Will scarring fade 2 years after I've had double eyelid surgery? (Photo)

Question

I underwent full incisional double eyelid surgery in March 2020. Before the surgery, I had multiple folds which often made blinking difficult/feel heavy. I told my surgeon that I didn't want my crease to be any higher or lower. I wanted the procedure for functional purposes. It has now been almost two years post op and while I am able to blink much easily, there is still a deep, unnatural scar near the corners of my eyes and it's still a bit swollen in that area. What can I do to fix this?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

​Unfortunately, it's difficult to determine the best solution for you without the benefit of an in-person formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case.  start eye rolling and AERIFY (see link).

1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 
2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 
3. Microneedling/PRP 
4. Silicone-based scar gels with growth factors 
5. Excision/revision surgery

See an expert to develop a treatment plan that works for you. Best, Dr. Emer​

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