I have thick ropiness underneath the skin after blepharoplasty, what can I do? (Photos)

Question

I had upper and lower blepharoplasty 18 days ago. Underneath the upper eyelid scars is a very thick rope. It is not above the skin. It is causing a visual ridge. It is continuing to get thicker despite massaging. In one large area it is easily a quarter of an inch thick. It is somewhat painful when touched. What is the best treatment for this ropiness?

David S. Felder, MD · Answer

It appears as though you are healing normally at this point in time. It is not unusual to have a bit of thickening of the incisions a few weeks after blepharoplasty. This should begin to regress in a few weeks and should be fine in a few months.

Philip S. Schoenfeld, MD, FACS · Answer

Fro the photos that you have provided it appears that you are healing well.  The thickening that you are palpating underneath the upper eyelid scar is likely the orbicularis muscle.  It is extremely rare to get any kind of hypertrophic scarring from an upper eyelid blepharoplasty and the fullness you are experiencing should soften and dissipate over time.

Joelle Rogal, MD · Answer

It appears from your photos that you are healing well.  Your symptoms appear to be typical of someone only 18 days postop from a blepharoplasty.  It is important to be patient during this time, as healing can take some time.  That being said, it is important to follow up with your surgeon regularly and discuss your concerns.

Janet Woodyard, MD · Answer

It is not unusual for scars to thicken over the 1st several weeks after surgery. You should speak with your surgeon. I doubt that he or she would want you massaging this early in your post operative course. You could cause further problems. Scars will get thinner and lighten as the scar maturation process takes place. Speak with your physician.

John J. Martin, Jr., MD · Answer

From these pictures you seem to be healing well.  It is not uncommon to have some firmness to the scar at first, especially if there are any buried sutures.  If it remains firm, your surgeon can inject the scar with some mild steroid which will soften and usually eliminate the scar.  Some silicone cream can also help.

I have thick ropiness underneath the skin after blepharoplasty, what can I do? (Photos)

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Answer: Have thick ropiness underneath the skin after blepharoplasty, what can I do? (

Answer: Have thick ropiness underneath the skin after blepharoplasty, what can I do? (

Answer: Post upper lid bleph

Answer: Post upper lid bleph

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I have thick ropiness underneath the skin after blepharoplasty, what can I do? (Photos)

Answers (8)

Answer: Have thick ropiness underneath the skin after blepharoplasty, what can I do? (

Answer: Have thick ropiness underneath the skin after blepharoplasty, what can I do? (

Answer: Post upper lid bleph

Answer: Post upper lid bleph

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Everything you need to know about Eyelid Surgery

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