Where is incision line for lower lid "pinch" blepharoplasty supposed to be? Mine not where I was told they would be. (photo)

Hi Desermist,Thank you for your questions and excellent photos. Your scars are certainly not where over 90% of plastic surgeons would place them. They are usually below the eyelashes (below the greyline) typically where permanent make up is located on the lower eyelid. The only time I've seen this kind of incision is for reconstructive purposes and for surgeons that have not been trained properly to conceal the scar in a more hidden location. Most of the time, the reason this incision is placed where it is is based on simple convenience and ease of closing the incision. There is always a concern about ectropion or where the lower eyelid hangs lower than it should be because the supporting structures where more relaxed than the skin scar. There will certainly be a scar in the future based on your current scar, but rest assured that typically it blends away into a typical wrinkle. It will take some time before the scar redness fades away. Discuss your concerns with your plastic surgeon.Good Luck!All the best,Carlos Mata MD, MBA, FACSBoard Certified Plastic Surgeon

Thank you for sharing. A "pinch" blepharoplasty is usually much closer to the eye lashes. Speak to your surgeon about your specific case. Allow for time to heal and for the sutures to come out. Best wishes

This scar is lower than most of us would place it, but I have seen other surgeons who do it this way.  The norm is to put it directly below the lash line in the small crease that is there so that you don't see it.  The lower lid usually heals very well so you should see very little scar here once it is healed.