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

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

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.