Very visible scars after upper eyelid surgery-scar revision? (Photo)

Question

I recently posted a question asking if I had a "dog ear" on the ends of my upper eyelid scars. Thank you for the responses. I am showing the scars on both eyes at almost 6 mos. after surgery. The scars do not fall into the creases, and I am very self- conscious of them. Would scar revision remove more skin? I feel like there is no extra skin to spare on my lids now. Would steroid shots help? I am very sorry at this point that I did not travel further to another surgeon to have this done.

Philip S. Schoenfeld, MD, FACS · Answer

The upper eyelid skin tends to heal very nicely following upper eyelid blepharoplasty.  The skin is thin and generally has favorable elasticity for proper healing.  Unfortunately, even in the best executed surgical procedures, scarring can still occur.  It is still early in the healing process and I think that scar revision is a little premature without trying some other less invasive things before undertaking another surgical procedure.  I would suggest a dilute concentration of steroid injected into the wound and perhaps silicone gel applications to the wound for several weeks.  Allow the scar to fully mature as well.

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

Andrew Campbell, MD · Answer

At this stage of the recovery, I would try a steroid injection into the raised, firm scars. These injections can frequently make the firmness and raised aspect of the scars resolve.Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Kenneth D. Steinsapir, MD · Answer

The scars can also be revised.  The photos you provide are with the eyes closed which of course expose the scars.  Most of the time when we speak and interact with other people, the eyes are open.  How are the scars when the eyes are visible?

Dan Landmann, MD · Answer

It is hard to definitively diagnose a problem from a picture and I would recommend seeing an oculo-plastic surgeon which is an ophthalmologist with a concentration in plastic surgery specifically around the eyelids.

In addition, the healing process takes a full year. The milestones are at 6 weeks, 3 months, 6 months and a year.

That being said, your incision does seem to be raised. I would recommend possibly getting a steroid or Flurauracil injection to help break up some of the scar tissue that has formed. I would be cautious with laser treatments, as they may tighten the skin even more if not done correctly.

Very visible scars after upper eyelid surgery-scar revision? (Photo)

Answers (6)

Answer: Steroids may or may not be appropriate.

Answer: Steroids may or may not be appropriate.

Answer: Visible scars after eyelid surgery

Answer: Visible scars after eyelid surgery

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Everything you need to know about Eyelid Surgery

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Very visible scars after upper eyelid surgery-scar revision? (Photo)

Answers (6)

Answer: Steroids may or may not be appropriate.

Answer: Steroids may or may not be appropriate.

Answer: Visible scars after eyelid surgery

Answer: Visible scars after eyelid surgery

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Recommended reading

Everything you need to know about Eyelid Surgery

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