How Well Does Scar Tissue on Upper Eyelid Heal?

How well do scars on upper eyelids heal. I also dislike the idea that scar tissue grows inside (fibrosis) so how well does the scar inside the eyelid tissue layers heal, considering blood flow is good inside the eyelid. Also, I heard sometimes sutures are used in Asian eyelid surgery; are they permanent inside the eyelid? Doesn't that cause a body reaction?

Doctor Answers 7

Eyelid Scars Are Practically Invisible

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

When performing eyelid surgery, a board-certified facial plastic surgeon will make the incision inside the crease of the eyelid and suture underneath the lid, where the stitches cannot be seen. It is also fortunate that the skin on the eyelid is very thin and heals so well that the scars will be virtually invisible. Massaging the scar, once it's healed, can help break down the collagen and make it blend into surrounding skin faster.

Scarring After Blepharoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It's important to understand that all incisions heal with some scarring, but the eyelid skin is thin and has unique qualities that tend to minimize scarring. In the immediate post-operative period, eyelid incisions tend to be red and raised. These scars tend to respond nicely to massage and avoidance of sun exposure. In the vast majority of patients, these scars heal nicely and are almost imperceptible.

Occasionally internal sutures are used for structural purposes. These sutures are always absorbable sutures that dissolve with the passage of time. In the majority of cases, these sutures can't be felt and the internal scar softens with time. If you're concerned about scarring, it's important to discuss this issue with your plastic surgeon prior to surgery.

Healing of eyelid surgery is from "scar" tissue

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In adults, the only way the body "heals" a cut that is "full-thickness", (through all the layers), is the collagen known as "scar tissue", so this is really a good thing - if it did not form, the wounds would not close. When eyelid surgery is done well, the incisions heal as very thin lines that are almost imperceptible. The sutures are removed in the immediate post-op period, or if they are "internal", absorb over time. Pick a Plastic or Oculoplastic Surgeon.

Debra Irizarry, MD
Crestone Plastic Surgeon

Eyelids heal very well.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

As a rule the skin of the eyelids heals very well with a nearly imperceptible scar.  The sutures, which are all run under the skin are removed in 4 -5 days.  The scarring which occurs under the surface of the skin will mature, as all scars do and not be visible nor able to be felt.  Any sutures used in the deeper tissues of the eyelids are dissolvable.

Upper eyelids heal well

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The eyelid skin is the thinnest skin on the body and heals very quickly. Upper eyelid scars are almost imperceptible. The sutures used inside are almost always dis-solvable and the internal scarring is often not able to be felt.

James M. Kurley, MD
Champaign Plastic Surgeon
4.8 out of 5 stars 39 reviews

Eyelid Skin Incisions, Scarring Should Resolve Over Time

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi Rose,

Eyelid skin incisions heal extremely well and there should be no problems with the sutures used in Asian eyelid surgery. Any early scar tissue usually resolves over time. Choose your eyelid surgeon most carefully.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Upper Eyelid Healing

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In general, the eyelids heal quite well after surgery. After typical blepharoplasty, initial healing of the incisions take a week whereas ultimate swelling may normalize within 4-6 weeks. You also mention asian blepharoplasty in which a double lid crease is formed. Some techniques use permanent sutures whereas other techniques use planned scars to form the new eyelid crease. Permanent sutures are usually of inert materials but rarely can cause foreign body reactions.

Carlo Rob Bernardino, MD
Monterey Oculoplastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.