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Candice
30 Apr 2025

AI Response

Why are my eyelid surgery scars still visible after five years?

I had eyelid surgery about five years ago, but the stitch lines are still quite visible. Unfortunately, makeup doesn’t fully cover them, and they’re noticeable in certain lighting. Is it normal for scars to remain this prominent after so many years? How much longer do you think they’ll stay like this? Also, are there any treatments you’d recommend to help reduce their appearance? Thank you!

Replies1
Initial Response and General InformationGenerated by Belorens AI

My understanding of your question is that the issue concerns visible scarring years after blepharoplasty.

Why scars may still be visible after 5 years

In most cases, blepharoplasty scars fade quite well over time—typically within a year or two. However, it’s not unheard of for scars to remain visible even several years later, depending on factors like:

  • Your individual skin type and healing tendency (some skin holds on to redness or texture longer)

  • The exact placement of the incision and how your skin tension distributes around it

  • Whether any hypertrophic (raised) or pigmented scarring occurred

  • Sun exposure or skin trauma during the healing phase

If the scar is visible mainly in certain lighting, it could be due to textural irregularities that cast shadows, rather than pigmentation or redness.

Practical Recommendations

  • Laser resurfacing (like fractional CO2 or erbium): These can help smooth out textural issues and soften visible stitch lines.

  • Microneedling with RF: Often effective in targeting old scars and improving skin texture.

  • Scar-specific injectables: Some dermatologists use diluted steroid or hyaluronic acid injections to help flatten or blend lingering scar lines.

  • Topical treatments (like silicone gels or prescription retinoids): May offer mild improvement but are usually more helpful in earlier stages of scar healing.

  • Camouflage techniques: Medical-grade color correctors can sometimes do a better job than traditional makeup, especially under harsh lighting.

Conclusion

While it’s not typical for scars to stay prominent after five years, it does happen—and there are still effective options to reduce their appearance. A personalized consultation with a dermatologist or aesthetic surgeon would help you identify which treatment fits your specific skin and scar type.

This response is only an initial guide generated by artificial intelligence; the final opinion is determined by the specialist doctor.
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