Scarring After Chalazion Surgery: What to Expect - Ophthalmology

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Scar after chalazion surgery?


Hello Doctor: I had a chalazion surgery two weeks ago, and my eye still feels swollen after the procedure.
During a follow-up visit, the doctor mentioned that granulation tissue had formed inside, so I underwent another surgery.
It has now been three weeks, and the wound has scabbed over, but there is a new fold at the surgical site.
I would like to know if this has become a permanent scar or if it can disappear with warm compresses.

Mia, 20~29 year old female. Ask Date: 2016/04/03

Dr. Gao Pilin reply Ophthalmology


Hello Mia: The presence of a scab indicates that the wound has not fully healed yet.
It will take some time for complete recovery after the scab falls off.
Scars on the eyelids will gradually fade and become less noticeable.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open from Monday to Friday, 8:00 AM to 12:00 PM, and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is still necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Dr.
Gao Pilin

Reply Date: 2016/04/03

More Info


After undergoing chalazion surgery, it is common to have concerns about scarring and the healing process. The formation of scar tissue is a natural part of the healing process, and it can vary significantly from person to person. In your case, having undergone a second procedure due to the development of granulation tissue suggests that your body is responding to the surgery, but it may also indicate a more complex healing process.


Understanding Scarring
1. Nature of Scarring: Scars form as a result of the body’s natural healing process. When the skin is cut or injured, the body produces collagen to repair the wound. This collagen can sometimes lead to a raised or discolored area of skin, which is what we recognize as a scar. The appearance of scars can change over time, often becoming less noticeable as they mature.

2. Types of Scars: There are different types of scars, including hypertrophic scars (raised and red) and atrophic scars (depressed). The wrinkle or fold you are noticing may be a result of how the skin has healed and the tension in the surrounding tissue.
3. Permanent vs. Temporary: It is difficult to determine if the wrinkle or fold will become a permanent scar without a physical examination. Many scars can improve over time, but some may remain visible. Factors such as skin type, age, and the location of the scar can influence healing.


Treatment Options
1. Heat Therapy: Applying warm compresses can help improve blood circulation to the area, which may aid in the healing process. Heat can also help soften the scar tissue, potentially making it less noticeable over time. However, it is essential to be cautious with heat application to avoid burns.

2. Scar Management Products: There are various topical treatments available, such as silicone gels or sheets, which can help flatten and soften scars. These products are often recommended for use on fresh scars and can be effective in reducing their appearance.

3. Massage Therapy: Gentle massage of the scar tissue can help break down the collagen fibers that form the scar. This should be done carefully and ideally under the guidance of a healthcare professional.

4. Consultation with a Specialist: If the appearance of the scar is concerning, consider consulting a dermatologist or a plastic surgeon who specializes in scar management. They can provide options such as laser therapy, steroid injections, or other treatments that can improve the appearance of scars.


When to Seek Help
If you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), or if the scar becomes painful, it is crucial to seek medical attention. Additionally, if the scar is causing functional issues (like affecting your vision or eyelid movement), further evaluation may be necessary.


Conclusion
In summary, while the wrinkle or fold you are observing may be a result of the healing process, it is not possible to definitively say whether it will become a permanent scar without further evaluation. Utilizing heat therapy, topical treatments, and possibly seeking professional advice can help manage the appearance of the scar. Remember that patience is key, as scars can take months to fully mature and change in appearance. If you have ongoing concerns, do not hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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