Bruising on the Upper Eyelid: Laser Treatment and Concerns - Dermatology

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Bruising of the upper eyelid?


Hello, Doctor.
I have a bruise-like mark on my eyelid that has been there since I was about nine years old.
Sometimes it is more noticeable, and sometimes it isn't.
Recently, since I'm getting married soon, I've been considering laser treatment to remove the mark.
However, I've heard from friends that they had laser treatments that left scars, and they advised me against it.
I would like to ask if laser treatments generally leave scars? Additionally, the bruise is located on my upper eyelid; is there cosmetic dermatology that performs this type of laser treatment? Could there be any issues with vision impairment? Should I get a medical examination to check the cause before undergoing laser treatment? If I need to see a doctor, should I make an appointment with an ophthalmologist or a dermatologist?

ting, 20~29 year old female. Ask Date: 2018/06/06

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue; one must observe it to understand the problem and know how to address it.

Reply Date: 2018/06/06

More Info


When it comes to understanding bruising or discoloration on the upper eyelid, particularly if it has been present since childhood, there are several important considerations to keep in mind before pursuing laser treatment.
Firstly, it is essential to understand the nature of the discoloration. If the mark resembles a bruise and has been stable for many years, it may be a benign condition such as a nevus (mole) or a vascular lesion. However, any changes in color, size, or shape should prompt a medical evaluation to rule out any underlying issues. Consulting a healthcare professional is crucial, especially since the eyelid is a sensitive area with implications for both aesthetics and vision.

Regarding laser treatment, it is generally considered safe when performed by a qualified dermatologist or plastic surgeon experienced in treating the eyelid area. However, as with any medical procedure, there are risks involved. Potential side effects of laser treatment can include temporary redness, swelling, and in some cases, the formation of scars. While many patients achieve satisfactory results without complications, there is always a risk of scarring, particularly in delicate areas like the eyelids. Therefore, it is vital to discuss these risks with your provider.

As for your concern about vision impairment, laser treatments for skin lesions on the eyelid are typically designed to avoid the eye itself. However, the proximity of the treatment area to the eye necessitates a careful approach. A thorough evaluation by a qualified professional can help ensure that the procedure is safe and appropriate for your specific situation.

Before proceeding with any treatment, it is advisable to have a comprehensive examination. This may involve seeing a dermatologist for a skin assessment or an ophthalmologist if there are any concerns regarding the eye itself. If the discoloration is primarily a dermatological issue, a dermatologist would be the appropriate specialist to consult. However, if there are any symptoms affecting your vision or if the eyelid condition raises concerns about ocular health, an ophthalmologist should be consulted.

In summary, while laser treatment can be an effective option for addressing discoloration on the eyelid, it is essential to approach the decision with caution. A thorough evaluation by the appropriate medical professionals will help determine the best course of action and ensure that any potential risks are managed effectively. Always prioritize safety and informed decision-making when considering cosmetic procedures, especially in sensitive areas like the eyelids.

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