Will the raised scar on the inner corner of my right eye after eyelid surgery is affect my the shape of my crease? (photos)

Question

I got asian double eyelid surgery revision a month ago (to make the crease height higher). I have a thickened scar on the inner corner of my right eye that is currently affecting the shape of my new crease. I’m worried that the scar is a keloid and that it will continue to affect the final shape of my eyelid crease. I’m currently using scar cream to (hopefully) help flatten the raised scar. Is there anything else I can do? Will my right eyelid continue to be more of an “L” shape v my left eye?

Goretti Ho Taghva, MD, FACS · Answer

Raised scar at the inner corner of the upper eyelid incision is quite common early on after upper eyelid surgeries.  Typically, I tell all my patients to use scar gel and apply gentle pressure and compress on the scar to flatten it.  That usually resolves the problem. But if the scar is still thickened by 2 months, I’d inject kenalog to expedite the process and it works very well.

Charles S. Lee, MD, FACS · Answer

You will see many imperfections during the first several months after eyelid surgery because everything is magnified when swollen. You can press on the raised areas using your finger periodically throughout the day to hasten the flattening out of this area. These types of concerns are best discussed with your doctor who performed the surgery - it's part of what you paid for when you had your surgery.

Amiya Prasad, MD · Answer

Thank you for your question. You are concerned about a thickened scar at the incision lines of your revised double eyelid surgery, which you done a month prior. You are fearful that it will affect your eyelid crease, and you are using scar cream to hopefully reduce it.
I can certainly help you based on your photos alone, and give you so guidance in the absence of a physical exam. I’m Dr. Amiya Prasad. I’m a Board Certified Cosmetic Surgeon and Fellowship-trained Oculoplastic Surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. I’m well known for my work with Asian double eyelid surgery for both primary and revisional surgery to correct work of other doctors, as well as epicanthoplasty.
You are still very early in your healing process at a month post-op from your eyelid surgery. At a month after surgery, you are entering the remodelling stage of wound healing, where the disorganized collagen fibers still look raised and swollen. As you go through the remodelling phase of healing, collagen becomes more organized, and these fibers flatten out. 
It’s important to realize that even in people who never had eyelid surgery, they still have a visible line at the upper eyelid. This line is due to the eyelid creasing as you open and close your eyes, and it will be a little raised, even if you never had an eyelid surgery. After full surgical healing after a year or so, you will still have a little line in your eyelids.
With regards to scar cream, I advise you stop using it and use a petrolatum-based ointment instead. Antibiotic ointments and scar creams should only be used for the first few days after eyelid surgery, then you should switch to petrolatum-based ointment to create the moist environment for optimal healing. Overuse of antibiotic ointment or scar cream can cause contact dermatitis, which can make swelling and redness worse, and people often mistakenly try to treat this with more ointment or cream, and the problem continue to worsen. It is also important to apply a petrolatum ointment with a Q-tip so any impurities from your fingers do not come in contact with the incision line.
I suggest you continue observing the incision as the swelling and elevation resolve, and change the ointment you apply to it. The elevation should gradually decrease, but follow up with your surgeon if you have any concerns. I hope you found this information helpful. Thank you for your question.

Chase Lay, MD · Answer

This is actually quite common but don't worry too much yet.  I do check on my patients at 4-6 weeks for just this reason.  Typically nothing is needed but some time and maybe massage as Dr. Lee suggested.  Rarely kenalog and 5-FU injections are useful.  I would follow up closely with your surgeon.Chase Lay MDAsian eyelid surgery specialist

Will the raised scar on the inner corner of my right eye after eyelid surgery is affect my the shape of my crease? (photos)

Answers (4)

Answer: Firm scars at my inner corner after Asian eyelid surgery

Answer: Firm scars at my inner corner after Asian eyelid surgery

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Everything you need to know about Double Eyelid Surgery

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Will the raised scar on the inner corner of my right eye after eyelid surgery is affect my the shape of my crease? (photos)

Answers (4)

Answer: Firm scars at my inner corner after Asian eyelid surgery

Answer: Firm scars at my inner corner after Asian eyelid surgery

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Recommended reading

Everything you need to know about Double Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.