Should Blepharoplasty Scars Be Less Evident by Now?

This is a good question.
Whenever you have a wound or incision, the healing scar must mature, which involves multiple phases of collagen transformation. At six weeks, the collagen is the thickest and then over several weeks flattens. At the same time, the overlying epidermis of the skin turns red or pink and then over several weeks returns to your normal skin color. However, incisions may still be distinguishable depending on factors which you really can't control - genetics, infection, etc. However, blepharoplasty incisions tend to heal very well. The best way to help your incisions is to leave them alone and allow the healing process to occur. Many ointments and lotions cause irritation, especially with continued use. Another important factor for healing incisions is to protect them from the sun with SPF lotion or, as in the case with blepharoplasty, wearing sunglasses.
I hope this was helpful.
David Shafer, MD
NYC

Be patient for the scars to improve. Visible marks where the incision sites were at 5 weeks is quite normal. It can take up to a year for the scar to form what its final appearance will look like. Usually it barely perceptible. Make sure to wear sunglasses so that the scar does not become pigmented. 

Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Hope that this helps! Best wishes!

Blepharoplasty scars can be prominent at five weeks. This can be very individual and your genetics play a role but it is not that unusual. I find that it takes about 3 1/2 months for scars to fully settle down for most. Do remember, although they may appear very prominent to you, others may not be able to notice your scars unless you point them out. If it is your second surgery as you indicated, pre-existing scar tissue may trap a bit of swelling longer than someone undergoing a primary blepharoplasty and it may take longer for your scars to settle.

All scars actually get a bit worse before they get better, and you are at the time when they are typically the reddish.  This will improve with time, but you should check with your surgeon to make sure things are healing properly.

Blepharoplasty scars can be improved using laser, scar creams, and gentle massage. Most will resolve quite well after surgery. Raffy Karamanoukian Los Angeles