Blepharoplasty, also known as eyelid surgery, is a cosmetic procedure that aims to improve the appearance of the upper and/or lower eyelids. During this surgery, excess fat, muscle, and loose skin are removed from the eyelid area to achieve a more youthful look. While blepharoplasty can dramatically improve the appearance of the eyes and surrounding area, it does leave behind scars where the incisions were made.
How Long Are Scars Visible After Blepharoplasty?
The visibility of scars after blepharoplasty depends on several factors, including the technique used, individual healing ability, and how well scars are cared for after surgery. On average, scars from blepharoplasty procedure start to fade within a few weeks but remain slightly visible for 3-6 months.
With upper blepharoplasty, the incision is made in the natural crease of the upper eyelid, allowing the scar to be quite inconspicuous once healed. Lower blepharoplasty scars are made just below the lower lash line and tend to be more visible initially though they also fade significantly over time.
Week by Week Breakdown
Here is a general week-by-week overview of the scar healing process after blepharoplasty:
- Week 1: Scars will likely be reddened and slightly swollen. Stitches are usually removed around day 5.
- Weeks 2-4: Scars start fading but may remain pinkish or lightly bruised. Swelling continues going down.
- Weeks 5-8: Scars continue to lighten and should not be as noticeable. Bruising and swelling subside.
- Weeks 9-12: Scars continue to fade. They may be slightly pink but not very noticeable.
- Months 3-6: Scars are often quite faded though still slightly visible on close inspection.
- 6+ Months: Scars are likely to be minimal and barely detectable. However, they rarely disappear completely.
Factors That Influence Scar Visibility
Several factors can impact the overall visibility and healing time of scars after blepharoplasty:
Surgical Technique
The technique and precision used by the surgeon makes a significant difference in scarring. Smaller, well-placed incisions that utilize finesse and care while handling the tissue typically lead to less visible scarring. Techniques may include:
- Minimal undermining of skin during dissection
- Meticulous skin closure using fine sutures
- Precise alignment of skin edges
Skin Type
The amount of pigment in your skin impacts how quickly scars fade. Those with darker skin tones may have scars remain visible for longer than those with fair skin.
Age
Younger patients tend to have more elastic skin that heals readily after surgery. Older patients are likely to have scars remain visible for a longer period of time.
Aftercare
Proper aftercare makes a significant difference in speed of healing and scar visibility. It’s critical to follow your surgeon’s postoperative instructions, which typically include:
- Using prescribed ointments on incisions
- Avoiding sunlight on scars
- Gently washing and moisturizing the area
- Following activity restrictions to prevent wound tension
- Massaging scars to improve healing
Genetics
Genetic factors play a role in the body’s natural healing abilities. Some patients are just prone to increased scarring while others’ bodies heal readily with minimal scarring.
Does Massage Help Reduce Scarring After Blepharoplasty?
Yes, gentle massage of the eyelid area can help improve healing and reduce visibility of scars after blepharoplasty. Massage helps prevent scars from thickening and decreases tension around the incision sites.
Scar massage is typically recommended starting a few weeks after surgery once incisions have fully closed. The area should be massaged for 5-10 minutes a few times per day using gentle pressure with one or two fingers.
Along with physically breaking up scar tissue and releasing tightness, massage stimulates blood flow and circulation to the area. This provides additional nutrients and oxygen to aid the healing process.
Tips for Effective Scar Massage
- Begin around 3 weeks after surgery
- Massage using gentle but firm pressure
- Move fingers in a circular motion over the length of the scar
- Repeat for 5-10 minutes a few times daily
- Use a lubricant such as vitamin E oil to avoid abrasion
- Be very gentle over healing incisions
While scar massage can help reduce visibility, be sure to get the okay from your surgeon before starting. Follow their specific instructions for technique and timeframe to maximize the benefits.
What Can Be Done to Minimize Scarring After Blepharoplasty?
While some degree of scarring is inevitable after blepharoplasty, there are steps patients can take before and after surgery to help minimize visibility:
Before Surgery
- Select an experienced surgeon – An experienced blepharoplasty specialist will utilize meticulous techniques to limit scarring.
- Avoid sun exposure – Sun damage can impair wound healing. Avoid tanning beds and use sun protection.
- Discontinue smoking – Smoking restricts blood flow, delaying healing.
- Optimize health – Healing capacity is improved by eating well, exercising, and minimizing stress.
After Surgery
- Follow aftercare diligently – Strictly follow your surgeon’s postoperative instructions for incision care, activity restrictions, and more.
- Use sun protection and scar ointments – Shield scars from sun and keep moisturized as directed.
- Perform scar massage – Gentle daily massage can prevent thick, raised scars.
- Don’t smoke – Smoking dramatically slows the healing process.
- Watch for complications – See your doctor promptly if you suspect problems like infection.
Advanced Scar Treatment Options
For some patients who are prone to extensive scarring or have existing visible scars, additional treatments can help reduce their appearance, such as:
- Laser skin resurfacing
- Microneedling
- Topical silicone scar sheets
- Steroid injections
Be sure to consult with a dermatologist or plastic surgeon to determine which option may be most effective for your particular case.
What Results Can be Expected After Blepharoplasty?
Patients can expect exceptional improvement in the appearance of the upper and lower eyelids and surrounding areas after blepharoplasty. Common improvements include:
- Smoothing of fine lines and creases
- Tightening and toning of sagging eyelid skin
- Reduced puffiness and elimination of under eye bags
- More open, youthful eyes due to elimination of excess skin and fat
- More symmetrical upper eyelid folds
Scarring should fade significantly within months though tiny white lines may remain to some degree long-term. Overall, blepharoplasty can take years off one’s facial appearance and restore a bright, well-rested look.
Before and After Pictures
Comparing before and after photos helps illustrate the dramatic yet natural-looking improvements possible from blepharoplasty in the right candidate.
| Before: | |
| After: |
As seen in the photos, upper and lower blepharoplasty can restore a smooth, youthful contour to the eyelids by reducing excess skin, fat, and wrinkles.
Conclusion
Blepharoplasty offers dramatic improvement in eyelid appearance and youthfulness of the face. While scars may remain slightly visible for 3-6 months after surgery, they fade significantly over time. Following proper aftercare guidance and using advanced treatments if needed can help minimize long-term scarring.
Patients can expect rejuvenated, better-toned eyelids, reduced bags and wrinkles, and an overall more alert, well-rested appearance. When performed by a qualified cosmetic surgeon, blepharoplasty is a safe and effective way to turn back the clock and achieve more youthful eyes.