Lower Eye has scab after upper and lower blepharoplasty, can I help this heal? (photo)

Question

I had upper and lower blepharoplasty 2 weeks ago and have a scab under the eye, but nowhere near the sutures. The Doc is concerned and wants to keep an eye on it over the next 2 weeks. He said its a concern as it may pull the eye down and maybe even have to have surgery and skin graft! Why has this happened and what else can I do to help it heal or prevent more surgery?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

John J. Martin, Jr., MD · Answer

Are you referring to the dark area under the lashes?  This may just be from doing some cautery here.  The skin is very thin, and sometimes some cautery will decrease blood flow so that you get a focal area of necrosis with a scab. Lower lid skin is very thin and heals well.  Keep this lubricated with some vaseline.  IT should heal fine, and I doubt you would need a revision.  Just may take a while to look normal.

Charles Nduka, MD · Answer

This will heal naturally and you don't really have to do anything about it. Some lubrication may help but it will take time for it to heal with r without medication.

Keith Denkler, MD · Answer

This lower eyelid tissue appears to be necrosis and will take some time to heal.It could be due to poor circulation or possibly a burn from the cautery an area of bleeding.Best wishes.

Shawn Greathouse, MD · Answer

The best thing you can do at this point is avoid picking at the area and try to keep it clean.  Often I recommend an antibiotic ointment to keep the area moist.  Open wounds will tend to contract and pull the eyelid down causing scleral show.  The blood flow to that portion of the eyellid may be poor due to anatomy, injury, or level of dissection.

Lower Eye has scab after upper and lower blepharoplasty, can I help this heal? (photo)

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Answer: Eyelid

Answer: Healing after lower blepharoplasty

Answer: Healing after lower blepharoplasty

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Lower Eye has scab after upper and lower blepharoplasty, can I help this heal? (photo)

Answers (5)

Answer: Eyelid

Answer: Eyelid

Answer: Healing after lower blepharoplasty

Answer: Healing after lower blepharoplasty

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Recommended reading

Everything you need to know about Eyelid Surgery

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