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Although keloid formation would be unusual in the eyelids, if there is a personal or family history of keloid scarring, caution would be advised. That being said, I would like to raise a related consideration, namely the possibilty of sidestepping surgery altogether via the use of nonsurgical periorbital rejuvenation techniques. When we speak of rejuvenating the eye unit, we are talking about all the aesthetically important areas that surround the eyes, namely the upper and lower lids (including the upper cheek region immediately below the lower lids); the brows; the periorbital area to the sides of the eyes; and glabella area between the eyebrows. Today, happily, each of these regions may be improved nonsurgically (i.e. without cutting, stitches or prolonged healing and downtime. In this case, the problems appear to be heaviness of the brow region and flattening of the upper inner cheek and under eye regions and the development of tear troughs.I can only make some general comments about eye unit rejuvenation goals that can be achieved nonsurgically. For example, a few microdroplets of Botox or other neuromodulator (such as Dysport or Xeomin) placed in the glabella area would help to not only lift, but reposition the slight downturning seen there. Prominent flattening of the upper inner cheek areas can be improved significantly with the use of a volumizing filler, such as Juvederm UltraPlus XC (which will likely also have the secondary benefit of improving the regions directly below the eyes. The tear troughs and hollows of the lower eyelid can be addressed with injectable fillers--my preference here being Belotero Balance, since it is unlikely to give rise to the bluish discoloration, known as the Tyndall Effect, sometimes seen with other hyaluronic acid fillers when injected superficially or within the very delicate tissues around the eyes. Consultation with a board certified aesthetic core physician with extensive experience in nonsurgical eye rejuvenation techniques would be strongly advised so that a specific treatment plan can be formulated.
I have never seen this happen. Keloids are more common in people with darker pigmentation. They also tend to occur on the chest, back, extremities and earlobes. The can occur in other areas of the face but I've seen these most often on the jawline. The bottom line is that keloids on the eyelids after cosmetic surgery are very common. You would also have very close followup with a plastic surgeon who would be able to treat you if your scarring was excessive. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
The skin of the lids is extremely thin. Most scars heal so well that they are difficult to see. Occasionally someone will form a hypertrophic scar. This is different from a keloid in that it doesn't get wide - it just gets firm and raised. If this occurs, the scar can be injected with steroid and should flatten. I have never seen a true keloid in an eyelid.
Without knowing more about your medical history, it is difficult to tell you if you might develop keloid scars after eyelid surgery. In general, it is very unusual to develop keloid scars on the eyelids though.
Helloand thank you for your question.Thereis no way to predict such a thing. However if you are prone to keloids, facialplastic Surgey procedures need to be given special consideration. I recommend that you see a board certifiedplastic surgeon in consultation to get more specific answers to your questionswhich can best be addressed after a thorough history and examination isperformed.Best of luck to you!
is beyond rare... and I also have never seen one in my 20+ year career nor have run across such a scar from an unhappy patient from elsewhere. It simply does not happen on lids, but then no one can guarantee you that it will never happen.
In our practice, we have never seen a keloid from eyelid surgery in over 25 years. Keloids are most common dark skin individuals and they commonly occur on the thick skin in the trunk and back more frequently than in the thin eyelid skin. A trans-conjunctival approach with fat removal from the inside of the lower lids will completely alleviate any worries about keloids in the lower lids.
I have performed upper and lower lid blepharoplasty for over 20 years and have never seen a hypertrophic scar or keloid on the upper or lower eyelid after blepharoplasty surgery. This surgery is outpatient surgery and takes about one hour to perform.In my NJ practice, the total cost of this surgery is $4100 which includes the board certified professional fee, b/c anesthesia fee, and medicare approved surgicenter fee. Consult with a Board Certified PlasticSurgeon.