Should I see ophthalmologist or oculoplastic? Will micro-needling help with a white scar? (Photos)

Question

I’m in 30s, I had upper bleph 1yr ago. 6m post-op I developed dry eye (right around when I saw white scar appearing), sensitivity to light, discomfort, pinching pain. Never had issues with dry eyes, not wearing glasses/contacts. I went back to my surgeon but he said I’m healing slow - should I get 2nd opinion? Further, seems like there is hollowness in the inner upper corners. Would fillers help, and will they tighten the skin even more (I don’t have much left)? What about white scar, any recommendations?

Kenneth D. Steinsapir, MD · Answer

I am not sure it is even worse the discomfort of the service. This is a white scar because your surgeon made the incision very high in the thicker brow skin, The scar is clean (but white). I am not sure revisioning this scar will get it to be any less conspicuous. It is not visible with your eyes open. I think it will be challenging to make this incision that is only visible with your eyes close, less conspicuous. Be careful what you chase after. Well meaning cosmetic surgeons can cause harm.

Zoran Potparic, MD · Answer

It is impossible to control color of the upper eyelid scar; sometimes it becomes dark pigmented, sometimes it turns white like yours; usually it is barely visible. It could have been placed a bit lower, but altogether you should live with what you have; it is well hidden. It is unlikely that upper blepharoplasty created dry eyes, more frequently mild dry eye symptoms become more obvious after eyelid surgery. Management with eye drops helps. Small amount of filler or fat graft may correct medial hollowness but it should be done by an expert. Good luck.

John J. Martin, Jr., MD · Answer

Some people will lose the pigment in a scar as it heals.  This occurs more commonly where there is some tension on the wound or if it separates a little.  Even when it heals fine, after several months some people will lose the pigment.  There is nothing that can bring the pigment back.  You can try re-excising the scar, but there is a good chance the same thing may occur.  You can't see it with the eyes open, so best to leave it alone.For the hollowing, you could try some hyaluronic acid gel.

Tanveer Janjua, MD · Answer

The best option would be to do gentle treatments like microneedling and strictly avoid sun exposure. The laser Resurfx can be used as well but has to be done with protecting the globe and cornea. Try using GHK-Cu peptide cream of high quality on regular basis. As a last resort you can get a matching skin color tattooed over the scar to blend it better. RegardsDr. J

Should I see ophthalmologist or oculoplastic? Will micro-needling help with a white scar? (Photos)

Answers (4)

Answer: Upper Eyelid scar post bleph

Answer: Upper Eyelid scar post bleph

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Everything you need to know about Eyelid Surgery

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Should I see ophthalmologist or oculoplastic? Will micro-needling help with a white scar? (Photos)

Answers (4)

Answer: Upper Eyelid scar post bleph

Answer: Upper Eyelid scar post bleph

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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.