Deep Scar and Bump 1-month Post-op Blepharoplasty

In most cases blepharoplasty scars may be red or raised
right after surgery. Over time they typically flatten and fade out. At 4 weeks
you are early in the healing process, be patient, you should see improvement. Good luck and I hope this helps.

While visible incisions after any surgery, especially lower eyelid surgery, are concerning, the reality is that scars generally continue to improve with time. One month generally lands in the middle of the "lumpy bumpy" or proliferative phase of healing. The incision may look uneven and feel ropey. However, generally by 6 weeks after surgery, this will start to soften and melt away. In general, lower eyelid incisions are extremely hard to see once they have matured. If the scar continues to worsen, a steroid injection may help. Fractional laser resurfacing may also camouflage the scar.