Bletharplasty Scar Past Eyebrow? Isn't It Supposed to Be in the Crease?

Had upper bleth a week ago, w little bruising. Dr. said I needed very little removal of skin.However, my scar line extends past my eyebrow going up and appears crooked. One eye is twisted and tugged above the sutures, which makes it dent in, forming a wrong extra crease. All healing well, but very concerned about the crooked sutures and the long scar going up that is forming small keloid. Why are sutures not in the crease? Had no crows feet or wrinkles before bleth, now crepey and wrinkled.

Doctor Answers 7

Blepharoplasty scar past eyebrow. Normal?

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It is hard to say without photos.  What you are describing sounds like a very common technique.  Plastic Surgeons try and hide scars in lines that patients normally have.  It is very early in the post operative course to draw conclusions.  Please let your surgeon know your thoughts.

Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Too early!!!

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It is way to early after surgery for you to worry about asymmetry. There is significant swelling in the first two weeks after surgery, and sometimes even longer than that. Furthermore, surgical scar will evolve and soften over a period of months. I would not consider revision surgery on anyone until the 3 month post operative visit, and sometimes even longer than that. Scars can mature for up to a year after surgery. Please be patient with your body and let it heal.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 42 reviews

Blepharoplasty Scar Past Eyebrow

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What you are describing is what is called the "Pastorek Modification".  This technique of upper blepharoplasty is very common and extends the incision a little bit beyond the eyelid crease into the "crow's foot region". This modification, I find, yields better results because it allows the surgeon to also remove hanging skin to the side of the eye or lateral hooding.  The incision or scar should heal imperceptibly although at first it will appear slightly red and raised (for up to 6 weeks).  It is easily covered with makeup during this healing.   As far as your concerns regarding crooked sutures, keloids, and extra wrinkles, 1 week post blepharoplasty is too early to judge these issues. Keloids do not generally develop this early and usually not at all in upper eyelids.  Swelling and preexisting eye asymmetries can usually account for subtle differences in the way the eyes look. Give it time and voice your concerns to your surgeon. 

James C. Marotta, MD
Long Island Facial Plastic Surgeon
4.9 out of 5 stars 125 reviews

Blepharoplasty scar is a safe bet

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In cosmetic surgery we get some of best healing from upper eyelid incisions and the majority are very difficult to see, even without makeup. We usually think of them as a safe bet as we consider the healing risk. The incision falls in the lid crease, but past the corner of the lid will extend upward about 10 mm.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Blepharoplasty scarring

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At one week postop, irregularities In the scar line may be attributable to swelling and early healing. Your sutures should have been removed before this point and it is common to have small bumps along the suture line. These are not keloids, which are tumor like masses produced when the skin is breached and are often of familial origin. Wrinkles and crepey appearing skin do not suddenly arise after blepharoplasty so you may want to take a good look at your preop photos. Often, perceptions change after surgery. Continue to followup with your plastic surgeon through the healing process and speedy recovery!

Need to be patient with surgical results

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It is way too early to assess your results. Your sutures may still be in place. It will take close to 3 months for you to see your final results. There are no pictures posted on which anyone can base intelligent comments. Follow closely with your surgeon and follow directions. Very likely you will begin to see the improvement you had discussed with your surgeon pre-operatively in the next several weeks.


Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

Blepharoplasty scar.

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While it is difficult to fully comment without being able to see the result in photos or in person, it is still VERY early in the healing process and most scars will soften and the wrinkled appearance disappear. There is likely some swelling that is also causing some mild distortion of the incision. The best recommendation is to discuss your concerns with your surgeon and keep open communication with her/him.

Brian J. Lee, MD
Fort Wayne Plastic Surgeon
5.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.