This section of the forum is dedicated to discussions addressing linear scars, depressed scars, keloid scars, hypertrophic scars, and other facial reconstructive topics. (Of note, Dr. Lam no longer accepts medical insurance so he rarely manages cancer reconstruction or trauma anymore.)
Hello; I had a lower bleph elsewhere about 6 months ago, and then a revision about 3 months ago. My lower eyelid had retracted from my lid and looked quite bad, hence the early revision. This left me with fairly prominent scarring extending from the lateral corners of my eyes on both sides. The scars are not red, but are somewhat depressed and obvious. Additionally, it appears I have a retained suture on one side that is forming a bump and is just not getting better after now 6-8 weeks of being present. My surgeon wants to do nothing about the suture. How long should I wait for the general scars to improve? Will the depressed areas get better? Also, the one side with the suture is just sort of a mess, honestly. Is this going to improve spontaneously, or should I see another surgeon?
1. it depends if the suture is a permanent one or temporary. a permanent one may require removal if it is still there at this point but removing a suture only 6 to 8 weeks after may jeopardize the result. temporary sutures will eventually go away sometimes though it takes many many months to finally go away. 2. scars oftentimes get better over time. if you are only a few weeks out, then i would be very careful working on the scars with any revisions. that could make them worse. generally, i would not contemplate a scar revision for a year to be safe in most cases. 3. as you know, i am not a big fan of traditional blepharoplasty. i see most cases would benefit better from fat or fillers since hollowness is truly the problem in the majority of cases if not everyone i see. best, sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery