Will these extended upper eyelid scars always be noticeable? (photos)

Question

I had upper eyelid surgery to treat my hooded eyes 10 days ago. During the consultation I was told that the incision would only be in the crease of my eyelid and to the end of my eye. After surgery I was shocked to find that the lenght of the incision was much longer than the surgeon originally advised. Is this normal for it to be this long and will this type of scar disappear? Is there anything I can do to speed up the healing process? Thank you

John J. Martin, Jr., MD · Answer

The scars may be a little longer than usual.  But they always go beyond the corner of the eye.  If you had a fair amount of skin laterally they may have continued out there to remove it.  The good news is that this skin heals very nicely and you will rarely see a scar.  If you do get a scar it can be improved with some laser.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Katrinka L. Heher, MD · Answer

In order to remove extra skin on the outside of the lid the incision must extend into a smile line. In my experience these scars heal invisibly. I believe they heal better than the incisions on the inside of the lid as there is no tension with blinking.  The body has great power to heal and the best approach for you is to do nothing and be patient. Best of luck.

Will these extended upper eyelid scars always be noticeable? (photos)

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Will these extended upper eyelid scars always be noticeable? (photos)

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Everything you need to know about Eyelid Surgery

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