Hello, I have a few recent scars of about three weeks now. I know that I must give it a lot more time, but I am concerned more about the scar tissue preventing healing. It's red, hard,lumpy,and I am trying to massage it daily, along with kelo-cote and hot/warm compresses. The scar is above the left eye, near the eyebrow. Will the body break down the scar tissue completely or does it need revision? Thank you kindly for your time and advice.
Answer: Scarring Following Blepharoplasty It's not unusual for patients to have noticeable scarring in the immediate post-operative period following any type of eyelid surgery. It's important to realize that all incisions heal with some scarring, but the eyelid skin has unique qualities that tend to minimize scarring.In the immediate post-operative period eyelid incisions tend to be red and raised. These scars tend to respond nicely to massage and avoidance of sun exposure. In the vast majority of cases, eyelid scars heal nicely with the passage of time. In many cases, these scars are imperceptible.Rarely, hypertrophic scarring does occur following this type of procedure. Under these circumstances, gentle massage and rarely, steroid injections are helpful. It's unusual for patients to require scar revision following eyelid surgery.It's important to maintain close contact with your plastic surgeon when hypertrophic scarring occurs. Your surgeon should be able to formulate a treatment plan that addresses your concerns.
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Answer: Scarring Following Blepharoplasty It's not unusual for patients to have noticeable scarring in the immediate post-operative period following any type of eyelid surgery. It's important to realize that all incisions heal with some scarring, but the eyelid skin has unique qualities that tend to minimize scarring.In the immediate post-operative period eyelid incisions tend to be red and raised. These scars tend to respond nicely to massage and avoidance of sun exposure. In the vast majority of cases, eyelid scars heal nicely with the passage of time. In many cases, these scars are imperceptible.Rarely, hypertrophic scarring does occur following this type of procedure. Under these circumstances, gentle massage and rarely, steroid injections are helpful. It's unusual for patients to require scar revision following eyelid surgery.It's important to maintain close contact with your plastic surgeon when hypertrophic scarring occurs. Your surgeon should be able to formulate a treatment plan that addresses your concerns.
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December 4, 2015
Answer: Eyelid surgery scar revision Revision eyelid surgery should be done at least 6 months
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December 4, 2015
Answer: Eyelid surgery scar revision Revision eyelid surgery should be done at least 6 months
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December 27, 2010
Answer: Upper Eyelid Scar Treatment with Kenalog-10
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December 27, 2010
Answer: Upper Eyelid Scar Treatment with Kenalog-10
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December 25, 2010
Answer: Scars take time to mature
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December 25, 2010
Answer: Scars take time to mature
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March 4, 2016
Answer: Upper eyelid scarring When the skin is injured it recovers in a series of phases. Initially there is an inflammatory phase which involves immediate local cellular responses (first few days). This is followed by the proliferative phase which involves continued tissue healing, collagen synthesis, wound contracture, etc. Finally, at around three weeks, the wound enters the maturation and remodeling phase. This is where collagen formation and other reparative responses subside. Please note that any of these phases can be prolonged in events of infection, smoking, diabetes or other wound impairing processes. At this time your wound appears to be in the proliferative phase of healing where it is not uncommon to feel some level of scar production. Your wound will most likely become more violacious over the next 1-2 weeks and aesthetically appear at its worst. After this point the remodeling phase will become the dominant phase and the site will then begin to improve in appearance. You may need to follow with your doctor for dermabrasion or scar revision, but as you keenly stated more time will need to pass before additional interventions are undertaken.Be healthy and be well, James M. Ridgway, MD, FACS
Helpful 1 person found this helpful
March 4, 2016
Answer: Upper eyelid scarring When the skin is injured it recovers in a series of phases. Initially there is an inflammatory phase which involves immediate local cellular responses (first few days). This is followed by the proliferative phase which involves continued tissue healing, collagen synthesis, wound contracture, etc. Finally, at around three weeks, the wound enters the maturation and remodeling phase. This is where collagen formation and other reparative responses subside. Please note that any of these phases can be prolonged in events of infection, smoking, diabetes or other wound impairing processes. At this time your wound appears to be in the proliferative phase of healing where it is not uncommon to feel some level of scar production. Your wound will most likely become more violacious over the next 1-2 weeks and aesthetically appear at its worst. After this point the remodeling phase will become the dominant phase and the site will then begin to improve in appearance. You may need to follow with your doctor for dermabrasion or scar revision, but as you keenly stated more time will need to pass before additional interventions are undertaken.Be healthy and be well, James M. Ridgway, MD, FACS
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