Orbital Decomp (TED) to correct 2-3mm of proptosis. The incision on my lower eyelid grew scar tissue and sticking to bone. I now I feel deformed! 4 months post-op #1 doc did a revision (surg #2) & scar tissue grew back faster. 3 weeks later (surgery #3) an implant was added, then 6mo later the implant teared out, & had to be removed (surgery #4). Waited 1 year, now steroids injections. Not much help. What are my options? I have heard the Vampire Facelift (plasma) can help the scar tissue.
Answer: Scar tissue eyelid Laser treatments and injections of 5-fluorouracil can be used to relax and soften the scar tissue. I would not advise more surgery/cutting at this point - just scar treatments. Fractional co2, pulsed dye laser and non-ablative fractional laser are commonly used to help scar tissue.
Helpful
Answer: Scar tissue eyelid Laser treatments and injections of 5-fluorouracil can be used to relax and soften the scar tissue. I would not advise more surgery/cutting at this point - just scar treatments. Fractional co2, pulsed dye laser and non-ablative fractional laser are commonly used to help scar tissue.
Helpful
June 21, 2016
Answer: Lower lid retraction after orbital decompression Lid retraction may occur with onset of thyroid ophthalmopathy or after surgical procedures on the lower lid, or after orbital surgery through an incision in the lower lid. Medical therapy alone is generally no match for the powerful contraction of scar tissue that tethers the eyelid to the bone of the inferior orbital rim. Steroids or other medications to inhibit scar formation may be helpful adjuncts to surgery. Theoretically, Plasma Rich Protein injection into injured or inflamed tissues supplies the body's own growth factors to assist with the healing process and has been used for various sports injuries. Randomized double-blind studies to confirm beneficial effects for eyelid retraction or postoperative scar tissue bands are not available. The traditional surgical techniques releasing scar tissue attachments, elevating the lateral canthal tendon, grafting to the anterior or posterior layers of the lid, splinting the eyelid or putting the lid on upward traction are the mainstays of treatment. 5-fluorouracil and mitomycin C are considerations to prevent exuberant scar tissue, but dosages and exposure times for use in eyelid surgery are not well-defined. After 4 surgical procedures, it is wise to seek multiple opinions from experienced oculoplastic surgeons.
Helpful
June 21, 2016
Answer: Lower lid retraction after orbital decompression Lid retraction may occur with onset of thyroid ophthalmopathy or after surgical procedures on the lower lid, or after orbital surgery through an incision in the lower lid. Medical therapy alone is generally no match for the powerful contraction of scar tissue that tethers the eyelid to the bone of the inferior orbital rim. Steroids or other medications to inhibit scar formation may be helpful adjuncts to surgery. Theoretically, Plasma Rich Protein injection into injured or inflamed tissues supplies the body's own growth factors to assist with the healing process and has been used for various sports injuries. Randomized double-blind studies to confirm beneficial effects for eyelid retraction or postoperative scar tissue bands are not available. The traditional surgical techniques releasing scar tissue attachments, elevating the lateral canthal tendon, grafting to the anterior or posterior layers of the lid, splinting the eyelid or putting the lid on upward traction are the mainstays of treatment. 5-fluorouracil and mitomycin C are considerations to prevent exuberant scar tissue, but dosages and exposure times for use in eyelid surgery are not well-defined. After 4 surgical procedures, it is wise to seek multiple opinions from experienced oculoplastic surgeons.
Helpful
