Bumpy Scars After Eyelid Surgery

Question

I am 9 wks post op after upper and lower eyelift and my incision lines have gotten strange bubbles on them that look bumpy like cauliflower stalks.  The scars are causing distortion of the shape of my eyes and I have a strange web thing on the inside corner of my eye..this pulls the eyelid and is unsightly and uncomfortable.I have had injections to no avail and use scarfade, but no relief.  How can this be helped?

Michael A. Persky, MD · Answer

Hi Worf,
Sorry to hear about your complications from your eyelid surgery.  First it is most important to communicate with your  surgeon and follow your surgeon's instructions.
It is possible that the injections of steroid may have been improperly placed.  It is worth reinjecting within the bumps or hypertrophic scars.
The "webbing" of skin close to your nose will hopefully resolve over time.  If not, it may need surgical revision.  Depending upon how you progress over the next few weeks to months, a fractionated CO2 laser such as Fraxel repair may help.
I hope that your eyelids heal quickly and without any lasting side effects.  Good luck and be well.
Dr. P

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

William Portuese, MD · Answer

It is normal to be lumpy and bumpy the first six to twelve weeks after upper eyelid blepharoplasty.  The lumpiness and bumpiness tends to go away by twelve weeks.  Occasionally small whiteheads are present along the incision line, which can be expressed with a small needle and aspirated.  Occasionally very dilute cortisone injections can be placed into this area.  There are no fade creams or wrinkle creams that will help the scar.

Bumpy Scars After Eyelid Surgery

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