When will incision scars be mostly faded after upper eyelid surgery?

I prefer a silicone based scar gel. I recommend you speak to your plastic surgeon for a recommendation, because there are several good ones out there. Sunscreen is essential and firm massage all help as well. Scars can often take up to a year to fully improve.

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

Scars tend to fade gradually with time. Sometimes injections help improve appearance of scars. Occasionally, scars may need to be removed with revision surgery. Topical gels such as silicone can help. You can read more about eyelid surgery incisions on our website too. If you haven't already, then speak with your plastic surgeon to review options.Best,Dr. Chaboki

It can take up to a year or more for scars to fade after surgery.  Be patient but be agressive with scar creams recommended by your PS.  

For the first 3 months after surgery, your body is healing and building up scar tissue.  This is associated with swelling and redness.  After 3 months the body starts to breakdown the scar tissue and the inflammation causing swelling and redness subsides.  I have found that "treating" the incisions only leads to prolonged healing.  I recommend only a mild hydrating product to avoid further inflammation.  The incisions will be fully healed around 1 year.  Hope this helps and good luck.

Guessing without pictures. Could be that the incisions are in the wrong place because the scar should not be visible with your eyes open except for the extension to the side. By now, the incision should be healed completely having smoothed out and taken on the color of the surrounding skin. Need a trip back to surgeon to get some answers.