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

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