9 months post eyelid surgery - why are my scars so thick and visible and what can be done to improve their appearance? (photos)

Question

I had upper blepharoplasty 9 months ago. Immediately after surgery I noted several bumps on the left side, near eye corner. I was told they will resolve on their own. They never did, and my both scars are very thick, raised and white. It’s been 9 months and my surgeon has ghosted me. I would like to ask why my scars are so thick and visible, and is there anything to be done to improve them? I think the surgeon cut too much. I feel the eyelids are tight and find it hard to look to my sides.

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

Mark McRae, MD · Answer

the right side appears to be maturing, I expect that to continue to improve.Scar massage, and careful to avoid UV light on the scar. You could consider a small steroid injection but based on this photo I would probably avoid that still. I think this scar is likely not very perceptible to others. 
The left side scar however does appear that there may have been a healing issue- maybe tension, infection, or sutures removed a little too early. Regardless of the cause this scar will likely benefit from revision of the medial 1/3 where there is a topographic change that is visible. Usually I recommend waiting 1 year before scar revision but you are probably ok to proceed any time now. I would reach out to your surgeon again and try to see them again to see if he / she agrees with any of this advice.

9 months post eyelid surgery - why are my scars so thick and visible and what can be done to improve their appearance? (photos)

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9 months post eyelid surgery - why are my scars so thick and visible and what can be done to improve their appearance? (photos)

Answers (2)

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Everything you need to know about Eyelid Surgery

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