Steroid Injections for Scar Tissue from Blepharoplasty?

I am now almost 6 weeks out from upper and lower Blepharoplasty. Scar tissue has formed under my lower right eyelid and I have been doing the massages for 2 weeks. My Dr. has given me the option of injecting steroids to dissolve this unsightly bulge. Has anyone had this done and what were your results?

Doctor Answers 6

Be careful with steroids

I would probably wait another 6 weeks before deciding on the final result. You can have swelling for 2 to 3 months after eyelid surgery and injecting steroids now may be premature.

Steroids work, but they can thin tissues and cause atrophy that is not reversible. Give massage some more time and wait on the steroids until all healing has taken place. Even then, I would only use the most minimal amount of steroid (if at all). Discuss the options with your doctor. You may also want a second opinion in the meantime. Best of luck.

Santa Rosa Plastic Surgeon
5.0 out of 5 stars 26 reviews

It may be okay

I often hear about bulging scars of the lower lid. I'm not sure why it occurs unless the patient is of color and we're talking about hypertrophy of the scar. With that said I thinks steroids can help but if you are darker skinned this can cause hypopigmentation. A small amount of kenalog, i.e. 1-2mg would be all that I would inject. Waiting is not a bad option either.

Eyelid swelling after blepharoplasty

Dear M. Lannie, does the bulge move when you move your eyes- up, down, left or right. is it on both sides or mostly on the right side? is it soft or hard? Has there been any improvement?

Healing with the eyelids can take time and massage and steroids will help. the most change you will see is in the first 4 months but the earliest time for more intervention in most cases is much longer.

The 'scar tissue' can be there for several reasons- fluid collection, swelling in the tissues (muscle, fat, skin), hematoma, residual fat.

the steroids will soften the scar tissue nicely- have to be done in small amounts and very dilute so there is not any atrophy of the skin and underlying tissues.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 69 reviews

Steroid injections for scar tissue from blepharoplasty?

Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.

If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.

Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Steroid injections will help

Cortisone shots are a very acceptable form of treatment for small areas of bulging on the eyelids. If there is residual fat present, the cortisone shots will not help with this. We inject steroids into small areas of the incisions independently to effect a change such as flattening of the scar.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.5 out of 5 stars 72 reviews

Steroids after blepharoplasty

 Steroid typically are not necessary after blepharoplasty, but can be very useful in specific situations.  If you have extensive scar tissue or retraction of the lid, then injection of the steroids may help soften up the tissue and resolve the problems faster.  Good luck with your recovery.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 66 reviews

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