Any Creams for Raised Blepharoplasty Scars?

Hello! Thank you for the question! Revision is reasonable given your description, especially after two years. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Using ointment or Vaseline does well - avoiding creams and lotions to eyelids. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Hope that this helps! Best wishes!

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

Raised textures indicate that your scars probably haven't healed normally and are hypertrophic, or even keloids if the scars are larger than the incisions. I suggest you see your surgeon to talk about this, since revision surgery may be necessary.

It is uncommon for a blepharoplasty scar to be raised at 2 years. At this point, I have reservations about whether a cream will make it go away. Have you discussed this with your surgeon?

Dear Vaveckaboo,
By two years, the blepharoplasty scars should be quiet and barely visible. Having them raised and an issue two years after surgery suggest that you need a scar revision which is considered to be a relatively minor procedure. Essentially just the scar tissue is excised and the eyelid is put back together. This type of procedure can be very comfortably performed in the office setting.
I would imagine that your original surgeon would be interested in helping you with this problem as the issue reflects on his skills as a blepharoplasty surgeon. Surgeons differ regarding the financial policies for these types of touch ups. It is not uncommon for the surgeon to charge nothing for their time to perform this type of revision but ask you to pay the supplies and other facility fees. This is certainly much less expensive that starting up with an entirely new surgeon who is likely to be a little less generous than the original surgeon.
So rather than recommend a cream and encourage you to be treating yourself for this problem, I recommend that you see your surgeon. If for some reason you are uncomfortable with this or the surgeon is not available, consider visiting ASOPRS.org, the website for the American Society for Ophthalmic Plastic and Reconstructive Surgery which has a directory of eye plastic surgeons and you can find a well trained eye plastic surgeon in your area.