Addressing Concerns About Double Eyelid Surgery Scars and Recovery

Regarding double eyelid procedures?

Hello, I had double eyelid surgery three months ago, which was done through cutting.
However, the scars are still very noticeable.
The scar on my right eye is only a thin line, but the scar on my left eye is three times wider and very red! Is this normal, or is it a problem with the doctor? Can I undergo another surgery? If I have it done again, won't there be two scars on my eyelids? Additionally, under the eyeliner on my right eye, it looks like there is a small lump, making the double eyelid appear to have disappeared.
The doctor said that this is a "fleshy root" and that about 15% of people experience this phenomenon.
Is that true? What can be done to remedy this? I am very worried and afraid to go out, and I don't know if the scars will heal.
I hope you can reply to me as soon as possible...
Thank you! P.S.
Is there any way to eliminate the red scars and make them the same color as my skin? How long will it take? I would greatly appreciate it!

rick, 10~19 year old female. Ask Date: 2001/07/04

Dr. Huang Bozhen reply Ophthalmology

First of all, I apologize for the delay in response due to a network outage at our hospital.
The presence of a growth in the right eye and significant redness around the wound in the left eye indicates an unsatisfactory surgical outcome.
Generally, most wounds should have healed within three months; therefore, I recommend visiting a medical center to consult with an oculoplastic specialist to explore possible corrective measures.

Reply Date: 2001/07/04

More Info

After undergoing double eyelid surgery three months ago, it is understandable to have concerns about the appearance of scars and the overall recovery process. Scarring is a common issue following any surgical procedure, including cosmetic surgeries like double eyelid surgery. The visibility and characteristics of scars can vary significantly from person to person due to several factors, including skin type, healing response, and surgical technique.

Understanding Scarring
1. Normal Healing Process: Initially, it is normal for scars to appear red and raised. This is part of the healing process as your body works to repair the incision. Over time, most scars will fade and flatten, transitioning from a red or dark color to a lighter shade that more closely matches your natural skin tone. This process can take several months to a year.

2. Scar Variability: The difference in scar appearance between your right and left eyes can be attributed to various factors, including the surgical technique used, the tension on the skin during healing, and individual healing responses. It is not uncommon for one side to heal differently than the other.

3. Hypertrophic Scarring: If the scar on your left eye is significantly thicker and redder than the right, it may be a case of hypertrophic scarring, which is a raised scar that can occur when the body produces too much collagen during the healing process. This type of scar can sometimes improve with time, but treatments are available if it does not.

Treatment Options
1. Topical Treatments: There are various topical treatments available that may help improve the appearance of scars. Silicone gel sheets or silicone ointments are often recommended for scar management. These products can help flatten and soften scars over time.

2. Laser Therapy: If the scars remain prominent after a year, laser therapy may be an option. This treatment can help reduce redness and improve the texture of the scar. Consulting with a dermatologist or a plastic surgeon specializing in scar revision can provide you with tailored options.

3. Surgical Revision: If the scars do not improve and remain a significant concern, surgical revision may be considered. However, this would involve creating new incisions, which could lead to additional scars. A thorough discussion with your surgeon about the risks and benefits is essential before proceeding with any revision surgery.

4. Keloid Prevention: If you have a history of keloids or hypertrophic scars, your surgeon may recommend preventive measures, such as steroid injections or specific dressings, during the healing process.

Concerns About "Meatballs" or "Meat Roots"
The term "meat root" likely refers to a condition known as "fibrous tissue" or "granulation tissue," which can develop after surgery. This tissue can sometimes appear as a small lump under the skin. It is important to have this evaluated by your surgeon to determine the best course of action. In some cases, these lumps can resolve on their own, while in others, they may require treatment.

Conclusion
It is essential to maintain open communication with your surgeon regarding your concerns. They can provide you with a personalized assessment and recommendations based on your specific situation. Remember that healing takes time, and while it is natural to feel anxious about your appearance, many patients find that their scars improve significantly over time. If you are considering further surgical options, ensure you discuss all potential outcomes and risks with your healthcare provider.

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