Understanding Scars After Blepharoplasty Surgery

About Scars

Scars are a natural part of the body’s healing process. Following a surgical incision, collagen fibres form to repair the wound, resulting in a scar. Scar types include:

• Hypertrophic Scars: Raised and red but confined to the incision site.
• Keloid Scars: Raised scars that extend beyond the original incision.
• Atrophic Scars: Depressed scars due to a loss of tissue.

Blepharoplasty Scars – What to Expect

Blepharoplasty scars are typically discreet, as incisions are made along the natural creases of the eyelids. In lower eyelid procedures, the incision is often placed just below the lash line or inside the lower lid. Dr. Kohout employs refined techniques to help manage visible scarring.

Healing Stages of a Scar – Maturation

1. Inflammation Phase (0–7 days): Initial redness, swelling, and healing.
2. Proliferation Phase (2–6 weeks): Wounds close and collagen production begins.
3. Maturation Phase (6 months–1 year): The scar gradually remodels, becoming lighter and less noticeable.

Key Factors Influencing Scar Development

1. Genetics
   Your genetic predisposition can affect how your body heals and the appearance of scars. It is important to discuss this with Dr Kohout as he may be able to address some of these predispositions with technique during surgery.
2. Skin Type and Tone
   Darker or lighter skin tones may experience varying degrees of pigmentation or discolouration.
3. Surgical Technique
   Precision in surgical methods is critical for reducing tissue trauma and assisting scar healing.
4. Post-Operative Care
   Adherence to post-operative instructions is vital for achieving optimal outcomes. Proper wound care and avoiding strain on the surgical site can prevent complications.

Best Practices for Managing Scars After Blepharoplasty

General Care Guidelines

• Keep the incision site clean and dry.
• Follow all care instructions from Dr Kohout.

Specific Recommendations for Scar Management

1. Hygiene: Prevent infection by gently cleaning the area as advised.
2. Minimise Movement: Avoid excessive facial expressions that strain the eyelids.
3. Moisturisation: Use surgeon-approved creams to maintain hydration.
4. Scar Massage: Consult Dr Kohout for guidance on gentle massaging to soften scar tissue.
5. Silicone Products: Silicone sheets and gels can reduce scar thickness and improve texture.
6. Sun Protection: Use a broad-spectrum SPF and wear sunglasses to protect scars from UV exposure.
7. Avoid Smoking: Smoking can impair circulation and delay healing.

Things to Avoid During Recovery

• Prolonged sun exposure without protection.
• Scratching or picking at the scar.
• Vigorous activities that may strain the area or raise blood pressure.

Further Blepharoplasty Scar Treatment Options

Overview

In cases where scars remain prominent, additional treatments may be beneficial.

Specific Treatments

1. Laser Therapy
   • Targets redness and smooths raised scars.
   • Types include fractional lasers and pulsed dye lasers.
2. Steroid Injections
   • Useful for hypertrophic and keloid scars.
   • Reduces inflammation and flattens raised tissue.
3. Microneedling
   • Stimulates collagen production to improve texture and reduce atrophic scars.
4. Scar Revision Surgery
   • Reserved for severe cases where scars significantly affect function or aesthetics.

Managing Expectations with Blepharoplasty Scars

Realistic Healing Timelines

Scars can take 6–12 months or more to fully mature. During this time, they will fade and soften, though individual healing times vary.

Accepting Natural Outcomes

While scars can improve significantly with care, they will not disappear entirely. Setting realistic expectations is key.

Psychological Aspect

Adjusting to scars, especially in visible areas, can be emotional. Support from your surgeon and loved ones is invaluable during this time.

Further Reading About Blepharoplasty Scars

Explore these resources for more insights:

• About Blepharoplasty (Eyelid Surgery)
• Recovery After Eyelid Surgery (Blepharoplasty)

FAQs About Blepharoplasty Scars