Lower Eyelid Bleph Incision
It is extremely early in the post-operative phase and I would not be concerned at this point. It may take a few months to settle down and flatten, but please give it more time. For only being one week post-op I think you are doing fine.
The blepharoplasty incision at one week after surgery may appear wrinkled or irregular. A gentle massage using Q-tip and a moisturizer in that area along with using warm compresses will make a big difference over the next few weeks.
This is likely transient. This type of issue seldom persists. I suspect it will be much better in a week. If any of it persists, it may need a revision and generally this would be considered a minor procedure that is typically done in an office procedure room.
You do have some bunching of the scar secondary to the type of closure done. This should smooth out with time. So light massage will also help. I would not use makeup as it can get caught in the small holes and will be hard to remove.
Lower lid blepharoplasty with muscle bunching
The patient is one week following a lower lid transcutaneous blepharoplasty. There is some bunching of the skin muscle in the lateral portion of the incision. Because of the swelling and healing after one week it is much too early to be concerned about this. It is likely that this will resolve without any concern. In fact, sometimes this bunching is caused by extra sutures that support of the lower lid structures which help prevent dry eyes and scleral show. I encourage the patient to stick with her plastic surgeon and anticipate that this will resolve.
Reaction to sutures such as this are quite common. Your body will heal this and the incisions will smooth out on their own. I usually tell patients to avoid common scar treatments such as vitamin E or mederma as the thin lid skin is sensitive and can become more inflamed. You should start to see improvement over time but it may take weeks to a few months. Hang in there!
Will my lower eyelids improve?
Thanks for posting your question - Normally this sort of effect will settle over a couple of weeks. Some gently massage to the area may help, but I would only suggest doing this after consultation with your plastic surgeon.
Overall it appears that you will have a very nice result when this settles.
The crimping and irritation from the sutures can take some time such as a week or two, sometimes longer to settle down.
This is nothing to worry about. I would recommend waiting a week before starting massage since you are only a week out from surgery. More than likely, the irregularities will resolve over the next few weeks.
Andrew Campbell, M.D.
Facial Plastic Specialist
Quintessa Aesthetic Centers
It is too early in the healing process to determine how the final scar will be. Give it time. Best of luck.