Microneedling on eyelid scar? (photo)

Question

Hi. Im looking for answers about my eyelid scar (did an upper bleph 1,5 years ago) and I need to soften the scar tissue because it got hypertrophic. Is it possible to go to a clinic who uses metal eye shields and do micro needling over the scar? I’m desperate for answers. I can’t do laser because I have a little bit to little skin there already because it was taken to much skin on surgery.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Microneedling can be a viable option for treating hypertrophic scars, including those on the eyelids, as it can help stimulate collagen production and improve skin texture. However, due to the delicate nature of the eyelid skin, it's crucial to proceed with caution.

Using metal eye shields is a standard practice to protect the eyes during procedures like microneedling, and many clinics are equipped to handle such cases safely. It is essential to consult with a board-certified dermatologist or plastic surgeon who has experience with microneedling in sensitive areas. They can assess your scar and determine the best course of action, considering your specific circumstances and skin type.

Given your concern about the skin thickness, a careful evaluation will help ensure that microneedling is performed safely and effectively. Additionally, they might suggest complementary treatments, such as topical therapies or silicone gels, to further soften the scar tissue.

Best wishes for your treatment.

Viva Eve Dermatology - New York · Answer

Hi!
This is a great question - using eye shields, microneeding with a mild pass of CO2 laser may help to decrease the appearance of the scar and help achieve your goals. Massage of the scar with some eye cream daily will also help to soften the scar over time.

Microneedling on eyelid scar? (photo)

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Microneedling on eyelid scar? (photo)

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