Visible Scars Extending into the Crow's Feet Area After Upper Blepharoplasty

Question

I had considerable hooding so had both an upper Blepharoplasty and a Lateral Browlift a week ago. I expected the bleph scar to be hidden in the eyelid crease, but the suture line, beginning about 2/3 of the way across the eye, departs from the crease and extends outward an inch or more from the eye. Is this normal and how can I minimize?

Kenneth D. Steinsapir, MD · Answer

The extended blepharoplasty incision is a means of improving the lateral hooding without performing a forehead lift.  Initially these incisions are highly visible.  However, over time, the redness will quiet and the scar will soften. These generally healing remarkably well and seldom require a revisional surgery or scar modification. At a week out, I would not recommend scar gel, or other treatment. This should wait until you are 6 to 8 weeks out from surgery.

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

Yoash R. Enzer, MD, FACS - Account Suspended · Answer

At this point there is nothing you can do except to wait patiently...and that is not easy.  It usually takes at least three months for eyelid scars to begin settling down.  Sometimes scar gels are helpful, but this should be discussed with your surgeon.  In the vast majority of cases people ultimately are very satisfied with their blepharoplasty results.  Hopefully, when all the healing is completed you will be too.

Visible Scars Extending into the Crow's Feet Area After Upper Blepharoplasty

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Visible Scars Extending into the Crow's Feet Area After Upper Blepharoplasty

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Everything you need to know about Eyelid Surgery

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