Steroid injections with upper and lower eyelid revision.

Generally 5-FU is even better for modifying scars because it does not cause the skin and fat atrophy that the steroids can.  It is all about dose so the judgement of your surgeon is critical here.

Thank you for sharing your questions. Your main question pertains to the use of steroid injections to treat blepharoplasty scars. Steroids can cause atrophy of the skin and loss of fat underneath the eyelid skin. Therefore, to avoid these problems, any steroid injection should be of a very dilute, low dose. Keep in mind that you are only 3 months post-op from surgery and undoubtedly have some healing to do. Three months would be the absolute minimum amount of time that most surgeons would wait prior to performing a revision blepharoplasty. Other surgeons would wait 6-12 months. You could consider allowing your incisions to heal for a few more months prior to undergoing another procedure. Furthermore, the milia can be removed (or "un-roofed") under local or topical anesthesia in the office, without surgery. Thanks again for sharing your concerns and good luck.Dr. Harmych

Steroid injections for eyelid scars? I do not like these for eyelids since they often cause a depression with fast loss. See if your surgeon can just excise this.

Steroid injections are frequently used to help improve scars.  In the eyelid it is especially important to use a low dose steroid to avoid a hollowing in the area due to atrophy.  Also the skin is very thin and a high dose steroid can sometimes be seen as a white deposit under the skin.   

We often use kenalog (steroid) injections post operatively to decrease excess inflammation, but it can come at a cost, especially in your face. If by "problems using steroid injections" you mean systemic (whole health) issues, I would not worry about that. However, steroid injections, can cause an atrophy of the surrounding fat and very occasionally a bleaching of skin at the injection site. These are not always reversible and we end up having to chase our tails to fill in the indentations caused by steroid injections. My practice with knots of scar around the eyelids is to wait and aggressive massage. They always go away with time.