scar: It May or may Not Help

Silicone gel is somewhat effective in management of keloids and hypertrophic scars. However, Eyelid skin is the thinnest in the human and typically heals very well. Unless you truly have a hypertrophic scar on your lid or a truly unusual case, silicone gel is unlikely to add anything significant to the natural healing process.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Lower eyelid scarring after blepharoplasty

Scarring of only the right lower eyelid after upper and lower blepharoplasty implies that you sleep on the right side. Silicone gel is a Little bothersome. I would massage, give it six months , and if the appearance does not improve, consider a revision, and change your sleeping patterns.

Brian Maloney, MD
Atlanta Facial Plastic Surgeon

Lower eyelid scarrng will typically resolve over time

Lower eyelid scarring after a blepharoplasty typically will fade out over the course of six months. Nevertheless, there are some treatments that can hasten scar resolution like the use of mederma and silicone gel sheeting. Both exert occlusive and pressure effects on the scars which tend to help them fade more quickly. Silicon sheeting may be difficult to wear or adhere that close to the eye and silicone gel can also be used. There is no harm in doing something positive to help scars fade.... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Eyelash Scar After Blepharoplasty

Subciliary incisions after Blepharoplasty tend to increase in thickness in the immediate postoperative period and will subside in thickness and width with time. Silicone sheeting is difficult to position under the eyelash. Continue aggressive massage as prescibed by your physician.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Eyelid scar should get better with time

Hello, Eyelid scars tend to heal very well. Silicone sheeting is effective for scars, but sometimes hard to keep on spots like the eyelid due to the natural movement. I would probably just have you massage the scar and keep sunscreen on it. It is difficult to tell as I have not seen this scar of course.

John P. Di Saia, MD
Orange Plastic Surgeon

Eyelid scarring should improve over time

Lec, It is important to remember that everybody heals differently, and while some people make look perfectly healed at six weeks, many people still have a visible line due to surgery. However, the eyelids usually heal very nicely, and with more time, you will probably be fine. The silicone may or may not help, it is usually just time that does the trick. Dr. Miller

Andrew Miller, MD
Edison Facial Plastic Surgeon

Gentle massage for scarring may help

The silicone gel may help in the lower eyelid region but most scars in this zone do quite well on their own. Be careful not to get it in you eye. May be best just to massage the scar 10 times a day. I have found that these scars respond well with gentle massage.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

It won't hurt and it may actually help

Lec, Silicone gel and sheeting has been shown to help scaring. However, it must be used regularly and over several weeks to months to see an effect. The way I see it, it won't hurt and it may actually help. Good luck

David Shafer, MD
New York Plastic Surgeon

Blepharoplasty scars fade nicely in time

Fortunately, Blepharoplasty scars tend to fade very nicely over time. I don't know if the Silicone will help, but it won't hurt. Either way, time will help. I expect that the scar will continue to improve over the next few months.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Silicone gel may not help Blepharoplasty scars

The silicone gel might not be very helpful, but just normal healing process will probably make the scar line less visible. You also have to be really careful not to get the gel in the eye. It is unusual for a surgeon not to see the patient so early post-operatively for such a long time. We usually see our patients every month for the first several months to make sure the healing is going as expected. Perhaps you need to discuss with him seeing him earlier than 3 months.

Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon

Silicone gel may be helpful for scarring

It is hard to say based on your description as a "visible" scar can mean many things (e.g. Is it raised? Red? Wide? Flat?). But either way, silicone gel is known to help with scarring. In your particular case, I believe gentle regular scar massage may also help. You should discuss this with your surgeon so he can instruct you properly on technique! It is very unusual for lower eyelid scars to heal poorly, and typically, time will sort it out and your scar should fade regardless... more

Brian S. Glatt, MD
Morristown Plastic Surgeon

Silicone gel may help with scarring

Hi Lec, The scar you are referring to is called an infracillary incision. It is a surgical cut through the skin of the lower eyelid just below the eyelashes. When these are well made, the scar rests up against the lower eyelid lashes and tends to fade in time. I am actually surprised to hear that your surgeon has prescribed this given that this scar tends to hide quite well against the eyelashes. In general, silicone gel is helpful and does speed up the healing of the scar. It is... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Silicone gel may help.

Silicone gel is one of the few substances reviewed in the literature that may actually help. Whether it will resolve the scarring you have is had to know without seeing you, but rest assured, your surgeon is using the best kind of medicine (evidence based!) to take care of you. Good luck!

Vineet Mehan, MD
Washington DC Plastic Surgeon

Silicone gel is effective for surgical scars

Dear Lec, Silicone gel sheeting or ointment can reduce red scars after surgery. I also use 1% hydrocortisone cream for two weeks applied to the scar 2-3 times a day-but no longer than 2 weeks. If the scar is red and itchy and raised after 3 weeks of therapy I would consider IPL Photofacial treatments, which are very effective at reducing the redness in scars. If the scar is raised and lumpy, after 3-4 weeks, then a newer laser scar removal therapy with the Lux 1540 Starlux laser, a... more