I had lower Bleph and facial fat transfer 4 1/2 weeks ago and one incision line feels ropey while the other is nearly invisible.

I bruised badly, went home from the surgery very bruised. I am fair skinned and bruise daily. I am 60. My ps told me to begin to put 1% OTC hydrocortisone cream on incision line to help smooth it.

Doctor Answers 5

Bumpy incision line

Usually the bumps along the incision line are related to small areas of inflammation along any suture lines. This gets better with time.  To expedite the healing you can do gentle massage along that area with a moisturizer.


Dr. J

Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 107 reviews

Asymmetric healing

It is not uncommon for one side to swell or bruise more than the other as well as have them heal at different rates. Notify your surgeon about your concerns and follow up with them so that they may examine you and help smooth your recovery.

Paul M. Parker, MD, FACS
Paramus Plastic Surgeon
5.0 out of 5 stars 35 reviews

Asymmetry in healing

Wounds rarely heal with exact symmetry.  You should see that the firmness and side to side variation diminish in the next few weeks.  I would follow the guidleines your Surgeon has given you and continue to see him/her for reassurance.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Lumpy incision line

It often takes 12 to 18 months for facial scars to mature. For some reason, even if the exact same surgery is done on both sides, the amount of time needed for both sides to heal can vary considerably. You should discuss this further with your surgeon, but realize it is totally normal for the two sides to look different at 4 weeks.

Mitesh Kapadia, MD, PhD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 164 reviews

Ropey incision

This is not unusual since I tell my patients one side may hurt more or be bruised more.since you are only 4 weeks post op this will improve with time.Massage will help.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.9 out of 5 stars 62 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.