Removing Scar from Eyelid Surgery?

Scar therapy gels with active ingredients such as steroids, Vitamins A and E and Silicone may help.  If persistent I would explore ablative or non ablative fractional laser therapy.

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

Keep your follow up appointments with your surgeon.  Your surgeon can best guide you as to what topical or laser therapy would be most appropriate to improve the appearance of the scar. Topicals containing Vitamin A, Silicone or Vitamin E may help along with sun avoidance, but you should have the area evaluated by your surgeon first.

Revision SurgeryScar creams such as BioCornium can help. 

Revision eyelid surgery should be done at least 6 months
after the initial surgery to allow time for healing and tissues to soften. Asymmetries, excess skin, fat rolls, fat malposition can all be improved. Other treatments may include laser or
chemical peels to tighten skin and improve texture

At 6 months after your surgery, your scars should not be as visible as they were in the early stages of your recovery. They should be well on their way to becoming faint and thin, as mature scars normally appear. If your scars are still very prominent, I suggest you see your surgeon to have them checked out. A nonsurgical treatment can help, or you may require scar revision (which would be rare).

The treatment for a scar on the lower eyelid would depend on how it looked and how much skin is left. If the scar is not very noticeable, nothing should be done. If it is very unpleasant, laser resurfacing may be considered. If there happens to be enough skin left over following the operation, then revision of the scar is possible.