Will the Scar Gone After 3 Point Eyelid Surgery? (photo)

Question

Question1: I had my double eyelid surgery done 2.5 weeks ago. It was latest Korean 3point method which claims to be scarless. But it seems to have a very obvious 3 holes on my upper eyelid and it's dark in Colour as well. What should I do to heal the scars completely? I'm using silicon gel after the stitches are removed, but it shows no progress of healing. Then I tried to apply rose hip oil instead. Which is better for healing?plus when will my eyelid swelling completely gone? My lid are thick

Donald B. Yoo, MD, FACS · Answer

Anytime an incision is made in the skin, whether it is 3 small "points" or a single, longer incision, a scar will remain. In both instances, when the scar is well-designed and executed, they will heal in nearly hidden fashion in the upper eyelid crease. You are doing the right thing by using silicone gel. In addition you should protect the fresh incisions with SPF 30 or greater and avoid sun exposure. Using 4% or 8% hydroquinone will also help to lighten the scars more quickly.

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

A.J. Amadi, MD · Answer

At only 2.5 weeks out from surgery, it is entirely to soon to worry about your scars. Firstly, this is not "scarless" surgery. No incision can be made without a scar, but your scars will fade very well and will be hidden in your crease.

	The Asian eyelid is thicker and takes longer for swelling to settle, so you should really be patient. By 3 months, most of the swelling will have settled, but the scar will continue to improve up to a year out from surgery.

Kenneth D. Steinsapir, MD · Answer

If something sounds too good to be true, it probably is. Scarless means different things to different people. If you skin is cut, there will be a scar. Now this scar is most likely to heal inconspicuously. It will be in the fold. You are swollen, which is to be expected. You need time to heal. With the bruising, this could take a month or more.

Chase Lay, MD · Answer

there is no such thing as no scar but their are incisions that are very difficult to see. Also, with regards to suture technique a "three point" technique is not new. In fact suture technique for Asian blepharoplasty or double eyelid surgery is approximately 400 years old. There are a variety of different names that surgeons will give to techniques that they use for marketing purposes. The three point technique simply means they used individual sutures as opposed to a running continuous suture. Those of us, like myself, who performed double eyelid surgery or Asian eyelid surgery as a core component of their practice know that you tailor everyone surgery to their eyelid anatomy, their personal goals, and what is in keeping with safety.

	one last comment, I probably wouldn't put anything on the scars at this point. In fact if you're putting something on the eyelids that is moist frequently it can irritate the skin. Give it a little more time.

	Chase Lay, MD

	Asian eyelid surgery and Asian blepharoplasty specialist

Philip Young, MD · Answer

It is only 2.5 weeks. This should get better with time. I would wait as would all surgeons for at least 3 months to a year before doing anything. Many things can be done to improve the way your eyes look.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

You should not worry too much about seeing the incisional scars at 2.5 weeks. It can take at least a year for a scar to mature and these scars will be hidden in your new fold. The bruising you experienced can contribute to the swelling and that will resolve sooner than later. At this point, you need to wait and give your eyes a chance to heal.

Will the Scar Gone After 3 Point Eyelid Surgery? (photo)

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