Anytime an incision is made, scarring will occur to some degree. The eyelid is an area where scarring is usually minimal and the scars are well hidden in this location. It usually takes about twelve months for scars to reach maximum recovery.
Local wound care can minimize the potential for adverse scarring following surgery. In the immediate post-operative period, removing sutures in a timely manner can minimize adverse scarring. Avoiding crusting and scabbing of the eyelids by keeping them lubricated with ointment can minimize indentations in the scar. Avoidance of infections can minimize hypertrophic scarring and spread of the scars.
When these steps are followed, most patients have excellent healing with almost inperceptable scarring. Occasionally, wound healing complications can occur and secondary surgery is required, but these situations are fortunately rare.
Eyelid Scar Management
It’s not unusual for patients to be concerned about the appearance of their eyelids in the immediate post-operative period. At this time, normal scars are often irregular, red and raised.
It’s important to realize that healing goes on for up to a year following surgery. In an effort to facilitate wound healing, many plastic surgeons recommend that patients massage their eyelids following this procedure.
The primary benefit of massage is the mechanical break down of scar tissue. Lubricants and ointments can be utilized to facilitate this process. For this reason, many surgeons use Aloe Vera, Mederma, Vitamin E Ointment, Cocoa Butter and a variety of lotions. Massage should be accomplished with gentle pressure and a circular motion.