Scars after eyelid surgery
Minimizing scars in eyelid (blepharoplasty) surgery
Any surgical intervention can have scars. The key is locating the scars in a place which is not noticeable, and meticulous wound closure and care to minimize scars.
For upper eyelid surgery, incisions are usually made in the eyelid crease, so when it heals it is not noticeable.
For lower eyelids, incisions are made on the inside of the eyelid (for fat removal or repositioning) or just below the eyelash line to conceal it. Closure can also make a difference.
I prefer subcuticular (just below the skin surface) closure with a suture which is removed in 5-7 days to minimize scarring.
So-called absorbable sutures can often disolve too early causing wound breakdown or too late enhancing the scar. (Carlo Rob Bernardino, MD, Monterey Oculoplastic Surgeon)
They are typically well-hidden!!
When eyelift or blepharoplasty is performed well and a patient takes good care of the scars, they tend to turn out beautifully.
The scars for the upper lids are placed deep into a natural crease that is not visible when the eyes are open.
The lower lids may or may not have a scar left behind. If there is an external scar on the lower lid, it tends to be right below the lash line.
Ultimately if you wear makeup, the scar essentially disappears. (Manish H. Shah, MD, FACS, Denver Plastic Surgeon)
Excellent scars with eyelid surgery
Eyelid skin is among the thinnest skin in the body which means that it is usually very hard to see scars from eyelid surgery. As with any types of scars there are several post op treatments to minimize any scarring. (Joshua Korman, MD, Mountain View Plastic Surgeon)
Scars from blepharoplasty surgery
Blepharoplasty of the lower eyelids may be performed from inside the eyelid, which would leave no visible scar. Alternatively, an external incision right below the eyelashes allows removal of excess lower eyelid skin. Upper eyelid blepharoplasty does require a scar but it is usually unnoticeable and hidden in the eyelid crease. (Olivia Hutchinson, MD, New York Plastic Surgeon)
On the face, every millimeter counts. Nowhere is scarring more devastating to your appearance, or to your surgeon’s reputation. Thankfully, upper eyelid scars are generally almost invisible.
The fine line resulting from this surgery should be placed precisely in a naturally occurring skin crease. The eyelid skin is one of the few body regions that is nearly immune to keloid formation. (Jason R. Hess, MD, San Diego Plastic Surgeon)
Scars after eyelid surgery
Visible scars are very rare after blepharoplasty (eyelid surgery). The upper lid incision is hidden in the natural crease and the lower one is very close to the lash line, or sometimes there is no external insion at all (transconjuntival (inside the lid) approch combined with laser resurfacing o tighten the skin).
In rare instances here migt be a tendency to thickened scar formation that can be anticiapeted and/or treated. (Andrew Pichler, MD, Sacramento Facial Plastic Surgeon)
Scarring after eyelid lift
Blepharoplasty, or an eyelid lift, should cause minimal to no visible scars. The upper eyelid scar should be well hidden in the upper eyelid crease and any scar outside that crease should fall into one of the crow’s feet wrinkles. Lower eyeylid scars should be well hidden 2 millimeters below the lower lash line and are camoflauged well by a shadowing effect and the lashes. (Etai Funk, MD, Houston Facial Plastic Surgeon)
Scarring from Eyelid Surgery
Incisions for upper and lower eyelid surgery heal extremely well. One should expect essentially minimal or no visible scarring within 6 months to 1 yr, if not sooner. The incisions for upper blepharoplasty are placed within natural creases and those for lower blepharoplasty are either placed within a natural horizontal crease below the lash line or on the inside of the eyelid (eg transconjunctival approach). (Amir M. Karam, MD, San Diego Facial Plastic Surgeon)