Can my lower bleph scars be improved 1.5 years after surgery? (Photos)

Question

I got a lower bleph surgery about 1.5 years ago. Scars are still quite noticeable. Is there anything that can be done to help?

Anna Chacon, MD, FAAD · Answer

At 1.5 years post-surgery, your scars are likely fully mature—which actually means they’re stable enough to treat effectively. Lower blepharoplasty scars can remain visible for several reasons, and the approach depends on what exactly you’re seeing:

If the scars are raised or thick (hypertrophic):

- Steroid injections (like triamcinolone) can help flatten them
- Silicone gel or sheets used consistently over months
- Vascular lasers (like pulsed dye or KTP) to reduce redness

If the scars are depressed or irregular:

- Fractional laser resurfacing (non-ablative or ablative) to smooth texture
- Microneedling or radiofrequency microneedling for collagen remodeling
- Subcision if there’s tethering

If there’s discoloration (dark or light spots):

- Topical lightening agents (hydroquinone, azelaic acid, vitamin C)
- Chemical peels or laser toning for pigmentation
- Strict sun protection—this is critical for scar fading

If the scar line itself is positioned poorly or very visible:

- Surgical scar revision (re-excision with careful closure) may be the best option, especially if the original incision was placed too low or healed poorly

The good news is that even mature scars can be significantly improved, but the right treatment depends on the scar type and location.

A consultation with a dermatologist or oculoplastic surgeon experienced in scar revision would help determine whether you’re a candidate for laser, injection, or surgical improvement.

Would you say the scars are more red/raised, or depressed/white? That would help narrow down the best approach.

Can my lower bleph scars be improved 1.5 years after surgery? (Photos)

Answers (1)

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