Scar Revision

Radiant Eyes

How is Eyelid and Facial Scar Revision performed?

Scars develop as a result of traumatic injury to biological tissue, including skin and deeper structures. This process is part of the body’s effort to strengthen the traumatized area and prevent a future breakdown of its anatomical barrier. Scarring of the eyelids and certain areas of the face is particularly problematic due to the complex anatomy, higher sensitivity, and frequent contractions of muscles in this region.

How do I know if I need to fix my eyelid or facial scars?

If the scar on your eyelids or face is pulling tight and this is causing discomfort or preventing your eyelids, mouth, or other facial structures from functioning normally, then you should consider having it revised. If the scar is visible and aesthetically displeasing, then scar revision would also be beneficial.

Can my eyelid or facial scar be improved with conservative treatment alone?

This is more effective for a fresh scar (ideally within 6 weeks of trauma). A topical steroid cream can be used as treatment during the first 3-12 weeks after trauma. Scars older than this typically respond better to topical silicone gel/cream/sheets. Silicone therapy has been shown to improve even those scars which are several years old. Please note that even topical therapy for scarring must be reviewed with your physician prior to use because there are potential risks including infection, wound dehiscence, pigmentary changes, and subcutaneous atrophic changes.

Which types of injections are used to improve eyelid or facial scars?

Intralesional steroid or anti-fibrotic medication (e.g. 5-Fluorouracil) can be injected safely into the eyelids and face to soften and remodel scar tissue. Only a very experienced injector should perform such injections to avoid complications. Typically a series of 2-5 injections are used every 2-4 weeks until the scar disappears.

Which types of lasers are used to improve eyelid or facial scars?

Scar revision can be achieved using ablative laser therapy (e.g carbon dioxide), non-ablative laser therapy (e.g. pulsed-dye), or intense pulsed light (IPL) photo-therapy. Typically more than one treatment session is required.

Which types of surgery are used to improve eyelid or facial scars?

Surgical scar revision is complex and requires an advanced understanding of eyelid and facial reconstructive surgery. There are unique anatomical units and relaxed skin tension lines, which need to be respected to perform a functionally- and aesthetically-optimized reconstruction. Surgical options include undermining with direct closure, Z-plasty, local flaps, grafts (skin, cartilage, mucuous membrane, etc.) and eyelid margin reapproximation.


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Lead Surgeon

Dr. Michael Brandt

Facial Plastic and Reconstructive Surgeon

Dr. Michael Brandt is an award-winning Facial Plastic and Reconstructive Surgeon, known as much for his research achievements as for his dedication to his patients.

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