Epicanthoplasty scar is spread, indented, pink and shiny - how can I treat this? (Photos)

Thank you so much for sharing your experience — I know how upsetting it can feel when a scar doesn’t heal the way you hoped, especially in such a delicate area.

At 9 months post-procedure, the scar is still considered active, and there are options that can help improve the appearance, texture, and color over time.

Here are some approaches that are commonly effective:

1. Addressing the widening and indentation
A combination of treatments often works best. Fractional laser resurfacing or radiofrequency microneedling can help remodel collagen, improving both the spread appearance and the small depression. These treatments gradually tighten and smooth the skin so the scar blends better.

2. Improving the pink, shiny look
Persistent redness or shininess means the scar is still vascular and immature. Vascular laser treatments, such as pulsed dye laser (PDL) or IPL, can reduce this redness significantly. Many patients see that “pink” tone fade much faster with these therapies.

3. Softening the scar tissue
If the scar feels firm or raised in some areas, silicone gel or silicone sheets can still offer benefit. Sometimes a small steroid injection is used very conservatively if there’s thickening, but this depends on the scar’s behavior and location.

4. Camouflaging the line
For scars that have widened beyond the incision, techniques like laser blending or even minor scar revision can help reshape the edges so the transition is less noticeable. This is something many patients consider once the scar has fully matured (around 12 months).

5. Realistic expectations
Face scars do improve, especially around the eyes where the skin is thin. Even though it feels discouraging now, most scars continue to soften for up to a year—and often longer. Early intervention can make a big difference in how they evolve.

I’m really sorry this has affected your confidence. You’re not alone in this, and what you’re seeing is something that can be improved with the right combination of therapies. If you take anything from this — it’s that your scar is still very much treatable.