Advice for ridding extreme broken capillaries and permanent bruises on eyelids after upper blepharoplasty?

Question

I'm 5 mos post op and not only do I have extreme redness and broken capillaries, but the PS cut my right incision much higher than my eye crease, so the scar is visible and has a permanent blueish hue along the incision scar. My right eyelid also droops now and an ophthalmologist confirmed Ptosis. My PS claims he hasn't ever had an issue w broken capillaries and says my eyes weren't symmetrical prior. To that I say, true, but they both opened an I didn't have red eyelids and scars. Advice?

Marc Polacco, MD · Answer

Thank you for your question. The eyelids have extremely thin skin, so underlying structures are easier to see. If your case, I would discuss ILP treatment (intense pulsed light). This can be helpful for treating discolorations and can be performed in the office with numbing cream.

Raffy Karamanoukian, MD, FACS · Answer

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

Advice for ridding extreme broken capillaries and permanent bruises on eyelids after upper blepharoplasty?

Answers (2)

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