Upper blepharoplasty scar healing problem?

I had an upper blepharoplasty done 15 weeks ago. The scars are still bumpy, and on one lid, there's a prominent red bulge. I've been massaging and using Dermatix (30 days so far), as directed by my doctor, but it doesn't seem to be getting any better. Should I be concerned at this point? I did not have dissolvable sutures.

Upper blepharoplasty scar healing problem?
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16 answers to “Upper blepharoplasty scar healing...”

A: Incisions on upper lids undergo lumpy-bumpy phase

William Portuese, MD

The incisions on the upper lids tend to undergo a lumpy-bumpy phase one to three months after the surgery. All of this phase tends to settle down where the lumpy-bumpy pink incision will turn to a fine little white line hidden in the natural crease. On rare occasions, a small milia may turn into a pimple... more

A: Postoperative Blepharoplasty Cyst

Houtan Chaboki, MD

Swelling of the upper eyelid incision may likely represent a cyst, either from a trapped suture deep in the skin or trapped epithelium under the skin. More concerning causes for this swelling may be infection / abscess or early scarring. Most expected swelling and redness after blepharoplasty usually only... more

A: you have suture cyst

Kamran Khoobehi, MD

 Please ask your doctor to revise the scar and to remove the cyst. This not rare but will not go away by itself. If your doctor does not want to treat this ,find another surgeon.

A: Your surgeon needs to be more aggressive

Christopher L. Hess, MD

The upper lid is the best scarring area of the body.  Most patients look great even after a week.  Although all scars can become reddened this usually occurs around the 4 week mark.  I agree with the other surgeons that this red area is an inclusion cyst, small stitch reaction from a deeper... more

A: Ask Physician about Steroid injection

Richard Gentile, MD

At 15 weeks there should be a smoother scar and this could be due to a cyst or hypertrophic scarring.  Ask your doctor about some minimally invasive options such as a steroid injection to calm down the area if it is not a cyst.  If it is a suture abscess the steroid injection may also help this.  

A: While the scar is more reddened than usual, it should resolve with time

Scott Trimas, MD

While the scar is more reddened than usual, it should resolve with time. I have found it often responds nicely and heals quicker with treatment with a vascular laser, such as a 532 or 1064 laser that helps to lessen the redness and cause quicker scar resolution. A lot of physicians carry that type of laser in... more

A: This is not normal healing

Richard P. Rand, MD

At 15 weeks after upper bleph your scar should be almost invisible.  You might have a cyst in the incision and you should go right back to your surgeon for an evaluation.  You will almost certainly need something done to this scar.  Good Luck!

A: Firm nodule in blepharoplasty scar

Otto Joseph Placik, MD

I would agree with the comments of others made here. It is not uncommon to have an inclusion cyst along the suture line. Occasionally, these get inflammed and other times they get infected. Treatment typically consists of evacuating the cyst. Alternatively, it could be an inflammed nodule that would benefit... more

A: Rule out infection and foreign body

Hisham Seify, MD, PhD

Most of your wound length is healing well. There is only a small spot where it is inflammed. The first thing I would like to rule out is a foreign body present, e.g. portion of your suture, etc. If there is any infection, pus etc., it needs to be addressed.  

A: Ask your doctor what he will do if it does not improve.

Thomas T. Nguyen, MD

It is important to keep good communication with your surgeon and let him know how your healing is progressing.  Massage is good, but if it doesn't seem to be improving, you will want to let him know.  Time may be all you need.  However, I recommend that you find out what your surgeon will do if... more

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