Need revision for white scars 1 1/2 years after blepharoplasty (Photo)

Question

I have these visible white scars after I had bleph done by a reputable ocular surgeon it is now a year and a half later post surgery. The Dr. has offered to redo the incisions only this time he said he would suture inward not outward and "hopefully" that would fix the scars. I'm very hesitant now and don't want to make them worse. Is t his solution a viable option by suturing the skin inward? Is there anything else I could do to make them better

Kenneth D. Steinsapir, MD · Answer

Your surgeon removed your upper eyelid fold, a natural part of the facial appearance.  The scar is visible because it is no longer hidden by the upper eyelid fold.  The upper eyelid is droopy due to damage from the surgery which causes the tendon that raises the upper eyelid to be displaced.  It is possible to lower the upper eyelid crease and reconstruct the upper eyelid fold.  It is improbable that your surgeon knows how to accomplish this type of repair.  Simply having him "revise" the scar is not worth your while because this will not hide the scar.  What he is telling you makes no sense.

Jane M. Rowley, MD · Answer

You have red and blue skin tones in your eyelids, I think that will make it difficult to achieve a significantly better scar.  Good luck, Jane

John J. Martin, Jr., MD · Answer

Some people depigment when they scar, so just taking out the scar may result in a new white scar.  If the wound is too tight and opens a little while healing that can also lead to a white scar.  If you have sufficient skin to actually do a revision, moving the crease down would help to make the scar less visible.

Sara A. Kaltreider, MD (retired) · Answer

Removal of these scars will not solve the problem and is likely to make matters worse. When skin is removed by blepharoplasty, the thin skin below the crease is sutured to thicker skin above the crease. This mismatch of the skin is highly visible when 1) the crease is too high, 2) the lid fold is completely eliminated, 3) the ptosis is not corrected, 4) the brows are low, 5) the skin is inflamed from rubbing (crepe-like). The best approach is advancing the levator and re-establishing a normal lid crease and fold as described by Dr. Steinsapir. Along with repair by an experienced oculoplastic surgeon, laser rejuvenation of the skin is a helpful option. Good facial/ eyelid skin care is also important to maintain your results. Best wishes.

Need revision for white scars 1 1/2 years after blepharoplasty (Photo)

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Answer: White scars after blepharoplasty

Answer: White scars after blepharoplasty

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Need revision for white scars 1 1/2 years after blepharoplasty (Photo)

Answers (4)

Answer: White scars after blepharoplasty

Answer: White scars after blepharoplasty

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.