I had an upper blepharoplasty done 15 weeks ago. The scars are still bumpy, and on one lid, there's a prominent red bulge. I've been massaging and using Dermatix (30 days so far), as directed by my doctor, but it doesn't seem to be getting any better. Should I be concerned at this point? I did not have dissolvable sutures.
July 4, 2015
Answer: Upper blepharoplasty scar healing problem? Hello! Thank you for the question! Your photos could certainly be s reaction to sutures, a suture franklins, or even perhaps a cyst. 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. Follow up with your surgeon for management and possible excision/scar revision if needed. Hope that this helps! Best wishes!
Helpful
July 4, 2015
Answer: Upper blepharoplasty scar healing problem? Hello! Thank you for the question! Your photos could certainly be s reaction to sutures, a suture franklins, or even perhaps a cyst. 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. Follow up with your surgeon for management and possible excision/scar revision if needed. Hope that this helps! Best wishes!
Helpful
November 13, 2014
Answer: Upper Blepharoplasty Scar Healing Problem Although most scars settle in about 12-15 weeks on the upper eyelid there are times when they can be more prominent. Genetics play a role. However by the description given these appear to be small cysts that have formed- this is common on the eyelid. If one turns red and increases in size it is possible that it is infected- time to visit your surgeon. Although many will ultimately go away, some even if not infected may require removal. Other possible causes include retained stitch material. There are some suturing techniques that result in less cyst formation than others.
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November 13, 2014
Answer: Upper Blepharoplasty Scar Healing Problem Although most scars settle in about 12-15 weeks on the upper eyelid there are times when they can be more prominent. Genetics play a role. However by the description given these appear to be small cysts that have formed- this is common on the eyelid. If one turns red and increases in size it is possible that it is infected- time to visit your surgeon. Although many will ultimately go away, some even if not infected may require removal. Other possible causes include retained stitch material. There are some suturing techniques that result in less cyst formation than others.
Helpful
