Uneven upper blepharoplasty and visible scars. (photos)

Question

Did my surgeon compeletely ruined my eyes??? Can I get it fixed? The scars are bad and the eye shape is not even. I'm devasted.

Benjamin Caughlin, MD, FACS · Answer

The eye lids heal extremely well with time. You could always see a surgeon to consider fractional laser treatments but I would give it at least 6 months. I suspect you will be happy once things settle. I recommend sun protection and topical moisturizer. Hope this helps,Best of luck,DrC

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. When did you receive the surgery? I ask because you may still be in the recovery mode. In addition, at the 3-4 month post op mark, ablative lasers and chemical peels can be used to improve your appearance and touch-up the areas treated during surgery. Always consult with a board certified facial plastic surgeon.
Best wishes,

Mehryar (Ray) Taban, MD, FACS · Answer

Discuss with your surgeon and/or see an oculoplastic specialist for evaluation. There are nonsurgical and surgical treatments possible.

John Michael Thomassen, MD · Answer

These scars can sometimes become a bit hypertrophic.  The can also sometimes be a bit uneven.  If you have waited enough time (about 6 months) and this persists, you can undergo a scar revision to improve the scars and their asymmetry.

Lesley A. Rabach, MD · Answer

Thank you for your question and your photos. Typically, upper blepharoplasty incisions are hidden in the crease of the upper eyelid however, sometimes they are extended laterally in cases where there is significant excess skin. In addition, in the immediate post-operative period, skin closest to the eyelashes may appear red - I do not know how long you have been recovering from your upper blepharoplasty, but if it has been less than 6 months, the redness should typically go away. If it doesn't, I would recommend seeing your facial plastic surgeon to see if laser treatment can assist in relieving some of the red appearance. I hope this helps and best of luck!

Sara A. Kaltreider, MD (retired) · Answer

This can be revised at some point by re-establishing a proper lid crease. The incisions are higher than the typical placement and you are seeing a contrast between the thin skin of the eyelid, and the thicker skin below the brow. Please see an oculoplastic surgeon who is familiar with fixation of the lid crease (or "anchor blepharoplasty"). Best wishes.

Uneven upper blepharoplasty and visible scars. (photos)

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