Can Uneven Scars (Height of Incisions) Eventually Even out and Eyes Look the Same? Eyelid Surgery Post Op 2 Months. (photo)

         Preoperative pictures would be instructive in this case.  I can appreciate the difference in scar position with closed eyes.  On frontal gaze, the asymmetry is not very noticeable.  Consider a couple of things.  The distance from your brow to your crease is the same on both eyes in frontal gaze.  In addition, the apparent distance from your lid margin to the crease is the same on frontal gaze.  Kenneth Hughes, MD Los Angeles, CA

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

I can appreciate from your pictures that there is a degree of asymmetry of the incisions with the lids closed.  The incision on the right eye appears to have been placed higher than the left, and out of the lid crease.  Fortunately, on frontal view with your eyes open the asymmetry is not very visible at all.  I would suggest allowing time for healing, because upper eyelid incisions usually heal very well, and even if placed outside of the lid crease many times are not visible after the appropriate time has elapsed for healing.  Good Luck