Visible Scars from Lower Blepharoplasty?

Hello! Thank you for the question! For the lower lid blepharoplasty, the incisions may be made on the skin or on the conjunctive in the inside. It depends on what you need done. If extra skin is required to be removed, there is no other way to do this but excise the skin, leaving an incision just beneath your lashes. The transcontinental approach is limited to remove or repositioning fat in the lower eyelid/orbit. Regardless, blepharoplasty incisions are virtually imperceptible, butonce fully healed. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Hope that this helps! Best wishes!

The lower lid rejuvenation process can be addressed by a trans-cutaneous approach, which is the route that places the incision just beneath the lashes. The other route is the transconjunctival approach which simply removes the fat from the inside of the lower lid with out any visible skin incisions. The transcunjunctival is not for every one and most times requires some level of skin tightening. This can be in the form of laser skin tightening or just a pinch excision. In general the incision under the eyelashes should be a fine one with a nearly invisible characteristics.

I had a lower (and upper) eye lid blepharoplasty 26 years ago and it was one of the best things I ever did, other than marry my wife. While there is a scar on my lower lids, as I had the outside incision, you are welcome to see for yourself that it is not visible.

The incision behind the eyelid has become popular and can be done in the majority of cases where puffiness is the primary problem. External skin tightening can be achieved with topical treatments instead of skin excision. Obviously you need to be seen in consultation and your surgeon will advise you as to the best way your particular situation can be addressed.