Will my Son's Scar on His Eye Crease Go Away? (photo)

Question

Hi. My 2 yr.old had frontalis sling surgery for his ptosis last year. He got revision surgery 6 weeks ago to lift his lid and repair his double eye crease. The lid lift is pretty good but his eye crease seems worse. His scar is puffy and crooked. Will it heal nicely? What can be done to make it better? Would Mederma work or another surgery..etc? Thank you for any advice/opinions you have.

Kenneth D. Steinsapir, MD · Answer

It is difficult to use silicone gel on the eyelid crease.  It is also probably completely unnecessary.  This will get much better on its own with time.  Feeling compelled to do something with just make him fuss and unhappy.  This would be worthwhile if it was actually accomplishing something but since this looks great and it is only 6 weeks out from surgery, I would recommend not pestering the area.  Remember pulling and manipulating this area can cause the suspension sutures to tear which will mess with the effectiveness of the surgery.

Greg Chernoff, MD · Answer

For this early after surgery, the scars look as they should. It is normal for good parents to have the concerns  you are expressing. share them with your doctor. These should heal very well. It can take at least six months. I would use the topical gels, as they are easy to use, not painful, and you will feel better doing something that can help.

Edwin F. Williams, III, MD · Answer

After multiple surgeries, it is understandable that you are anxious to have your child's healing go as smoothly as possible. At six weeks, it would be very normal to see some mild red color and swelling still in the incision. During the first one to three months, the body is laying down new collagen and other cells to heal. You should expect the redness and puffiness to dissipate between three and six months after the incision. Scar gels can do a great job at accelerating the healing process, and also remember to utilize sunscreen. We recommend a product with SPF greater than 30 to ensure the incision does not absorb too much sunlight.

A.J. Amadi, MD · Answer

This is completely reasonable scar for this early after surgery. Though scar creams can be helpful, around the eyelids it is rarely used because of how well it the scars eventually fade and flatten out.

	At this time, less manipulation would be best. Be patient [this is hard for a parent].

Lawrence Kass, MD · Answer

thank you for your question.  Mederma (and other scar creams) is never a bad idea.  I recommend that you massage it into the scar twice daily for at least 5 minutes (perhaps while he is asleep?) and continue for six months or so.  One can always consider scar revision in a few years, but I'd wait until shortly before he starts school.  Please remember that the alternative to the ptosis repair was probably permanent loss of sight in that eye (amblyopia).

Will my Son's Scar on His Eye Crease Go Away? (photo)

Answers (6)

Answer: Scar improvement.

Answer: Scar improvement.

Answer: Scar after frontalis sling surgery

Answer: Scar after frontalis sling surgery

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Will my Son's Scar on His Eye Crease Go Away? (photo)

Answers (6)

Answer: Scar improvement.

Answer: Scar improvement.

Answer: Scar after frontalis sling surgery

Answer: Scar after frontalis sling surgery

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.