Where are the incisions on a lower blepharoplasty?

Lower lid bleph incisions are a few mm below the lash line.  These can very a bit but they invariably heal well and almost imperceptibly.  Continue using the ointment prescribed by your surgeon and start massaging the scar as soon as it is fine with your surgeon.  

Typically, the scars will fade over about six months. They are rarely visible below the eyelids and if they persist then you can have the scars treated but at this point there is nothing to do to speed up the healing process.

A lower blepharoplasty can be accomplished through an incision just below the lash line or inside the lower eyelid through the conjunctiva.  The inner eyelid incision has the advantage of no visible scar. The disadvantage is that an outside incision needs to be made of skin is to be removed. Cutting through the muscle of the lower eyelid can increase the chance of lower eyelid malposition. For this reason I prefer the inner eyelid incision.  Nice results can be achieved with either technique.I’m sorry to hear about your dissatisfaction with the early results. Keep in mind it has only been a week and the incisions around the eyelids tend to heal really well and are very inconspicuous in the long term.  Of course surgeons strive for symmetry regarding those incisions. One eyelid might be more swollen than the other one Which can distort the appearance.  Allow things to heal and reassess the situation in a few months. Best wishes to you.

When there is an excess amount of skin in the lower lids, it is necessary to remove a conservative skin pinch for best results.  While surgical textbooks recommend placing the incisions 2 to 3 millimeters below the lashes, I find that to be too low for the ideal cosmetic result because then the scar is visible long term and difficult to conceal.  I typically place the incision just below the lashes so that the actual lashes will camouflage the incision.  I treat this delicate skin extremely gently with very low cautery to avoid damage to lash follicles or to the very important closing eyelid muscle.  While it is possible that you may need scar revision, it is too early to tell at one week.  You should bring up these concerns with your surgeon.  Best wishes.  

You have what is called a subciliary incision which is very common.Now it is  possible that the incision was made lower than some surgeons use but should still heal well with  time and most likely not be noticeable.  The result from eyelid surgery is a long process taking months to reach your final result.  Be sure to follow up with your surgeon closely.

Every case that is done for a lower blepharoplasty is really unique to the individual.  The surgeon has the option to make the incision inside the lid, which shows no scarring.  In your particular case the surgeon chose not to do this, and that is most likely, so they could achieve the best result for you.  Your situation is only a week old and the scars around the eyes normally heal very well and can become almost indistinguishable.  Using scar cream is a great start, but for the most part you will need to give this more time to see the final outcome, which could be favorable. 

Dear BenzYou are not my patient. I am sorry for you. It has been my professional practice for decades not to use routine incisions on the skin of the lower eyelid. This is not primarily because of the cosmetic appearance, rather because there are long term risks associated with cutting the muscle under the skin necessary in order to modify the fat. This can be avoided by treating the fat from the inside of the eyelid. There is no scar visible at all on the outside. see web reference with no scarsCertainly if scars are placed on the skin they should be symmetrical. I hope that the same surgeon operated on both of your eyes, There are situations in academia or other groups where two surgeons are working at the same time. I hope not.There is sadly nothing for you to do now. A scar revision may be possible for you in the future.

A week's time is little too early to assess the scars.with time they reduce in visibility to become almost unnoticeable.