Eyelid Surgery Scarring - Would scar tissue removal be the best option? (photo)

Question

I had undergone 2 ptosis surgeries. First in 2018 which healed perfectly, I had gotten it redone as the initial crease was too low. Second was done in 2020. Though the crease was perfect this time, scar tissue developed. Some days it would flare up and get swollen as if I had an allergic reaction and other days not too bad. What would be the best option?

Anna Chacon, MD, FAAD · Answer

When dealing with scar tissue after eyelid surgery, there are several treatment options to consider. The best approach depends on the specific characteristics of your scar and how it affects you. Here are some potential treatments:

Scar Revision Surgery: This involves surgically removing the scar tissue and re-closing the incision to potentially improve the appearance. However, it's important to weigh the risks, as any surgery can potentially lead to more scarring.

Laser Therapy: Laser treatments can help reduce the appearance of scar tissue by resurfacing the skin and promoting collagen remodeling.

Steroid Injections: These can help reduce inflammation and flatten raised scar tissue. They are often used for hypertrophic or keloid scars.

Topical Treatments: Silicone gels or sheets can be applied to the scar to help soften and flatten it over time.

Microneedling: This procedure can improve the texture of scar tissue by promoting collagen production and skin remodeling.

Consultation with a Dermatologist or Plastic Surgeon: Before proceeding with any treatment, it's crucial to consult with a specialist who can evaluate your specific situation and recommend the most appropriate treatment plan based on your individual needs and desired outcomes.

It's important to discuss your symptoms, such as swelling and flare-ups, with your physician to determine the underlying cause and ensure the chosen treatment is safe and effective for your condition.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Eyelid Surgery Scarring - Would scar tissue removal be the best option? (photo)

Answers (2)

Recommended reading

Everything you need to know about Scar Removal

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

Eyelid Surgery Scarring - Would scar tissue removal be the best option? (photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Scar Removal

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