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.

Every doctor does things slightly differently.

We do not do the pinch blepharoplasty in any patient because we believe it changes lower eyelid position.  Rather, we would perform a cheek lift to create an upward force to counteract the downward force of tissue being resected.

In your case, you are best off allowing the healing to take place completely, then assess to see if the result and incision placement are satisfactory to you.

If you decide you would want the incision placed higher and closer to the eyelash line, this will be a complex undertaking requiring a cheek lift, which is a technically difficult.  However you would get additional rejuvenation of the eye cheek region.

Incision line for skin pinch lower blepharoplasty needs to be just below the lower eyelid lash line. It appears your incision deveates from that. Scar revision may be possible. Need proper evaluation. See an oculoplastic surgeon.

Thank you for your inquiry and for sending photos. The best
thing is to return to your plastic surgeon and discuss your concerns with
him/her. I can tell you in my practice, the lower eyelid incision is placed
just below the lash line (higher than your incision). I also remove eyelid
sutures at 5-7 days and close the incision a bit differently. You should
contact their office to have your sutures removed or at least get a post-op apt
so you can speak with your surgeon and discuss the procedure in more detail.
Eyelid incisions heal quite well and your scar may disappear into a wrinkle
which will make it difficult to see. I also don’t have your pre-op photos so
your surgeon may have changed the incision placement based on something none of
us on Real Self would know without knowing your history and what your lower
eyelids looked like prior. Best of luck to you.

The skin pinch should finish just under the eye lashes.  Your surgeon did not do that and they should have.  While this looks extremely visible right now, you do have the type of skin that often heals with almost no sign of a scar in this location.  It is okay to give the surgeon a piece of your mind. Aggressive use of ointment and good wound care can help the healing process.  Follow your surgeons guidance.  Revising this can be very challenging because the incision has been made so low, there is unlikely to be enough skin to raise the scars up to position them just below the eye lashes.

Hello.

Certainly your incisions are not the most commonly performed with cosmetic lower lid surgery.

Typical incisions would be placed directly below the eyelashes ( where eyeliner would be placed)...

Fortunately for you, the lower lid skin heals tremendously well.

You should obviously discuss your concerns with your surgeon.

Best of luck to you!

Dr Terry Higgins 

Thank you for reaching out and posting photos. Although these incision are not in the traditional spot, they are lower than where the incision should be placed. The lower eyelid skin is very forgiving, most likely with time the scar will fade and be much less visible. Best of luck. Dr. Kachenmeister

Thank you for your question. Lower lid skin incisions are typically placed just below the lashes "aka subciliary". In some cases, the incision can be concealed within an existing line if one is present preoperatively. I would discuss the decision to place the incisions where they are with your surgeon. Rest assured that regardless of the location of the scar, it will improve and become less visible over time. Good luck!