Keloid scar formed after upper blepharoplasty. What's my best option? (Photo)

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment.
Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Sorry to hear you are having difficulty after blepharoplasty.  You may want to consider off-label injections of small amounts of 5 FU.  This is a medicine that is gaining popularity for wound modulation.  Historically it has been used for glaucoma surgeries and is a chemotherapy agent.  Consult with someone who has experience with using this medication.  Good luck. 

Scarring is a very challenging problem, especially in Asian skin. Even in the best of hands, this can occur. My advice is to encourage you to understand that this will take time and a few additional treatments to the scar itself. Your surgeon may use a combination of kenalog, 5FU, and laser. All these have been shown to improve the type of scar thickening that you have. Be patient, and you will enjoy a great result. I wish you the best.

Thanks for sharing your concerns.  You are early in your healing process, and it sounds like you just had a steroid injection.  Eyelid incisions usually heal very well, although some require steroid or 5FU injections to calm down the scar formation if you are prone to keloids.  Lasers help too - although rarely are needed.  I would continue to follow up regularly with your surgeon and be patient.  Until at least 3 months after surgery, you cannot tell what the final scar result will be.  Good luck.

This should be monitored very closely as you want to avoid webbing that can be caused by scarring in the epicanthal fold.  The most common way to prevent any issues is serial injections of 5fluorouracil (50mg/cc) directly into the lesion every 1-2 weeks.  Once abated you can think about using a laser to remove redness of a hypertrophic scar but it's too early to evaluate the need for that. If the 5FU doesn't show improvement you can always mix in a little triamcinolone with it but better to avoid the steroid unless needed to avoid atrophy surrounding the scar