Determine exactly what you don't like about your blepharoplasty scars
It's unfortunate that your result is not what you had expected. It is very important that you speak with your original surgeon about this. One, it will give you peace of mind that the surgeon knows how you feel. Two, every good surgeon wants to know when things are not absolutely perfect. We're here to make you happy and help you achieve your goals.
In terms of scar management or scar revision:
Dr. Westreich covered many of the options available to you. It's also important for you to decide what aspects of the scar are the most disturbing to you. Is it that it's intended? Or is it the width that bothers you most?
The indentation or depth of the scar could be adjusted independently of the width with a percutaneous release and/or injectable fillers. This may make the scar much less noticeable, because it would then be easily hidden with cover up make up. It's often the change in contour that our eyes first notice, i.e. that the scar is depressed or fixed.
The width may of the scar may or may not be difficult to fix. It depends on the reason why the scar is wide in the first place. Often, scars widen because of tension. If there is tension on the scar after a revision, the scar will again widen out to the same width.
These are just a few suggestions. I hope they help. It's always important for you to discuss these matters in person with a well trained surgeon prior to making any decisions.
In some case a scar revision can be helpful to hide the scar better. Also massage over time can help to lessen the scar. I would need to see a photograph to properly evaluate you.
Poor Upper Eyelid Scars Are Rare
The upper eyelid skin is usually some of the best healing skin on the body, at least from the standpoint of scar quality. Sadly, you seem to have had difficulty despite that.
From your description, I suggest that you have the scar revised. Perhaps you had a tight eyelid early in the healing process which put tension on the scar. During a revision, only the scar will be removed and this will likely not lead to much tension.
The first goal of a revision is too have a smooth scar. In other words, not dented in. During the early parts of healing the scar may be mounded up a little, this is normal and should resolve. A dented in scar is not going to fill in on its own and would need further work. Aside from trying surgery again, fillers like Restylane or Juvederm could be used.
The second goal of a revision is a scar that is as narrow as possible.
The final goal of a revision is a scar without visible color problems. If you tend to scar very white, there is little that surgery can offer to correct this.
If your scar ends up dented after the revision, it may be your genetics, or it could be the technique. You may consider a second opinion. A wide or white scar is amendable to make-up and is not as severe a problem. You could also look into permanent cosmetics (specially qualified tattoo artists do this) to blend the color. Be sure to pick someone highly skilled in this because it is not easy.
Eyelift Revision Surgery and Seeking Opinions
Socially visible scars are a common problem and a common reason patients are referred to my practice. I stress to my prospective patients that there is an art to performing blepharoplasty so the eyes appear natural and not have obvious signs of being operated on. There may be some options such as revising the scar so it isn’t wide however, the fact that it is wide may mean there is a relative lack of skin. Seeking additional opinions if your surgeon has nothing more to offer may be the appropriate next step for you.
It sounds like a small revision of the lateral part of the eyelid incsion may help to make the scar cleaner and without the depression.
I would suggest visiting with your physician and talking to him or her about a scar revision. While most scars heals quite nicely, sometimes a slight revision is necessary.
Wide upper eyelid scar will require a revision.
There's not much that can be done to effect the outcome of a scar save making sure you do nothing to sabotage the healing. Upper eyelid scars are usually nearly invisible but now and then benefit from a revision. It sounds like you could benefit from a redo. You should consult with your surgeon and see what he thinks.
Improving upper blepharoplasty scars
It is not uncommon for the outer part of the upper or lower blepharoplasty scar which is over the thickened skin just beyond the eyelid to widen a little. They scars can be easily improved by revising that portion of the scar using a little local anesthesia in the office. I'm sure your surgeon would be happy to help you.
Blepharoplasty scar revision can help.
It sounds like your problem can be improved. You have waited long enough. An expert upper blepharoplasty scar revision should make the lateral scars a lot less noticeable.
Visible sunken upper blepharoplasty scars can be revised and or treated with laser resurfacing
The scars you describe after upper blepharoplasty are not uncommon when excess upper eyelid skin extending out over the side of the brow or lateral eye area is excised during blepharoplasty.
Visible, dented or depressed scars after upper eyelid blepharoplasty usually require revision.
Minor scars can be lessened with laser resurfacing preferably with a fractional ablative 2940 Erbium laser resurfacing alone.
Dented or depressed scars usually require surgeical excision and revision with careful technique. Using the laser to resurface the skin around the scar before the revised wound is closed can help make the resultant scar less visible after healing.