Visible upper blepharoplasty scars, 2 years post op! Help! What treatment should I go for? (Photo)

Question

Hello. am left with upper blepha scars i had 2 years ago; high, red, visible and atrophic.Had several treatments in the past 2 years ( first revision no improvement , injection of hylarionic acid, Plexr and two sessions of erbium laser but cannot see any improvement). One dr asked me to stop the laser as it will only make the scars red,so i did. He suggested carboxytherapy and vascular laser & another dr. suggested phenol peeling of the eyelid? I am lost. What treatment shall i go for ? thnx

Kenneth D. Steinsapir, MD · Answer

The scar needs to be revised.  The incision was not well designed.  It never needed to be like this and should have been hidden in the upper eyelid crease.  Naturally, you need to actually need to find someone who actually knows what they are doing.

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

Susan D. Vasko, MD, FACS · Answer

Thank you for your question. Your Upper Blepharoplasty scars seem very high side on the lateral (outer) edges of your eyes. Normally, the incisions are planned and placed to be hidden in the natural eye crease - which is much lower to the lash line. Since you are now two years post-op, a scar revision may be an appropriate solution to your concern. Please be certain to schedule a consultation with a board-certified plastic surgeon - and ask to review before and after Upper Blepharoplasty photos of her / his work.

Chase Lay, MD · Answer

Probably one of the better things you could do at this time would give your tissue some time to rest. These types of scars for eyelid surgery are interesting because they do not come up very often. I have noticed some scars like this in patients to have very soft elastic skin. They're the types of patients to be very young and have procedures such as breast augmentation with implants and in their early 20s within a few years they notice they feel like they need a breast lift because of sagging of the breast. Patients were extremely flexible or have skin that naturally stretches are susceptible to this kind of scarring.All that being said, I would allow your skin and tissue to rest and simply hide it with makeup. At most you might want to try some platelet rich plasma injections to maybe improve the color. But giving your tissue time to rest and go untreated might be best.Chase Lay MD

Adam Goodwin, MBBS, FRCS(Plast) · Answer

so you do have slightly widening scars laterally. if you are 2 years since surgery then for me, a small revision of the lateral scar will help the appearance. Remember however that you will be back to day one in terms of scar progression and will have a few weeks or months when the scars will have to settle down again. Hope that helps, Adam Goodwin

Visible upper blepharoplasty scars, 2 years post op! Help! What treatment should I go for? (Photo)

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