I have scar tissue following chalazion removal. What are the options?

You can ask your ophthalmologist is he/she would consider a steroid injection into the residual scar tissue.  This is often very successful in shrinking an residual scar tissue after a procedure.

You should develop some scar tissue after the chalazion removal.  Usually this will go away with time, but you can also use some warm towels and massage over the area.  If it stays firm, you can ask about a steroid injection.  You would only need a small amount of steroid for this, which should not depigment your skin.

Find an oculoplastic surgeon who is comfortable with kenalog injections.  Hypopigmentation is a risk but by concentrating small volumes of medication in the substance of the chalazia it is possible to melt the chalazia with very few side effects.  In the past 20 years, I am not sure I have had to operate on more than a couple of chalazia because uniformly they respond very well to kenalog.

Hello! Thank you for posting your question! Scar tissues from eyelid surgeries like chalazion removal can be resolved in a couple of ways. Although some scars may resolve on their own, others are just permanent so to either fix that you can go through surgery, where the scar tissue is directly removed from the eyelid or undergo Kenalog injection. Kenalog can even be boosted by massaging a topical steroid on the affected area. I would highly recommend you to discuss about this more with your board certified plastic surgeon so that he or she can do proper evaluation on the scarred tissue as well as provide you with possible options that can resolve the issue better. Make sure to deal with a plastic surgeon who has experience in with Kenalog injections to reduce the occurrence of after effects, if any.

For patients with darker skin, a mix with 5-FU and a small amount of Kenalog, or even just 5-FU, could help. Surgical removal of scar tissue or the abnormal area of the eyelid would also be an option. I would suggest seeing an oculoplastic surgeon for weighing the best options.

Kenalog injection or 5fu injections might be helpful to reduce scar tissue   Sometimes massage with a topical steroid in indicated.  Ask your doctor.  If there is a depression, sometime filler can be used.