How to fix this scar after double eyelid surgery? It is not fading at all (Photo)

Question

Hello I got double eyelid surgery in June 16 this year And my concerns this cut that is not located in my natural crease Seems is not fading at all after nearly 7 months now My surgeon says is ok but for me this is not estetic at all specially with make up on when is showing off even more What is it needed? Revision?

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

Jason Emer, MD · Answer

It's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. 
Options can include:
1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 
2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 
3. Microneedling/PRP 
4. Silicone-based scar gels with growth factors 
5. Excision/revision surgery 
See an expert to develop a treatment plan that works for you. Best, Dr. Emer​

Marc Polacco, MD · Answer

Thank you for your question. Scars mature over the course of a year, so this will continue to get better with time. There are injections such as steroids or 5-fluorouracil that can reduce thick scar tissue as well, however with thin skin of the eyelid you have to be careful. I personally favor 5-FU in thin skin because it doesn't thin the skin as much as steroids, and also doesn't create redness that steroids sometimes can cause. I hope this information is helpful to you, and all the best.

How to fix this scar after double eyelid surgery? It is not fading at all (Photo)

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How to fix this scar after double eyelid surgery? It is not fading at all (Photo)

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