Will my hyperthropic upper eyelid scar heal on its own? (photos)

Question

6 months PO upper eyelid surgery, I have hard knots and the scar is thick. Is there any chance it will heal by itself? In sweden where I live NO ONE wants to inject cortisone in the scar (near eye) i can’t do CO2 laser either (don’t have much skin left) I heard I shouldn’t do micro needling on it either because it’s a hypertrophic scar? I’m doing hard massage with a Gua Sha tool every night trying to break up the hard knots in the scar + low dose of cortisone cream also every day, doesn’t work

Lucian Ion, FRCS · Answer

Thank you for your question. In general, upper-eyelid scars have a tendency to improve spontaneously. The cycle of scar tissue remodeling stretches over approximately 12 months and occasionally longer.

The reason why practitioners are uncomfortable with steroid injections for upper-eyelid scars is that the volume of the scar is so small that it makes it very difficult to stay within the scar. As soon as the steroid injections move into the normal skin, they would produce more visible problems in the skin than the presence of the scar.

Silicone gel can also help the texture and thickness of the scars, and you can use it as a cream application or even as a strip to wear at nighttime. In terms of additional options to treat the scars, it is true that lasers have a tendency to tighten the skin and may not represent a good solution for you. Microneedling has variable effects on scar thickness, and some specialists in tattoos say they have seen significant benefits for thickened scars, but there is no scientific study to back these statements.

In addition to what you are doing, my impression is that silicone gel may be the answer to speed up the recovery process and soften the scars.

Will my hyperthropic upper eyelid scar heal on its own? (photos)

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Will my hyperthropic upper eyelid scar heal on its own? (photos)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.