Treatment to Lighten Eyelids After Eyelid Surgery?

In reference to my review above, I had upper Eyelid surgery 4 months ago. Problem is, I have dark pigment on both sides of the incisions. Scar aids make my lids dry and tight.

Can you suggest something I can use on my upper lids to lighten this area? Thank you so much.

Doctor Answers 2

Pigmentation after eyelid surgery

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As Doctor Pearson noted, PIH can be effectively treated with topical prescription creams such as Tri-Luma, which contains hydroquinone, retin-A and a steroid. An alternative is to use just hydroquinone in an attempt to bleach the skin out. A 4% cream is typical although some patients benefit from a compounded preparation up to 8% hydroquinone. If these topicals fail or provide suboptimal improvement you may be considered a candidate for an IPL series. This minimally invasive, light-based treatment is readily available in most cities and can provide a significant improvement in terms of darkly pigmented skin. Good luck.

San Diego Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

Post-inflammatory hyperpigmentation (PIH)

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What you describe sound like post-inflammatory hyperpigmentation. Without seeing you, it's impossible to assess this for certain, but that's a well recognized side-effect of surgery in patients with certain skin types.

Oftentimes, PIH can be lightened with the application of Tri-Luma cream or just plain hydroquinone 4% cream. These are both prescription products, so talk to your surgeon first.

Good luck,


David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

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.