I'm happy the video helped you, Kathy Thompson! I do have a more recent video about healing after upper blepharoplasty, if it helps you - czcams.com/video/dMq7UNewiQI/video.html
Thank you for all that information My eyelid surgery was done 1 week ago. I saw my plastic surgeon today as stitches were removed. I see him again in 6 weeks. My plastic surgeon in well known and i am delighted that the weight of the heavy hoods are now gone. I will follow your advice. Stay healthy and stay safe Australia 🙂🙃
Hi@@tonytanti8138, If your doctor prescribed you another ointment after eyelid surgery, then you should use that over something over-the-counter, but Polysporin can be used for up to 3 days after surgery, but should be stopped after that time to prevent an allergic reaction. I hope this clarifies things for you.
Hi @lisamarie5223, Thank you! While you can use sunscreen after adequate healing of the incision lines, you should coordinate with your surgeon about the timing of using sunscreen around the eyes as they will know your healing progress since they will be monitoring your recovery. I hope this helps you.
Hello Doctor great answer 👏 I was told the same this morning when I went to see my Surgeon this morning who did my upper eyelids I just massage vitamine A cream twice a day. Marlene Wyngaard, Geneva, Switzerland
Thanks Dr Prasad for this video it’s really educational. I was also wondering to myself about using silicone strips or gel for the healing when I do my surgery but I guess I shouldn’t really try anything at all.
You're welcome, Grateful Princess of God! Your surgeon should be able to outline proper aftercare following your surgery, but feel free to reference this video when asking about your specific aftercare routine.
Thank you Doctor I just had upper eyelid blepharoplasty it’s been about a month I did an opthamoligist & Occuplastic surgeon and she said to put a little bit of the Gel strip on the end and then I got liquid gel lid but it’s irritating kind of itching and it’s hard to get off so I don’t think I’m gonna keep using it if it’s going to heal naturally thank you for the input!!!
Hi Joan Esposito, It's not clear what the gel strip your doctor advised is, but you should still consult your doctor if you have irritation with the aftercare she recommended. I hope this helps you.
Hi Dr. Prasad, when is it OK to finally apply the Anti-Scar cream? It’s been exactly 1 month since my upper blepharoplasty surgery & I was told to wait 3 days after removal of my stitches to put the anti-scar cream but I decided not to follow because of the video’s here I’ve been watching & advising against it so it doesn’t interfere w/ the proper healing but I’d like to know at what time mark can I start using it? After 1 month? 2 months? 3 months? Please help? Thank you 🙏🏼 😍
Hi Michelle Michelle, I recommend antibiotic ointment for only the first two days after surgery to prevent irritation due contact dermatitis, which is well passed. I suggest you follow up with your surgeon on how your healing is coming along, and follow their advice. I hope this helps you.
Thank you so much!! This video was so helpful, bc I thought I was getting keloid… So I just have to wait months to heal and see the progress… months to year 😥😥
You're welcome, Laura Ximena. If you think you have keloid formation, I suggest you follow up with your surgeon. This more recent video may help guide you more in healing after upper blepharoplasty - czcams.com/video/dMq7UNewiQI/video.html
I have a cross hatch scars on the inner side of my upper eyelids. The surgeon said this was to prevent lid from being too tight after hoods removed. It is thick, white, and very obvious. I have no trouble with the scar across the length of the lid. But this other that crosses it. Has left additional droop in corner of eyes. It’s been two years. I find this did not help at all and want to remove and tighter that area of my upper inner eyelid. Is there anything that can be done?
Hi Jane Heimbichner, Sorry to hear about your problem. I would have to physically examine your eyes to see more detail about this problem before recommending a corrective procedure, but I may be able to help you.
Hello Dr. Prasad, thank you for such an informative video. Does the same apply for lower eyelids and the area just below it which we call soft skin(just above the cheeks)?
Hi Shubham Katiyar, It's not clear what you are having treated in your lower eyelids or upper cheeks, so I suggest you follow your doctor's advice. I perform lower eyelid surgery from the inside of the lower eyelid, so my patients don't have visible incisions or scars on the lower eyelids that may need treatment. I hope this clarifies things for you.
@@AmiyaPrasadMD I am post op almost 3 weeks and have a few spots that are visibly not closing. At my two week he said it would be fine. I have not found a picture on the internet with an opening like I have.
Hi@@kelligentry568, 3 weeks is still very early after surgery with the degree of temporary swelling, so it's not the right time to consider a revision. If you still have the issue after temporary swelling has resolved, a revision can be considered at least 6 months after your initial surgery. You can refer to this video about it - czcams.com/video/asw5HW0YY74/video.html
I got a blepharoplasty and a medial canthoplasty in Vietnam about a month ago. The scar on my left mediall canthus is raised and bumpy. I want to submit a photo to get your opinion on my scarring on the left eye medial canthus
Hi Wendy Nguyen, Sorry to hear about your problem. A physical exam is needed as pictures won't tell the whole story, but you can send them for pre-evaluation through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ Please note that this is not a formal consultation, but a preliminary evaluation. I hope to hear from you soon.
If the best thing to do is no touching, then how does applying silicone gel and sunscreen and also washing them off in the evenings affect the healing process ? Thank you
Hi Melissa Saal, While my patients don't use silicone gel after surgery, antibiotic ointment, followed by a petrolatum ointment like Aquaphor after two days can be applied to the incision line with Q-Tip. As for sunscreen, you can apply it normally while avoiding the eye area and the incision. For washing, make sure the stream of the shower is not hitting the incision directly. For further details, you should consult your surgeon who knows about the details of your surgery, and where you are in the healing process. I hope this helps you.
Hello Dr. after i found this video, i removed my silicone sheets that I put literally 5 minutes ago. My doctor said i can put those sheets on my outer corner of my scar( Sorry i can't really explain the position of my insition, its longer than my crease) . I decided to wait couples of weeks. Its my 12 days after Blepharoplasty.
Hi Tanya Ivanova, We do use silicone sheets for thickened scars that may occur after procedures like breast implant surgery, but since I don't see thickened scars with upper eyelid surgery, I don't use them in the eyelids. As I'm not privy to the details of your situation or surgery, I have to defer to your doctor's judgment. I hope this helps you.
Hi Dr. Prasad, I had upper blepharoplasty and ptosis surgery 2 weeks ago, and the scars on the inner corners/crease of my eyes are quite bumpy and irregular looking. I asked my surgeon about it and he told me to apply Dermatix Ultra scar gel to help it heal better. Should i apply it or should i just leave it and let it heal on its own? Will it heal naturally? I’m quite concerned as it looks very weird
Hi @Vebol785, I hope you understand that even thought I don't prescribe anti-scar creams to my eyelid surgery patients, it's not my place to contradict your surgeon's advice since I don't know details of your surgery, nor have I seen you in consultation to examine your condition to give you a proper second opinion. You can arrange for a consultation if you'd like a second opinion. I hope this helps you.
@@AmiyaPrasadMD Thanks for your answer Dr. I guess i should go with my surgeons advice. I would love to have a consultation with you but unfortunately i’m not in the US. I appreciate all your videos on eyelid surgery, they helped me to understand so much more about the whole process than what my surgeon told me!
Would you recommend using an LED device after any type of surgical procedure to help in the stimulation of collagen? Or would that put you at increased risk of keloid scarring?
Hi Paige Lackey, While I don't use thermal devices in general to help with healing after surgery, I do use them for non-surgical treatments, and to improve results of surgery for skin tightening, skin resurfacing, etc. However, I don't use LED-based devices in my practice at all. It's also important to understand that collagen is produced by the body on its own to help heal after surgery, and there is a limit to how much collagen you can stimulate at a given time. Temporary swelling after eyelid surgery has a lot to do with disorganized collagen fibers, and swelling resolves as the collagen fibers flatten. I hope this clarifies things for you.
Please help. I just had a facelift in Mexico with upper and lower blephoplasty and lateral brow lift. My eyelids are not closing properly and I have to wear gell at night in them. My eyes look weird and not symmetrical. I sought an eye surgeon second opinion who believes that too much skin was taken from the top lids. Now at 3 weeks, my surgen wants me to massage all around the eyes to create more laxity. I have been massaging the scars which still hurt from the cut a little, on the upper lids in hopes of creating more laxity. I do feel that they are getting more inflamed. My question is would you ever recommend massage at this point, to the scar or around it to create more laxity?
Hi @beingyourtrueselfcoaching7403, Sorry to hear about your problem. I generally don't advise my patients to massage their eye area after cosmetic eyelid surgery because the first I do is ensure that too much skin is not excised, as eyelid skin is important for normal eyelid function. I would have to examine your eyelids, and see medical records of your previous surgery before I can give you a proper second opinion for your case. I hope this clarifies things for you.
Hi, I had my blepharoplastic surgery about 2 weeks ago now, and my doctor said it was okay to put make up on top of the scar 2 days after removing the stitches, which I have been doing since I don't want to show myself the way I look in public with the scar. My scar is quite thick but mostly underneath the incision and on the outermost edges of the incision where the sticthes ended I have raised bumps. My doctor recommended prosil to use morning and night and underneath make up. I'm terrified that this thickness wont go away in time since I can't properly open my eyes fully since the incision was made right in the crease. So my question now is, do you think my healing process will be affected negatively if I put on make up and this scar treatment cream on most days of the week? I have no history of keloid scars previously but this thickness I have now I'm scared won't go away.
Hi Helena engström, Generally, 1-2 days after suture removal, the eyelid incision should be closed, and makeup can be applied. However, makeup particles can be very small, older makeup does contain bacteria, and people heal at different rates, so it is possible that it can be affecting your eyelids. I advise you stop using makeup if you experience any irritation, and consider changing to new makeup reduce possibility of bacteria from old makeup. See your doctor if there are any problems. Also, you should not be using antibiotic cream by now for the incision to reduce chances of an allergic reaction. You can watch this video about it - czcams.com/video/4c1ZMhxXfYQ/video.html
Hello I have the same issue as you I have the surgery two weeks ago and I have small bumps on the lid doctor recommended strataderm gel to use day and nigh with a massage I want to know did your bumps went away how is your scar healing ?
@@takiwithlove347 Hello! I did mine last week. How's the bump like as I couldn't visualize them? Mine is more of swollen lids which is normal but the swell is more on the left eye. Thus, making me looks sleepy or dreamy...
Hi Shyamsunder Kshetrimayum, You're welcome! I'm not sure what you're asking, but if you mean you don't have an eyelid crease, then one can be created as it's often done for people of Asian descent. You can refer to these videos about it: czcams.com/video/h3SnO2rozVw/video.html czcams.com/video/cql2hBx_Koc/video.html czcams.com/video/xU7EKwBXdmY/video.html czcams.com/video/rtDDRHknbkc/video.html
Hi @AnyelinaL, I usually avoid hypertrophic scars in skin types prone to them by reducing tension on the incision lines, and using fine sutures. For a proper second opinion about your scars, I would have to examine your eyelids before I can recommend specific treatments for you. I hope this helps you.
@@AmiyaPrasadMD I had upper blepharoplasty and it's developing hypertrophic scar above and below the incision lines. I really don't want to do C02 laser or injection of 5FU, is really anything else I can do?
Hi@@AnyelinaL, I hope you understand that without examining your eyelids, knowing your skin type, or knowing details of your surgery, it isn't appropriate for me to recommend treatment. I hope you understand.
Hi Alicia J. Chambers, There is already collagen stimulation, remodeling, and flattening going on after surgery as collagen synthesis is the body's response to an injury, in which these cases surgery is the injury. I don't recommend additional creams or ointments that could irritate the skin, and slow the healing process. I hope this clarifies things for you.
Hello Dr. Prasad, I had Blepharoplasty surgery about 3 weeks ago, my right eye is still showing bag left not as much. I’m going to contact my surgeon in few days, I feel like my surgery didn’t work as well as I was expecting, my husband keeps telling me to wait longer to see progress but I think by now it should show improvement, I was very bruised and swollen but now all of that is gone and still have significant bag especially under the right eye. When I do research on the web other people’s pictures are nothing like the way I look.. any suggestions please? Thanks so much for your time, Angela
Hi Angela, Sorry to hear about your problem. A little fat should be left after lower eyelid surgery to prevent a hollow appearance, but it's possible that your doctor left too much behind. There is no way to tell unless I examine your eyelids, but your doctor should be able to resolve this, especially if no external incision was made like I do using the transconjunctival blepharoplasty technique. I hope this help you.
Thanks so much got your reply Dr. Prasad! I did talk to the doctor’s nurse I was told to give it time that I’m still swollen.. it’s now four weeks tomorrow and I still have them.. what can he do to fix it? I also have a small cyst on the left side near the last stitch that he removed, he told me that it’s typical for some to get that after surgery.. I can go in and get it removed.. what’s your suggestion. Thanks again for your time.
Doctor…My mom has lumps and bumps on her lower eye lid, they look like milia and other things. The dermatologist tried to pick out one of them and he couldn’t, it was difficult, the zap would not work to remove the tiny bump. What does my mom have, the diagnosis? I want to get her the right treatment.
Hi Majestic, Sorry to hear about your mother's problem. I hope you understand that a diagnosis requires a physical examination, and that I cannot make a diagnosis from your description alone. A proper second opinion requires an examination. I hope this helps you.
Hi, thank you for this video, I had upper eyelid surgery 5 weeks ago and have started to use a tiny bit of bio oil on my lids as this is renowned for lessening scars, am I doing it to early or should I wait a while longer?
Hi Julie Bates, I suggest you clear any topicals you are using with your surgeon, as minimizing the appearance of scars is highly dependent on the way your surgery is performed. My patients don't use anti-scar topicals for their incision lines to be barely visible, and I don't know what is contained in the bio oil you're using. I hope this clarifies things for you.
Can be Mederma Advanced scar gel used on upper eye lid for scarring after a month after surgery ? Or it’s too strong for eyelids? Is there any better products to use for scars to fade?
Hi Jonna N R, My eyelid surgery patients, like those featured in the video, don't use topical anti-scar treatments, but still have virtually imperceptible incision lines. It is still very early in your surgical recovery, so I suggest you follow the advice of your surgeon, and follow up with them to get a better idea of where you are in your healing process. In the meantime, you can refer to this video about recovery and healing after upper eyelid surgery - czcams.com/video/dMq7UNewiQI/video.html
Hi - as an expert in this field - do you use dissolving stiches? I'm in the process of selecting a board certified surgeon for an eyelid lift. Of the 3, the one I liked best uses dissolving stiches - the others do not because of potential scaring.
Hi Suzie Henyan, For treating hooded eyes, I mostly use non-dissolvable sutures, which are then removed a week later. For some patients, if a predictably outcome can still be achieved with dissolving sutures, then I would use them. The type of suture use should not be the basis of choosing a surgeon, as it's the doctor's aesthetic style, results (including avoiding scarring), as well as your personal rapport with the surgeon that should be the basis for choosing a surgeon. I hope this clarifies things for you.
Hi@@wynn2812ify, We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Dr. Prasad, thank you so much for your videos. I have 2 questions I am hoping you can answer. Some background first, I got an upper blephorplasty and upper eyelid fat grafting. It’s been over 2 months since the blephorplasty surgery and over 1.5 months since the second fat grafting procedure (which was needed because the majority of the fat from first round didn’t hold, the second round held up much better). Question 1 - why do eyes that have had fat grafting potentially look different day to day? I’ve noticed on days I get less sleep my upper eyelids now have less fullness and show more folds, but after days of getting good sleep, there’s more fullness Question 2- it’s been 2 months but I’ve still been avoiding washing, rubbing, or putting makeup/sunscreen on my upper eyes.I’ve been extra careful because I was told full healing takes up to 6months and I was to preserve as much of the fat as possible. How long should I wait to resume washing my eyes and using makeup/sunscreen, what’s the best action to try and retain as much fat from the upper eyelid fat graft as possible? Thank you so much in advance!!
Hi @Artyhugby, 1) the results of fat grafting behind the upper eyelid should not appear different depending on the amount of sleep you had. 2) Two months after surgery is usually safe for my patients to apply makeup, and sunscreen to the upper eyelids, but this is a question you should be asking your surgeon as they know details of how your surgery was performed, where you are in your healing process, and can examine your eyelids for any issues before you start using makeup and sunscreen. I hope this clarifies things for you.
dr Prasad id appreciate it if you can show indo pak clients eye lifts we see so many white patients but as a asian ( indian pak) i think it would be good to hear your perspective as we may be prone to scarring more than white people . Plus there's very little info for asian to understand the eyelift issue or pictures of before and after when we are researching
Hi s be, I understand what you mean as I also have darker skin, and I do serve many patients with darker skin for eyelid surgery, so I made a video it, for you reference - czcams.com/video/ZNkvC941ng4/video.html
@@AmiyaPrasadMD Thank you Dr Prasad ive wanted to come to you for my eye lift or brow life which ever that needs doing the issie is your in the usa and im in dubai. Theres a reason i trust you cause your asian( brits call indo paks folks asian) you understand the asian eye shape my worry was going to a chinese dr they would make my eyes like oriental as theres definetely a cultural understanding needed when dealing with indo pak clients whe n dealing with their their whole features. although mine eye lift may be very minor i do have hooded eyes now . If i came to the usa id only be there for afew days and as such one needs after care and check up i wish you had a plan to come to the uae.
Hi@@sbe8621, The important thing is finding a doctor experienced with darker skin types, no matter what the doctor's nationality is. I also known among Asian communities to perform double eyelid surgery on patients of Chinese, Japanese, Korean, and Vietnamese descent, but I respect the natural ethnic shape of their eyes, as I'm sure a Chinese doctor who is experienced in eyelid surgery with different nationalities. Sorry, I do not perform surgery outside of the US. I hope this helps you.
Thank you for the video Dr! I have a question here which I hope you would give me some advice. I'm on Day 4 of my second incisional upper eyelid surgery. The first one failed after about 3 months where the double eyelids slowly faded and turned back to my original hooded eyelids. Nonetheless, the scar from my first surgery was healing very nicely and it's almost invisible after 9 months so I'm not sure if the failure is due to the use of Anti-scar gel as I was putting it religiously 2 times a day every day since 2 days after my stitches were removed. Hence, this time I'm contemplating if I should use a scar gel even though it's recommended by my surgeon. I would really appreciate it if you could answer me ❤️
Hi Audrey Ng, I have my patients use Aquaphor after two days, to replace antibiotic ointment, or anti-scar gel. As you are not my patient, you should ask your surgeon about this as he is responsible for your outcome. My patients have minimal visible scarring, even without anti-scar gel specifically, but minimizing scar appearance also involves surgical technique. I hope this helps you.
Hi , can you please tell me if after the second surgery the crease of the eyes still went back to hooded eyes. Same thing happened to me ,now I need the second surgery
Hi@@nrtnorvi, Sorry to hear about your problem, but I don't know the details of your surgery. I would have to examine your eyelids, and look at your medical records of your previous surgery before giving you a proper second opinion. I hope this helps you.
My doctor told me after 3 weeks to massage area and oput vitamin e. I did that and the oiliness bothers me a lot and gets in my eyes. I tried Maderma and that burned my lid so much I immediately washed my eyes again. I’ve decided to just do nothing and let it heal by itself
Hi @pearlv7885 , Yes, exactly. Prolonged use can cause contact dermatitis, or an allergic reaction. As you can see with my patients in the video with their eyes closed, they don't have scars after healing with this approach. I hope this clarifies things for you.
Hi Dr! About two weeks ago my cat scratched my eyelid. Five days ago I talked to my dermatologist and she recommended Hydrocortisone over the counter (1%). I used it once a day for 5 days. Do you think this could make it worse?
Hi @kerranaranjo9694, Sorry to hear about your problem. It's not my place to contradict your dermatologist's advice since I have not seen you in consultation. I suggest you follow their advice, but contact them if you feel any irritation from using hydrocortisone after the first two days. I hope this helps you.
I think I may have lower eyelid retraction in one eye, very mild by to me very very noticeable!. Is this normal? I'm about two weeks and three days from surgary. Could the skin and muscles still be repairing and therefore this could resolve itself? What can I do to avoid it being perminantly retracted in these early stages. Thank you in advance doc.
Hi Daisy Fish, Lower eyelid retraction is common if there was an external incision on the lower eyelid to remove the fat, and if lower eyelid skin was removed the during lower eyelid surgery. These techniques are very common in lower eyelid surgery, although I do avoid both completely by removing fat from the inside of the eyelid with no external incision. You can follow up with your surgeon about the details of your surgery, and be guided if massage can help relieve some of the tightness under your eyes. I hope this helps you.
@@AmiyaPrasadMD thank you for your help. I've noticed several other issues now including smaller eyes, one eye looking bigger due to the retraction, hollwness and pstosis which I'm not sure if I had proir to the surgary or not. I think I may see how it all heals and may even consider flying to the US for a consultation with you if this does not resolve, I will only trust the best of the best if I get revision surgary. I absolutely can not comprehend living looking like this. To me it's devestating.
Hi@@daisyfish7202, Sorry to hear about your problem. See what your surgeon says, and how things improve. If not, I'd be happy to help you, or you can also consider oculoplastic/oculofacial surgeons who specialize in revising cosmetic eyelid surgeries originally performed by other doctors. A physical exam with as much detail as you can provide from your original surgery will help your chosen specialist, if your situation requires it. I hope this helps you.
Hi @annaneufeld8571, Although Vaseline is also a petrolatum ointment like Aquaphor, Vaseline is greasier, so I only advise my patients to use Aquaphor after the initial use of antibiotic ointment for the first two days after surgery. I hope this clarifies things for you.
Doctor I recently had an Rhynoplastic and blephiropastic two weeks ago .Yesterday I took if my the bandage from my eyes and my eyes started having triple eyelid .I didn’t have that before and now I have it .I have spoke with the doctor and he says that it is due to swelling and I need to wait 2-3 month to see the result .I see people notice changes in one one .It id not even about that my eyes got worse then before , nor I have triple eyelid extra skin .I believe it was done incorrectly.I would like to check that with you and and get your advice .What should I go in this situation? when I can do revision of blephiropastic? What other things I can do to fix this issue .I am so unhappy with my results .Where I can send you the pictures so you will see the difference.
Hi farangis Qodirova, Sorry to hear about your problem. A proper second opinion would involve a physical examination, as pictures alone don't reveal details of the anatomy. It is too early to consider a revision on your eyelids as the post-surgery swelling will affect the accuracy of revision surgery. You can refer to this video about it - czcams.com/video/qTgL6KcwcxA/video.html
Hi dellsbells100, You should consult with your surgeon about timing of applying sunscreen after incisions have healed adequately as you don't want to irritate the skin around the incision. I hope this clarifies things for you.
Hi maggie morales, I don't prescribe scar creams to my patients after cosmetic upper eyelid surgery because we can prevent scar formation with proper surgical technique, and aftercare soon after surgery. You can watch the video more closely to see my usual aftercare plan that involves no scar cream, and you can see the results of this protocol in the thumbnail of the video. I hope this clarifies things for you.
hello Dr Amiya, i'm glad you answer people here i'd appreciate if you can let me know what to do in my case. regarding my ethnicity im a guy from egypt. about 3 years ago i applied vitamin c serum 15% on my whole face (including my eyelids which i thought its okay) and after a couple of days of applying it i saw some extra creases or scars on my upper eyelids and seem like i lost some elasticity too. is it possible for this to happen? and is there a topical cream or a non-invasive treatment i can use to fade or reverse these scars?
Hi Watch Out, A vitamin C serum at most only treats the outer layer of skin, and will not cause a loss of skin elasticity, or creases. An examination is needed before I can make any specific treatment recommendations for you. I hope this clarifies things for you.
good morning ...I had upper and lower bleph with muscle suspension and fat transfer 8 weeks ago. I still have noticeable puffiness in upper eyes esp. in inner canthus....and no difference under eyes....put have a bit of swelling under one eye and a edema or festoon under other eye that was not quite as noticeable before but now even with the muscle suspension and fat is much more noticeable and disturbing . Absolutely no scars ....but the before and after there is truly little if any difference. Any insight or suggestions? I am afraid that I am going to have to have a revision and it is very disappointing .
Hi Heather Berry, Sorry to hear about your problem. I would have to examine your eyelids before making any specific recommendations. However, I strongly advise against fat transfer in the lower eyelids because the thin skin of lower eyelids can reveal inconsistencies of fat, fat needs a blood supply to take to this area, which it often does not, and the common complications of fat grafting into thin lower eyelid skin are complex and expensive to revise. I have made these videos about the complications of grafting fat to the lower eyelids: czcams.com/video/mNo_EBcDi1k/video.html czcams.com/video/VzzsbNDlaHQ/video.html
i had upper blepharoplasty 4 weeks ago. On third week, i noticed that the scar formation underneath the skin was thick at parts of the incision line. I was informed that scars heal better with pressure and that you can massage your incision line from upper blepharoplasty... so I applied a bit of pressure with my fingers and massaged that area in a circular motion at those points where I felt there was probably more collagen production ... now (at 4 weeks) at the end of the incision line (lateral) of one of my eye, the scar doesn't seem to be healing as nicely as the other eye (the lateral part of the incision line seems a bit raised than the other eye and right now underneath the skin of the area is harder than the other eye) Both eyes' incision lines still looks pink. Of note, I clean the incision line with salt water several times a day and apply prosil to the area; so I keep the area clean. My question is, by applying that pressure and massaging the area x 1 time, would that affect scar healing? Did I cause the healing of my one eye to be worse?
Hi aloe vera, I don't advise my patients to massage their upper eyelids after surgery, and I don't advise anything at the incision line at this point other than a petrolatum-based ointment. Antiobiotic ointment at this point can cause contact dermatitis which leads to more swelling and irritation. Also at 2 weeks, then at 4 weeks, I see patients at follow up to see how their healing is going. I think you need to follow up with your doctor as I have not seen your eyelids, nor do I know details of your surgery. I hope this helps you.
Dr. I have blepharoplasty 2months back now I have hypertrophic scar in the lateral border of the incision side where they tie sutures and there is mild pain in that area also. I was diagnosed hypothyroidism after the surgery and I'm under medication for that. is this hypertrophic scar related to my hypothyroidism? And will this hypertrophic scar reduce by itself.
Hi @thongamthoi9980 , Sorry to hear about your problem. I suggest you follow up with your surgeon who can examine your eyelid, and tell you if there are any issues with your healing. I hope this helps you.
Hi Vivien, I hope you understand that it's not my place to contradict your doctor if I didn't perform your surgery, and if I know no details about your eyelids, or how your surgery was performed. I hope you understand.
My scars are deep from lower eye lid surgery. The scars from my upper and dark! How long do they take to heal ? Does taking Omega 3 delay the healing? Also, my right eye doesn’t close all the way. It’s been 1 month from surgery and the scars are very noticeable both top and bottom. Please advise
Hi Angalag, You need to follow up with your surgeon about this as I don't know the details of your surgery. I perform lower eyelid surgery without an external incision, so my patients don't have any scar at all. As for your upper eyelid, you also have to consult with your surgeon if too much skin was removed, causing difficulty in eye closure. I hope this helps you.
Hello Dr Prasad, I am one month post op and am noticeably still in the healing process. The areas are dry but tender. What is the best way I can clean the area without irritation? Is it okay to use peroxide to clean and follow up with aquaphor or something similar?
Hi @TRUTHx247, I hope you understand that I would have to diagnose the dry, but tender area to see what the cause is first before I can recommend a specific treatment. I suggest you meet with your surgeon who can examine the condition of your eyelids, and they can recommend treatment based on their examination. I hope this helps you.
@@AmiyaPrasadMD My PS is overseas. We Skyped and everything is fine, just dry which I was advised to keep the area as dry as possible for about a month. They just told me to leave it alone, but I really want to clean out the area. Thank you for your response anyway, Dr Prasad.
Will taping after suture removal really work? To prevent widening of the scar. I had revision for its scar because the previous blepharoplasty I had left me a wide scar and it was too long 😢
Hi @kiannegeronimo, Sorry to hear about your problem. How your eyelid surgery was performed, and the timing of suture removal are the likely factors that affected your appearance. I generally don't recommend tape as taking off the tape can damage the surgical work that was done. An examination is needed to determine what can help the appearance of your scar. I hope this helps you.
Hi i had lower blepharoplasty done 3months ago and i noticed my upper eye lid is hollow and i cant focused very well.my dr dont understand why this happened can you help.
Hi Maria Candelaria, Sorry to hear about your problem. I can help you, but I would have to examine your eyelids and your eyes before I can make treatment recommendations. In the meantime, you can refer to this video on upper eyelid hollowing due to previous blepharoplasty, and how it's corrected - czcams.com/video/dCDRBngaq60/video.html
Hi ARmāān Khan, I''m not quite sure what you are asking, but these videos on eyelid ptosis may help you: czcams.com/video/7gWSjQce3DQ/video.html czcams.com/video/gbufMchPcoc/video.html
I hope your surgery turns out well for you, shane martin. If you have concerns, your surgeon should be able to examine them, and give proper advice for your recovery. I hope this helps you.
Hi Leatha Scott, Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi- I had upper & lower blepharoplasty four weeks ago. My one month visit is coming up. My dissolvable stitches under the skin are still quite lumpy and the scars are raised. I understand that I am just at the end of the first phase. Would it be OK to put silicone sheeting strips over the scars? I will ask my doctor when I see him in a few days, but thought I'd see what you say, too. Thanks!
Hi Katharine Lang, Usually it is OK to use silicone sheets, but I suggest you send pictures to your surgeon first before using them. There are several types of dissolvable sutures, and I would need to see your appearance and know the details of your surgery before recommending you use silicone sheets. Your doctor knows the details of your surgery, and has seen your recovery, so he can give you more specific recommendations. I hope this helps you.
Hi sir I had under eye lid surgery then my eyes healed and bruises are all gone after 3 weeks I got a rhinoplasty surgery and as my nose healed I noticed that my under eyes got worst.. like scars under my eyes ( incision)become deep and very noticeable.. Does my rhinoplasty affect the result of my under eye surgery? Or it just part of all my healing process? (sorry for my english sir) I hope to hear from you
Hi RARA, Rhinoplasty should not affect the incision lines in your lower eyelids. As I usually perform lower eyelid surgery without an incision in the lower eyelid skin, I suggest you follow up with your eyelid surgeon to see if your incisions are healing properly. I hope this helps you.
Hi doctor,im on my 16th day post blepharoplasty,and the incision scar on the nasal side of both eyes seems to be thicker than the rest, could this be hypertrophic scar/keloid on the formation? Please reply 😭
Hi lalrinsanga fanai, You are still very early in your healing after surgery, with collagen fibers possibly still disorganized, making the incision area seem thicker. These fibers start to organize and flatten after about a month after surgery, so it should improve with time. If you have concerns, you can have your surgeon examine your healing progress. You can refer to this more recent video about healing after upper eeylid surgery - czcams.com/video/dMq7UNewiQI/video.html
Doctor, is it okay to apply CeraVe healing ointment on my scar from upper blepharoplasty? I had my stiches removed 7 days ago after the surgery and now is day 12. In the morning, I apply zinc sunscreen on my upper eyelids to protect the scars from the sun but then when I wash it of with gentle saop at night, my eyelids feel dry so I lubricate them with this CeraVe petrolatum ointment...it feels good. Is my routine oksy? Would you approve?
Hi nasty badger, I do recommend petrolatum-based ointments after the first two days of eyelid surgery, and antiobiotic ointment only for the first two days to prevent an allergic reaction, so what you are doing is in line with what I normally recommend. You can refer to this video about it - czcams.com/video/4c1ZMhxXfYQ/video.html
Hi Jamie, I don't advise you use tape as it can affect normal healing, and removing it can affect the surgical work you just spent a lot of money on. My patients don't use tape to help with healing, and you shouldn't be using it either without your surgeon's advice and supervision. I hope this helps you.
Hi minky cat, Yes it does, to avoid contact dermatitis, or an allergic reaction to the ointment, although I personally perform lower eyelid surgery without an external incision on the eyelid skin. I hope this clarifies things for you
@@AmiyaPrasadMD A surgeon on CZcams, suggested bio-oil and silicone gel to aid in healing the scar under the lower lash if done that way. Do you agree? I am getting lower bhelp next month. After researching for months and having a consult with a top facial surgeon in NY and one in N.J., I settled on a third in N.J. who is a oculoplastic surgeon. He said he has been trained both ways. He has a special technique where he does not remove or replace fat but repositions it whereas giving his patients a checklift in the process because this is part of the technique. But he does cut under lower lash. He has been doing this for 40 + years. Looking at photos of his before and afters I see no scars whatsoever. I am worried about the scar issue tho as nothing is guaranteed and would prefer it done from the inside but I will put my trust in his experience. The added bonus of the cheek lift was quite remarkable seeing the results on his patients. BTW thank you for your time and speedy replies.
Hi@@minkycat66, I still recommend antibiotic ointment for the first 2 days after surgery, followed by non-greasy petrolatum like Aquaphor by the third day. I also still recommend transconjunctival blepharoplasty with no skin incision, and I generally find fat repositioning as ineffective procedure as shown in this video, but it's ultimately your decisions to make about how you want to be treated - czcams.com/video/m-_mFe4eWmo/video.html
@@AmiyaPrasadMD I just watched you video on repositioning fat. Hummm, getting concerned. I don't like fillers, so the repositioning sounded great because you got a cheek lift. I don't have major eye bags, a couple of minor fat pockets. My main concern is hollowness. Would you share the name of the Dr. you mentioned in that video that was doing this method. Hope its not out the dr. I made my appt. with.
Hi@@minkycat66, I hope you understand that it's not ethical for me to name the doctor, but I can say that I generally don't recommend fat repositioning, and the transconjunctival approach to lower blepharoplasty avoids the most common complications associated with lower eyelid surgery. I hope this helps you.
My 15 months baby girl got deep cut on her forhead today. Got 2 stitches. I should apply scarend silicone gel or simply scarend? Also when should i start applying the same?
Hi Vikalp Gupta, Sorry to hear about your baby, but you should be following the directions of the doctor who did your baby's stitches as they know the details of the situation. I hope this helps you.
@@AmiyaPrasadMD Thank you so much for your response. The only issue i face is In reside in Jharia which is a small town in Jharkhand. It does not have good doctors. I just want to minimise the scar that would come up post recovery. So wanted to know what best i can do from day 1 to keep the scar at minimal.
Hi@@vikalpgupta5771, My usual recommendations are in the video, but I don't know the brands and what is available in your area. The doctor who did the stitches can recommend what's available for you. I hope this helps you.
Hi I had surgery 2 weeks ago almost 3 and I have major concerns. First my incisions were made very widely because I had a lot of fat and my left incision was made wider and because of that my eyes are uneven. My left eye is still healing but most of the swelling is gone the way that my incision was made on my left eye makes it to where my eye will not close my right eye is perfect compared to my left also by the way my incision was made on my left eye it makes my left eye look lazy now I have told my surgeon about this and I was told in about 6 to 8 weeks that’s when my muscles gone start doing something but what I don’t get is how is my eyelids gonna close if it’s not enough of skin on my eyelids. My eyelids have been the same since I got out of surgery they still not close the only way to make them close all the way is if I force them and if I do it gently then that’s when you see the white part when I kinda pull my left eyelid down it looks like I’m pulling my left eyelid to tight because alil to much skin was removed. Can you please get back to me because I’m very concerned. Can I get your opinion on this.
Hi Raneshia Franklin, Sorry to hear about your problem. I made a video detailing what can be done by eyelid specialist to restore proper closure after too much skin was removed from cosmetic eyelid surgery - czcams.com/video/asw5HW0YY74/video.html
How do I make an appointment with you I’m scared to allow my surgeon do anything to me again when I can get a revision. How early do yo do revision if you see that the eyelids never shut after the time gram that they are suppose to shut.”? Can you please answer back
How do I make an appointment with you I’m scared to allow my surgeon to do anything to me again. Whats the earliest that someone get a revision. How early do you do revision if you see that the eyelids never shut after the time frame that they are suppose to shut? Can you please answer back.
I did my eyelid surgery 14 days ago. My doctor opened the first layer of stitch after 6 days and the next week he opened the rest of the stitch. My eyes are still puffy and a little swelled but I don't feel any discomfort. My doctor said it's better if I apply makeup after 2 weeks from now which will almost be like 4 weeks from the day of my eyelid surgery. So my only question is that I have to attend a party after 3 days and can I wear make up on that day, it will only be for like 6 hours but I'm also scared?????? Any opinions???
Hi Lim rubyigot7, Applying makeup this long after eyelid surgery should be fine, but it's best to get advice from your doctor since they know the details of your surgery and your healing progress. I hope this helps you.
Hi. I don't understand "... and the next week he opened the rest of the stitch" part. I went for stitch removal 2 days ago and it's just one time off on the surface of the incision area. Hmm... I'm instructed not to apply anything on my eyes as well till a month...
Dr. After eyelid surgery my one eyeball feels like something is pushing on it, its been 2 weeks and its getting painfull I hoped it was swelling but it's not getting better.
Hi IzabellaRequiem , Sorry to hear about your problem. I would need to perform a physical examination to diagnose the cause, so I suggest you follow up with your surgeon who can examine your eye area to determine what the issue is. I hope this helps you.
Sorry to hear about your problem, Not Decaffeinated. While I don't recommend anti-scar creams to my patients after eyelid surgery, too much skin tension on the incision can also lead to widened scars, so this is also a factor to consider. I hope this clarifies things for you.
Hi VePeNqTion_ -, Sorry to hear that. If you want something done to improve symmetry and the appearance of the scar, a physical exam of your situation is needed first. I hope this helps you.
I wish I watched this before consulting with a scar recovery “expert”. I did ALL of the wrong things. Collagen strips and scar massage. Fortunately, my surgeon has provided CO2 lasers to help.
I had my double eyelid surgery about 3 weeks ago and my Doctor told me to start using Biocorneum scar cream at the 3rd week. Do you agree to this or discourage this? I am confused and don’t know what to do since this video seems to discourage it.
Hi doc, how often should I apply aquaphor in a day? the Left side is healing perfectly but the right has so much raised skin on the incision line. 😞 I’m on day 19 since the surgery. Did I apply aquaphor too late?
Hi AP, Aquaphor is used to protect the skin and incision while it's healing, so my patients only use it for about a week after surgery. If the skin has healed over the incision, then it's no longer needed. I suggest you see your surgeon in follow up to monitor how you are healing as that is still part of your surgeon's responsibility to you as a patient. I hope this helps you.
Thanks Doc! This is so Helpful!!
You're welcome, Rizzi Angihan. I'm glad you found the video helpful.
This was so helpful. Everything you mentioned, my Dr said to me. I have to be patient.
I'm happy the video helped you, Kathy Thompson! I do have a more recent video about healing after upper blepharoplasty, if it helps you - czcams.com/video/dMq7UNewiQI/video.html
Thank you. I'm preparing to have this done
You're welcome, Victoria! I'm glad you found the video helpful!
Thank you for this information. You have explained a lot.
You're welcome, Ann Marie Newman! Glad you found the video helpful!
Thank you for all that information
My eyelid surgery was done 1 week ago.
I saw my plastic surgeon today as stitches were removed.
I see him again in 6 weeks.
My plastic surgeon in well known and i am delighted that the weight of the heavy hoods are now gone.
I will follow your advice.
Stay healthy and stay safe
Australia 🙂🙃
You're welcome, Avenger Nemesis! I hope healing goes well, and you are happy with your results as they improve with time.
@@AmiyaPrasadMD
Thank you for your kind wishes..
Australia 🙂🙃
You are such a God Send. Luv this channel
Thank you so much for your kind words, Farah's Mirage! And thanks for watching!
Thank you so much for this video 🙏🙏
You're welcome, @cassandradantico500. I'm glad the video helped you.
That was very helpful.Thank you
You're welcome, D. Sauley! Glad you found the video helpful!
Can you use polysporin
Hi@@tonytanti8138,
If your doctor prescribed you another ointment after eyelid surgery, then you should use that over something over-the-counter, but Polysporin can be used for up to 3 days after surgery, but should be stopped after that time to prevent an allergic reaction. I hope this clarifies things for you.
Beautiful work Dr! My Upper Blepg is in 2 weeks. Can I use a mineral sunscreen since its summer time? If so when? Thank you!
Hi @lisamarie5223,
Thank you! While you can use sunscreen after adequate healing of the incision lines, you should coordinate with your surgeon about the timing of using sunscreen around the eyes as they will know your healing progress since they will be monitoring your recovery. I hope this helps you.
Hello Doctor great answer 👏 I was told the same this morning when I went to see my Surgeon this morning who did my upper eyelids I just massage vitamine A cream twice a day. Marlene Wyngaard, Geneva, Switzerland
It's nice to hear that you found a great surgeon, Marlene!
Thanks Dr Prasad for this video it’s really educational. I was also wondering to myself about using silicone strips or gel for the healing when I do my surgery but I guess I shouldn’t really try anything at all.
You're welcome, Grateful Princess of God! Your surgeon should be able to outline proper aftercare following your surgery, but feel free to reference this video when asking about your specific aftercare routine.
Thank you Doctor I just had upper eyelid blepharoplasty it’s been about a month I did an opthamoligist & Occuplastic surgeon and she said to put a little bit of the Gel strip on the end and then I got liquid gel lid but it’s irritating kind of itching and it’s hard to get off so I don’t think I’m gonna keep using it if it’s going to heal naturally thank you for the input!!!
Hi Joan Esposito,
It's not clear what the gel strip your doctor advised is, but you should still consult your doctor if you have irritation with the aftercare she recommended. I hope this helps you.
Hi Dr. Prasad, when is it OK to finally apply the Anti-Scar cream? It’s been exactly 1 month since my upper blepharoplasty surgery & I was told to wait 3 days after removal of my stitches to put the anti-scar cream but I decided not to follow because of the video’s here I’ve been watching & advising against it so it doesn’t interfere w/ the proper healing but I’d like to know at what time mark can I start using it? After 1 month? 2 months? 3 months? Please help? Thank you 🙏🏼 😍
Hi Michelle Michelle,
I recommend antibiotic ointment for only the first two days after surgery to prevent irritation due contact dermatitis, which is well passed. I suggest you follow up with your surgeon on how your healing is coming along, and follow their advice. I hope this helps you.
What anti scar cream are you using ? Would it be possible for you to give me its name ?
Thank you so much!! This video was so helpful, bc I thought I was getting keloid… So I just have to wait months to heal and see the progress… months to year 😥😥
You're welcome, Laura Ximena. If you think you have keloid formation, I suggest you follow up with your surgeon.
This more recent video may help guide you more in healing after upper blepharoplasty - czcams.com/video/dMq7UNewiQI/video.html
I have a cross hatch scars on the inner side of my upper eyelids. The surgeon said this was to prevent lid from being too tight after hoods removed. It is thick, white, and very obvious. I have no trouble with the scar across the length of the lid. But this other that crosses it. Has left additional droop in corner of eyes. It’s been two years. I find this did not help at all and want to remove and tighter that area of my upper inner eyelid. Is there anything that can be done?
Hi Jane Heimbichner,
Sorry to hear about your problem. I would have to physically examine your eyes to see more detail about this problem before recommending a corrective procedure, but I may be able to help you.
Hello Dr. Prasad, thank you for such an informative video. Does the same apply for lower eyelids and the area just below it which we call soft skin(just above the cheeks)?
Hi Shubham Katiyar,
It's not clear what you are having treated in your lower eyelids or upper cheeks, so I suggest you follow your doctor's advice. I perform lower eyelid surgery from the inside of the lower eyelid, so my patients don't have visible incisions or scars on the lower eyelids that may need treatment. I hope this clarifies things for you.
Thank you for this! I'm on day 10. So, this is helpful :)
I'm glad you found it helpful, love2laughwa! Best of luck with your recovery!
@@AmiyaPrasadMD I am post op almost 3 weeks and have a few spots that are visibly not closing. At my two week he said it would be fine. I have not found a picture on the internet with an opening like I have.
Hi@@kelligentry568,
3 weeks is still very early after surgery with the degree of temporary swelling, so it's not the right time to consider a revision. If you still have the issue after temporary swelling has resolved, a revision can be considered at least 6 months after your initial surgery. You can refer to this video about it - czcams.com/video/asw5HW0YY74/video.html
I got a blepharoplasty and a medial canthoplasty in Vietnam about a month ago. The scar on my left mediall canthus is raised and bumpy. I want to submit a photo to get your opinion on my scarring on the left eye medial canthus
Hi Wendy Nguyen,
Sorry to hear about your problem. A physical exam is needed as pictures won't tell the whole story, but you can send them for pre-evaluation through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ Please note that this is not a formal consultation, but a preliminary evaluation. I hope to hear from you soon.
Did you manage to resolve it in the end?
If the best thing to do is no touching, then how does applying silicone gel and sunscreen and also washing them off in the evenings affect the healing process ? Thank you
Hi Melissa Saal,
While my patients don't use silicone gel after surgery, antibiotic ointment, followed by a petrolatum ointment like Aquaphor after two days can be applied to the incision line with Q-Tip. As for sunscreen, you can apply it normally while avoiding the eye area and the incision. For washing, make sure the stream of the shower is not hitting the incision directly. For further details, you should consult your surgeon who knows about the details of your surgery, and where you are in the healing process. I hope this helps you.
thank you!
You're welcome, Kryštof Robert Müller. I hope the video helped you.
Hello Dr. after i found this video, i removed my silicone sheets that I put literally 5 minutes ago. My doctor said i can put those sheets on my outer corner of my scar( Sorry i can't really explain the position of my insition, its longer than my crease) . I decided to wait couples of weeks. Its my 12 days after Blepharoplasty.
Hi Tanya Ivanova,
We do use silicone sheets for thickened scars that may occur after procedures like breast implant surgery, but since I don't see thickened scars with upper eyelid surgery, I don't use them in the eyelids. As I'm not privy to the details of your situation or surgery, I have to defer to your doctor's judgment. I hope this helps you.
Thank you
You're welcome, Hazel Lopez. I'm glad you found the video helpful.
Hi Dr. Prasad, I had upper blepharoplasty and ptosis surgery 2 weeks ago, and the scars on the inner corners/crease of my eyes are quite bumpy and irregular looking. I asked my surgeon about it and he told me to apply Dermatix Ultra scar gel to help it heal better. Should i apply it or should i just leave it and let it heal on its own? Will it heal naturally? I’m quite concerned as it looks very weird
Hi @Vebol785,
I hope you understand that even thought I don't prescribe anti-scar creams to my eyelid surgery patients, it's not my place to contradict your surgeon's advice since I don't know details of your surgery, nor have I seen you in consultation to examine your condition to give you a proper second opinion. You can arrange for a consultation if you'd like a second opinion. I hope this helps you.
@@AmiyaPrasadMD Thanks for your answer Dr. I guess i should go with my surgeons advice. I would love to have a consultation with you but unfortunately i’m not in the US. I appreciate all your videos on eyelid surgery, they helped me to understand so much more about the whole process than what my surgeon told me!
You're welcome,@@Vebol785. I hope it works out well for you.
Would you recommend using an LED device after any type of surgical procedure to help in the stimulation of collagen? Or would that put you at increased risk of keloid scarring?
Hi Paige Lackey,
While I don't use thermal devices in general to help with healing after surgery, I do use them for non-surgical treatments, and to improve results of surgery for skin tightening, skin resurfacing, etc. However, I don't use LED-based devices in my practice at all. It's also important to understand that collagen is produced by the body on its own to help heal after surgery, and there is a limit to how much collagen you can stimulate at a given time. Temporary swelling after eyelid surgery has a lot to do with disorganized collagen fibers, and swelling resolves as the collagen fibers flatten. I hope this clarifies things for you.
Please help. I just had a facelift in Mexico with upper and lower blephoplasty and lateral brow lift. My eyelids are not closing properly and I have to wear gell at night in them. My eyes look weird and not symmetrical. I sought an eye surgeon second opinion who believes that too much skin was taken from the top lids. Now at 3 weeks, my surgen wants me to massage all around the eyes to create more laxity. I have been massaging the scars which still hurt from the cut a little, on the upper lids in hopes of creating more laxity. I do feel that they are getting more inflamed. My question is would you ever recommend massage at this point, to the scar or around it to create more laxity?
Hi @beingyourtrueselfcoaching7403,
Sorry to hear about your problem. I generally don't advise my patients to massage their eye area after cosmetic eyelid surgery because the first I do is ensure that too much skin is not excised, as eyelid skin is important for normal eyelid function. I would have to examine your eyelids, and see medical records of your previous surgery before I can give you a proper second opinion for your case. I hope this clarifies things for you.
Hi, I had my blepharoplastic surgery about 2 weeks ago now, and my doctor said it was okay to put make up on top of the scar 2 days after removing the stitches, which I have been doing since I don't want to show myself the way I look in public with the scar. My scar is quite thick but mostly underneath the incision and on the outermost edges of the incision where the sticthes ended I have raised bumps. My doctor recommended prosil to use morning and night and underneath make up. I'm terrified that this thickness wont go away in time since I can't properly open my eyes fully since the incision was made right in the crease. So my question now is, do you think my healing process will be affected negatively if I put on make up and this scar treatment cream on most days of the week? I have no history of keloid scars previously but this thickness I have now I'm scared won't go away.
Hi Helena engström,
Generally, 1-2 days after suture removal, the eyelid incision should be closed, and makeup can be applied. However, makeup particles can be very small, older makeup does contain bacteria, and people heal at different rates, so it is possible that it can be affecting your eyelids. I advise you stop using makeup if you experience any irritation, and consider changing to new makeup reduce possibility of bacteria from old makeup. See your doctor if there are any problems. Also, you should not be using antibiotic cream by now for the incision to reduce chances of an allergic reaction. You can watch this video about it - czcams.com/video/4c1ZMhxXfYQ/video.html
Hello I have the same issue as you I have the surgery two weeks ago and I have small bumps on the lid doctor recommended strataderm gel to use day and nigh with a massage I want to know did your bumps went away how is your scar healing ?
@@takiwithlove347 Hello! I did mine last week. How's the bump like as I couldn't visualize them? Mine is more of swollen lids which is normal but the swell is more on the left eye. Thus, making me looks sleepy or dreamy...
@@takiwithlove347 did yours go away?
Hello doctor thankyou so much for your video. I wanna ask you is that i even not have anysingle eyelid can i do surgery
Hi Shyamsunder Kshetrimayum,
You're welcome! I'm not sure what you're asking, but if you mean you don't have an eyelid crease, then one can be created as it's often done for people of Asian descent. You can refer to these videos about it:
czcams.com/video/h3SnO2rozVw/video.html
czcams.com/video/cql2hBx_Koc/video.html
czcams.com/video/xU7EKwBXdmY/video.html
czcams.com/video/rtDDRHknbkc/video.html
What do you recommend for hypertrophic scars in the upper eyelids within the first weeks after surgery to prevent the worsening of the scar?
Hi @AnyelinaL,
I usually avoid hypertrophic scars in skin types prone to them by reducing tension on the incision lines, and using fine sutures. For a proper second opinion about your scars, I would have to examine your eyelids before I can recommend specific treatments for you. I hope this helps you.
@@AmiyaPrasadMD I had upper blepharoplasty and it's developing hypertrophic scar above and below the incision lines. I really don't want to do C02 laser or injection of 5FU, is really anything else I can do?
Hi@@AnyelinaL,
I hope you understand that without examining your eyelids, knowing your skin type, or knowing details of your surgery, it isn't appropriate for me to recommend treatment. I hope you understand.
So once the stitches are removed do we put at least an eye cream/hyaluronic or similar to help the collagen building.
Hi Alicia J. Chambers,
There is already collagen stimulation, remodeling, and flattening going on after surgery as collagen synthesis is the body's response to an injury, in which these cases surgery is the injury. I don't recommend additional creams or ointments that could irritate the skin, and slow the healing process. I hope this clarifies things for you.
Hello Dr. Prasad, I had Blepharoplasty surgery about 3 weeks ago, my right eye is still showing bag left not as much. I’m going to contact my surgeon in few days, I feel like my surgery didn’t work as well as I was expecting, my husband keeps telling me to wait longer to see progress but I think by now it should show improvement, I was very bruised and swollen but now all of that is gone and still have significant bag especially under the right eye. When I do research on the web other people’s pictures are nothing like the way I look.. any suggestions please? Thanks so much for your time, Angela
Hi Angela,
Sorry to hear about your problem. A little fat should be left after lower eyelid surgery to prevent a hollow appearance, but it's possible that your doctor left too much behind. There is no way to tell unless I examine your eyelids, but your doctor should be able to resolve this, especially if no external incision was made like I do using the transconjunctival blepharoplasty technique. I hope this help you.
Thanks so much got your reply Dr. Prasad! I did talk to the doctor’s nurse I was told to give it time that I’m still swollen.. it’s now four weeks tomorrow and I still have them.. what can he do to fix it? I also have a small cyst on the left side near the last stitch that he removed, he told me that it’s typical for some to get that after surgery.. I can go in and get it removed.. what’s your suggestion. Thanks again for your time.
Doctor…My mom has lumps and bumps on her lower eye lid, they look like milia and other things. The dermatologist tried to pick out one of them and he couldn’t, it was difficult, the zap would not work to remove the tiny bump. What does my mom have, the diagnosis? I want to get her the right treatment.
Hi Majestic,
Sorry to hear about your mother's problem. I hope you understand that a diagnosis requires a physical examination, and that I cannot make a diagnosis from your description alone. A proper second opinion requires an examination. I hope this helps you.
Hi, thank you for this video, I had upper eyelid surgery 5 weeks ago and have started to use a tiny bit of bio oil on my lids as this is renowned for lessening scars, am I doing it to early or should I wait a while longer?
Hi Julie Bates,
I suggest you clear any topicals you are using with your surgeon, as minimizing the appearance of scars is highly dependent on the way your surgery is performed. My patients don't use anti-scar topicals for their incision lines to be barely visible, and I don't know what is contained in the bio oil you're using. I hope this clarifies things for you.
Can be Mederma Advanced scar gel used on upper eye lid for scarring after a month after surgery ? Or it’s too strong for eyelids? Is there any better products to use for scars to fade?
Hi Jonna N R,
My eyelid surgery patients, like those featured in the video, don't use topical anti-scar treatments, but still have virtually imperceptible incision lines. It is still very early in your surgical recovery, so I suggest you follow the advice of your surgeon, and follow up with them to get a better idea of where you are in your healing process. In the meantime, you can refer to this video about recovery and healing after upper eyelid surgery - czcams.com/video/dMq7UNewiQI/video.html
Hi - as an expert in this field - do you use dissolving stiches? I'm in the process of selecting a board certified surgeon for an eyelid lift. Of the 3, the one I liked best uses dissolving stiches - the others do not because of potential scaring.
Hi Suzie Henyan,
For treating hooded eyes, I mostly use non-dissolvable sutures, which are then removed a week later. For some patients, if a predictably outcome can still be achieved with dissolving sutures, then I would use them. The type of suture use should not be the basis of choosing a surgeon, as it's the doctor's aesthetic style, results (including avoiding scarring), as well as your personal rapport with the surgeon that should be the basis for choosing a surgeon. I hope this clarifies things for you.
What is your pricing
Hi@@wynn2812ify,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Dr. Prasad, thank you so much for your videos. I have 2 questions I am hoping you can answer. Some background first, I got an upper blephorplasty and upper eyelid fat grafting. It’s been over 2 months since the blephorplasty surgery and over 1.5 months since the second fat grafting procedure (which was needed because the majority of the fat from first round didn’t hold, the second round held up much better).
Question 1 - why do eyes that have had fat grafting potentially look different day to day? I’ve noticed on days I get less sleep my upper eyelids now have less fullness and show more folds, but after days of getting good sleep, there’s more fullness
Question 2- it’s been 2 months but I’ve still been avoiding washing, rubbing, or putting makeup/sunscreen on my upper eyes.I’ve been extra careful because I was told full healing takes up to 6months and I was to preserve as much of the fat as possible. How long should I wait to resume washing my eyes and using makeup/sunscreen, what’s the best action to try and retain as much fat from the upper eyelid fat graft as possible?
Thank you so much in advance!!
Hi @Artyhugby,
1) the results of fat grafting behind the upper eyelid should not appear different depending on the amount of sleep you had.
2) Two months after surgery is usually safe for my patients to apply makeup, and sunscreen to the upper eyelids, but this is a question you should be asking your surgeon as they know details of how your surgery was performed, where you are in your healing process, and can examine your eyelids for any issues before you start using makeup and sunscreen. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you so much for your response. Really truly appreciate it. I'll reach out to my sugeon and ask as you suggested.
You're welcome,@@Artyhugby
dr Prasad id appreciate it if you can show indo pak clients eye lifts we see so many white patients but as a asian ( indian pak) i think it would be good to hear your perspective as we may be prone to scarring more than white people . Plus there's very little info for asian to understand the eyelift issue or pictures of before and after when we are researching
Hi s be,
I understand what you mean as I also have darker skin, and I do serve many patients with darker skin for eyelid surgery, so I made a video it, for you reference - czcams.com/video/ZNkvC941ng4/video.html
@@AmiyaPrasadMD Thank you Dr Prasad ive wanted to come to you for my eye lift or brow life which ever that needs doing the issie is your in the usa and im in dubai. Theres a reason i trust you cause your asian( brits call indo paks folks asian) you understand the asian eye shape my worry was going to a chinese dr they would make my eyes like oriental as theres definetely a cultural understanding needed when dealing with indo pak clients whe n dealing with their their whole features. although mine eye lift may be very minor i do have hooded eyes now . If i came to the usa id only be there for afew days and as such one needs after care and check up i wish you had a plan to come to the uae.
Hi@@sbe8621,
The important thing is finding a doctor experienced with darker skin types, no matter what the doctor's nationality is. I also known among Asian communities to perform double eyelid surgery on patients of Chinese, Japanese, Korean, and Vietnamese descent, but I respect the natural ethnic shape of their eyes, as I'm sure a Chinese doctor who is experienced in eyelid surgery with different nationalities. Sorry, I do not perform surgery outside of the US. I hope this helps you.
Thank you for the video Dr! I have a question here which I hope you would give me some advice. I'm on Day 4 of my second incisional upper eyelid surgery. The first one failed after about 3 months where the double eyelids slowly faded and turned back to my original hooded eyelids. Nonetheless, the scar from my first surgery was healing very nicely and it's almost invisible after 9 months so I'm not sure if the failure is due to the use of Anti-scar gel as I was putting it religiously 2 times a day every day since 2 days after my stitches were removed. Hence, this time I'm contemplating if I should use a scar gel even though it's recommended by my surgeon. I would really appreciate it if you could answer me ❤️
Hi Audrey Ng,
I have my patients use Aquaphor after two days, to replace antibiotic ointment, or anti-scar gel. As you are not my patient, you should ask your surgeon about this as he is responsible for your outcome. My patients have minimal visible scarring, even without anti-scar gel specifically, but minimizing scar appearance also involves surgical technique. I hope this helps you.
Hi , can you please tell me if after the second surgery the crease of the eyes still went back to hooded eyes. Same thing happened to me ,now I need the second surgery
Hi@@nrtnorvi,
Sorry to hear about your problem, but I don't know the details of your surgery. I would have to examine your eyelids, and look at your medical records of your previous surgery before giving you a proper second opinion. I hope this helps you.
What about a sunscreen with zinc?
Like neutragena sunscreen for sensitive skin?
That's what I'm using now and it's been 8 days since my upper blepharoplasty...my surgeon said it's okay...
How did your scar heal?
My doctor told me after 3 weeks to massage area and oput vitamin e. I did that and the oiliness bothers me a lot and gets in my eyes. I tried Maderma and that burned my lid so much I immediately washed my eyes again. I’ve decided to just do nothing and let it heal by itself
Sorry to hear about your problem, Ellie Alavi. I hope your recovery goes well.
how would you remove a discolored scars from an eyelid surgery after 2 years
Hi Nina,
I would have to physically examine the scars before I can make specific recommendations for you. I hope this clarifies things for you.
So you’re saying it’s best not to apply any scar creams/ointments? Even a month out?
Hi @pearlv7885 ,
Yes, exactly. Prolonged use can cause contact dermatitis, or an allergic reaction. As you can see with my patients in the video with their eyes closed, they don't have scars after healing with this approach. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you for your very professional insight 🙂
You're welcome,@@ReynaMars
Hi Dr! About two weeks ago my cat scratched my eyelid. Five days ago I talked to my dermatologist and she recommended Hydrocortisone over the counter (1%). I used it once a day for 5 days. Do you think this could make it worse?
Hi @kerranaranjo9694,
Sorry to hear about your problem. It's not my place to contradict your dermatologist's advice since I have not seen you in consultation. I suggest you follow their advice, but contact them if you feel any irritation from using hydrocortisone after the first two days. I hope this helps you.
I think I may have lower eyelid retraction in one eye, very mild by to me very very noticeable!. Is this normal? I'm about two weeks and three days from surgary. Could the skin and muscles still be repairing and therefore this could resolve itself? What can I do to avoid it being perminantly retracted in these early stages. Thank you in advance doc.
Hi Daisy Fish,
Lower eyelid retraction is common if there was an external incision on the lower eyelid to remove the fat, and if lower eyelid skin was removed the during lower eyelid surgery. These techniques are very common in lower eyelid surgery, although I do avoid both completely by removing fat from the inside of the eyelid with no external incision. You can follow up with your surgeon about the details of your surgery, and be guided if massage can help relieve some of the tightness under your eyes. I hope this helps you.
@@AmiyaPrasadMD thank you for your help. I've noticed several other issues now including smaller eyes, one eye looking bigger due to the retraction, hollwness and pstosis which I'm not sure if I had proir to the surgary or not. I think I may see how it all heals and may even consider flying to the US for a consultation with you if this does not resolve, I will only trust the best of the best if I get revision surgary. I absolutely can not comprehend living looking like this. To me it's devestating.
Hi@@daisyfish7202,
Sorry to hear about your problem. See what your surgeon says, and how things improve. If not, I'd be happy to help you, or you can also consider oculoplastic/oculofacial surgeons who specialize in revising cosmetic eyelid surgeries originally performed by other doctors. A physical exam with as much detail as you can provide from your original surgery will help your chosen specialist, if your situation requires it. I hope this helps you.
Is it ok to apply Vaseline to eye lids for scars?
Hi @annaneufeld8571,
Although Vaseline is also a petrolatum ointment like Aquaphor, Vaseline is greasier, so I only advise my patients to use Aquaphor after the initial use of antibiotic ointment for the first two days after surgery. I hope this clarifies things for you.
Doctor I recently had an Rhynoplastic and blephiropastic two weeks ago .Yesterday I took if my the bandage from my eyes and my eyes started having triple eyelid .I didn’t have that before and now I have it .I have spoke with the doctor and he says that it is due to swelling and I need to wait 2-3 month to see the result .I see people notice changes in one one .It id not even about that my eyes got worse then before , nor I have triple eyelid extra skin .I believe it was done incorrectly.I would like to check that with you and and get your advice .What should I go in this situation? when I can do revision of blephiropastic? What other things I can do to fix this issue .I am so unhappy with my results .Where I can send you the pictures so you will see the difference.
Hi farangis Qodirova,
Sorry to hear about your problem. A proper second opinion would involve a physical examination, as pictures alone don't reveal details of the anatomy. It is too early to consider a revision on your eyelids as the post-surgery swelling will affect the accuracy of revision surgery. You can refer to this video about it - czcams.com/video/qTgL6KcwcxA/video.html
Is it ok to apply sunscreen after incisions have healed?
Hi dellsbells100,
You should consult with your surgeon about timing of applying sunscreen after incisions have healed adequately as you don't want to irritate the skin around the incision. I hope this clarifies things for you.
Dr I had upper eye lid surgery so to put scar cream best to put it on after a month?
Hi maggie morales,
I don't prescribe scar creams to my patients after cosmetic upper eyelid surgery because we can prevent scar formation with proper surgical technique, and aftercare soon after surgery. You can watch the video more closely to see my usual aftercare plan that involves no scar cream, and you can see the results of this protocol in the thumbnail of the video. I hope this clarifies things for you.
Amiya Prasad, M.D. yes thank you for the info.and taking the time to replying it’s well appreciate .
You're welcome,@@maggiemorales1019!
hello Dr Amiya, i'm glad you answer people here i'd appreciate if you can let me know what to do in my case. regarding my ethnicity im a guy from egypt. about 3 years ago i applied vitamin c serum 15% on my whole face (including my eyelids which i thought its okay) and after a couple of days of applying it i saw some extra creases or scars on my upper eyelids and seem like i lost some elasticity too. is it possible for this to happen? and is there a topical cream or a non-invasive treatment i can use to fade or reverse these scars?
Hi Watch Out,
A vitamin C serum at most only treats the outer layer of skin, and will not cause a loss of skin elasticity, or creases. An examination is needed before I can make any specific treatment recommendations for you. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you Dr. i surely need an examination then to clarify things out. what about vitamin A like tretinoin can it cause scars?
Hi@@watchout2214,
Topical treatments will not cause scars, as scars are deeper than out layer of skin. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you a lot dr for your help and response.
You're welcome, @@watchout2214!
good morning ...I had upper and lower bleph with muscle suspension and fat transfer 8 weeks ago. I still have noticeable puffiness in upper eyes esp. in inner canthus....and no difference under eyes....put have a bit of swelling under one eye and a edema or festoon under other eye that was not quite as noticeable before but now even with the muscle suspension and fat is much more noticeable and disturbing . Absolutely no scars ....but the before and after there is truly little if any difference.
Any insight or suggestions?
I am afraid that I am going to have to have a revision and it is very disappointing .
Hi Heather Berry,
Sorry to hear about your problem. I would have to examine your eyelids before making any specific recommendations. However, I strongly advise against fat transfer in the lower eyelids because the thin skin of lower eyelids can reveal inconsistencies of fat, fat needs a blood supply to take to this area, which it often does not, and the common complications of fat grafting into thin lower eyelid skin are complex and expensive to revise. I have made these videos about the complications of grafting fat to the lower eyelids:
czcams.com/video/mNo_EBcDi1k/video.html
czcams.com/video/VzzsbNDlaHQ/video.html
i had upper blepharoplasty 4 weeks ago. On third week, i noticed that the scar formation underneath the skin was thick at parts of the incision line. I was informed that scars heal better with pressure and that you can massage your incision line from upper blepharoplasty... so I applied a bit of pressure with my fingers and massaged that area in a circular motion at those points where I felt there was probably more collagen production ... now (at 4 weeks) at the end of the incision line (lateral) of one of my eye, the scar doesn't seem to be healing as nicely as the other eye (the lateral part of the incision line seems a bit raised than the other eye and right now underneath the skin of the area is harder than the other eye) Both eyes' incision lines still looks pink. Of note, I clean the incision line with salt water several times a day and apply prosil to the area; so I keep the area clean. My question is, by applying that pressure and massaging the area x 1 time, would that affect scar healing? Did I cause the healing of my one eye to be worse?
Hi aloe vera,
I don't advise my patients to massage their upper eyelids after surgery, and I don't advise anything at the incision line at this point other than a petrolatum-based ointment. Antiobiotic ointment at this point can cause contact dermatitis which leads to more swelling and irritation. Also at 2 weeks, then at 4 weeks, I see patients at follow up to see how their healing is going. I think you need to follow up with your doctor as I have not seen your eyelids, nor do I know details of your surgery. I hope this helps you.
Dr. I have blepharoplasty 2months back now I have hypertrophic scar in the lateral border of the incision side where they tie sutures and there is mild pain in that area also. I was diagnosed hypothyroidism after the surgery and I'm under medication for that. is this hypertrophic scar related to my hypothyroidism? And will this hypertrophic scar reduce by itself.
Hi @thongamthoi9980 ,
Sorry to hear about your problem. I suggest you follow up with your surgeon who can examine your eyelid, and tell you if there are any issues with your healing. I hope this helps you.
My doctor prescribed me scar cream to be put on 21 days after surgery, should I still proceed with it?
Hi Vivien,
I hope you understand that it's not my place to contradict your doctor if I didn't perform your surgery, and if I know no details about your eyelids, or how your surgery was performed. I hope you understand.
My scars are deep from lower eye lid surgery. The scars from my upper and dark! How long do they take to heal ? Does taking Omega 3 delay the healing? Also, my right eye doesn’t close all the way. It’s been 1 month from surgery and the scars are very noticeable both top and bottom. Please advise
Hi Angalag,
You need to follow up with your surgeon about this as I don't know the details of your surgery. I perform lower eyelid surgery without an external incision, so my patients don't have any scar at all.
As for your upper eyelid, you also have to consult with your surgeon if too much skin was removed, causing difficulty in eye closure. I hope this helps you.
Hello Dr Prasad, I am one month post op and am noticeably still in the healing process. The areas are dry but tender. What is the best way I can clean the area without irritation? Is it okay to use peroxide to clean and follow up with aquaphor or something similar?
Hi @TRUTHx247,
I hope you understand that I would have to diagnose the dry, but tender area to see what the cause is first before I can recommend a specific treatment. I suggest you meet with your surgeon who can examine the condition of your eyelids, and they can recommend treatment based on their examination. I hope this helps you.
@@AmiyaPrasadMD
My PS is overseas. We Skyped and everything is fine, just dry which I was advised to keep the area as dry as possible for about a month. They just told me to leave it alone, but I really want to clean out the area. Thank you for your response anyway, Dr Prasad.
You're welcome, @@TRUTHx247
Will taping after suture removal really work? To prevent widening of the scar. I had revision for its scar because the previous blepharoplasty I had left me a wide scar and it was too long 😢
Hi @kiannegeronimo,
Sorry to hear about your problem. How your eyelid surgery was performed, and the timing of suture removal are the likely factors that affected your appearance. I generally don't recommend tape as taking off the tape can damage the surgical work that was done. An examination is needed to determine what can help the appearance of your scar. I hope this helps you.
Hi i had lower blepharoplasty done 3months ago and i noticed my upper eye lid is hollow and i cant focused very well.my dr dont understand why this happened can you help.
Hi Maria Candelaria,
Sorry to hear about your problem. I can help you, but I would have to examine your eyelids and your eyes before I can make treatment recommendations. In the meantime, you can refer to this video on upper eyelid hollowing due to previous blepharoplasty, and how it's corrected - czcams.com/video/dCDRBngaq60/video.html
Hello sir I have eyelids ptosis my eyes or lince is fine but my eyes not upper down
Hi ARmāān Khan,
I''m not quite sure what you are asking, but these videos on eyelid ptosis may help you:
czcams.com/video/7gWSjQce3DQ/video.html
czcams.com/video/gbufMchPcoc/video.html
i just got surgery on my eyelid do to scar tissue and now there is no bump but its gonna be swolen and bruised for a wile
I hope your surgery turns out well for you, shane martin. If you have concerns, your surgeon should be able to examine them, and give proper advice for your recovery. I hope this helps you.
Where are you located?
Hi Leatha Scott,
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi- I had upper & lower blepharoplasty four weeks ago. My one month visit is coming up. My dissolvable stitches under the skin are still quite lumpy and the scars are raised. I understand that I am just at the end of the first phase. Would it be OK to put silicone sheeting strips over the scars? I will ask my doctor when I see him in a few days, but thought I'd see what you say, too. Thanks!
Hi Katharine Lang,
Usually it is OK to use silicone sheets, but I suggest you send pictures to your surgeon first before using them. There are several types of dissolvable sutures, and I would need to see your appearance and know the details of your surgery before recommending you use silicone sheets. Your doctor knows the details of your surgery, and has seen your recovery, so he can give you more specific recommendations. I hope this helps you.
Did it get better?
Hi sir I had under eye lid surgery then my eyes healed and bruises are all gone after 3 weeks I got a rhinoplasty surgery and as my nose healed I noticed that my under eyes got worst.. like scars under my eyes ( incision)become deep and very noticeable.. Does my rhinoplasty affect the result of my under eye surgery? Or it just part of all my healing process? (sorry for my english sir) I hope to hear from you
Hi RARA,
Rhinoplasty should not affect the incision lines in your lower eyelids. As I usually perform lower eyelid surgery without an incision in the lower eyelid skin, I suggest you follow up with your eyelid surgeon to see if your incisions are healing properly. I hope this helps you.
Hi doctor,im on my 16th day post blepharoplasty,and the incision scar on the nasal side of both eyes seems to be thicker than the rest, could this be hypertrophic scar/keloid on the formation? Please reply 😭
Hi lalrinsanga fanai,
You are still very early in your healing after surgery, with collagen fibers possibly still disorganized, making the incision area seem thicker. These fibers start to organize and flatten after about a month after surgery, so it should improve with time. If you have concerns, you can have your surgeon examine your healing progress. You can refer to this more recent video about healing after upper eeylid surgery - czcams.com/video/dMq7UNewiQI/video.html
Doctor, is it okay to apply CeraVe healing ointment on my scar from upper blepharoplasty? I had my stiches removed 7 days ago after the surgery and now is day 12.
In the morning, I apply zinc sunscreen on my upper eyelids to protect the scars from the sun but then when I wash it of with gentle saop at night, my eyelids feel dry so I lubricate them with this CeraVe petrolatum ointment...it feels good.
Is my routine oksy? Would you approve?
Hi nasty badger,
I do recommend petrolatum-based ointments after the first two days of eyelid surgery, and antiobiotic ointment only for the first two days to prevent an allergic reaction, so what you are doing is in line with what I normally recommend. You can refer to this video about it - czcams.com/video/4c1ZMhxXfYQ/video.html
@@AmiyaPrasadMD Thank you Doctor! That makes me feel better now. I appreciate your reply!
You're welcome, @@honeybadgernasty!
Hello doc,i recently underwent a blepheroplasty surgery so ,,during the healing process can i use eye tape onto my eyelid for extra support??
Hi Jamie,
I don't advise you use tape as it can affect normal healing, and removing it can affect the surgical work you just spent a lot of money on. My patients don't use tape to help with healing, and you shouldn't be using it either without your surgeon's advice and supervision. I hope this helps you.
@@AmiyaPrasadMD okey doc will keep that in mind , could you tell me what is the ideal time for suture removal?
Hi@@hellangel230,
I remove sutures from cosmetic eyelid surgery patients at about a week after surgery. I hope this clarifies things for you.
@@AmiyaPrasadMD Yes, thank you for replying 🙂
You're welcome, @@hellangel230!
Does this apply to lower lid where an incision was used under the lash line?
Hi minky cat,
Yes it does, to avoid contact dermatitis, or an allergic reaction to the ointment, although I personally perform lower eyelid surgery without an external incision on the eyelid skin. I hope this clarifies things for you
@@AmiyaPrasadMD A surgeon on CZcams, suggested bio-oil and silicone gel to aid in healing the scar under the lower lash if done that way. Do you agree? I am getting lower bhelp next month. After researching for months and having a consult with a top facial surgeon in NY and one in N.J., I settled on a third in N.J. who is a oculoplastic surgeon. He said he has been trained both ways. He has a special technique where he does not remove or replace fat but repositions it whereas giving his patients a checklift in the process because this is part of the technique. But he does cut under lower lash. He has been doing this for 40 + years. Looking at photos of his before and afters I see no scars whatsoever. I am worried about the scar issue tho as nothing is guaranteed and would prefer it done from the inside but I will put my trust in his experience. The added bonus of the cheek lift was quite remarkable seeing the results on his patients. BTW thank you for your time and speedy replies.
Hi@@minkycat66,
I still recommend antibiotic ointment for the first 2 days after surgery, followed by non-greasy petrolatum like Aquaphor by the third day. I also still recommend transconjunctival blepharoplasty with no skin incision, and I generally find fat repositioning as ineffective procedure as shown in this video, but it's ultimately your decisions to make about how you want to be treated - czcams.com/video/m-_mFe4eWmo/video.html
@@AmiyaPrasadMD I just watched you video on repositioning fat. Hummm, getting concerned. I don't like fillers, so the repositioning sounded great because you got a cheek lift. I don't have major eye bags, a couple of minor fat pockets. My main concern is hollowness. Would you share the name of the Dr. you mentioned in that video that was doing this method. Hope its not out the dr. I made my appt. with.
Hi@@minkycat66,
I hope you understand that it's not ethical for me to name the doctor, but I can say that I generally don't recommend fat repositioning, and the transconjunctival approach to lower blepharoplasty avoids the most common complications associated with lower eyelid surgery. I hope this helps you.
My 15 months baby girl got deep cut on her forhead today. Got 2 stitches.
I should apply scarend silicone gel or simply scarend?
Also when should i start applying the same?
Hi Vikalp Gupta,
Sorry to hear about your baby, but you should be following the directions of the doctor who did your baby's stitches as they know the details of the situation. I hope this helps you.
@@AmiyaPrasadMD Thank you so much for your response. The only issue i face is In reside in Jharia which is a small town in Jharkhand. It does not have good doctors.
I just want to minimise the scar that would come up post recovery. So wanted to know what best i can do from day 1 to keep the scar at minimal.
Hi@@vikalpgupta5771,
My usual recommendations are in the video, but I don't know the brands and what is available in your area. The doctor who did the stitches can recommend what's available for you. I hope this helps you.
@@AmiyaPrasadMD Ok. Thank you
You're welcome,@@vikalpgupta5771 !
Hi I had surgery 2 weeks ago almost 3 and I have major concerns. First my incisions were made very widely because I had a lot of fat and my left incision was made wider and because of that my eyes are uneven. My left eye is still healing but most of the swelling is gone the way that my incision was made on my left eye makes it to where my eye will not close my right eye is perfect compared to my left also by the way my incision was made on my left eye it makes my left eye look lazy now I have told my surgeon about this and I was told in about 6 to 8 weeks that’s when my muscles gone start doing something but what I don’t get is how is my eyelids gonna close if it’s not enough of skin on my eyelids. My eyelids have been the same since I got out of surgery they still not close the only way to make them close all the way is if I force them and if I do it gently then that’s when you see the white part when I kinda pull my left eyelid down it looks like I’m pulling my left eyelid to tight because alil to much skin was removed. Can you please get back to me because I’m very concerned. Can I get your opinion on this.
Also when I look up in the mirror like I’m looking up my left eye dose not fold correctly now it could be because of swelling but I’m not sure also
My eyelids look very stiff is that normal could that be the problem
Hi Raneshia Franklin,
Sorry to hear about your problem. I made a video detailing what can be done by eyelid specialist to restore proper closure after too much skin was removed from cosmetic eyelid surgery - czcams.com/video/asw5HW0YY74/video.html
How do I make an appointment with you I’m scared to allow my surgeon do anything to me again when I can get a revision. How early do yo do revision if you see that the eyelids never shut after the time gram that they are suppose to shut.”? Can you please answer back
How do I make an appointment with you I’m scared to allow my surgeon to do anything to me again. Whats the earliest that someone get a revision. How early do you do revision if you see that the eyelids never shut after the time frame that they are suppose to shut? Can you please answer back.
I did my eyelid surgery 14 days ago. My doctor opened the first layer of stitch after 6 days and the next week he opened the rest of the stitch. My eyes are still puffy and a little swelled but I don't feel any discomfort. My doctor said it's better if I apply makeup after 2 weeks from now which will almost be like 4 weeks from the day of my eyelid surgery. So my only question is that I have to attend a party after 3 days and can I wear make up on that day, it will only be for like 6 hours but I'm also scared??????
Any opinions???
Hi Lim rubyigot7,
Applying makeup this long after eyelid surgery should be fine, but it's best to get advice from your doctor since they know the details of your surgery and your healing progress. I hope this helps you.
Hi. I don't understand "... and the next week he opened the rest of the stitch" part. I went for stitch removal 2 days ago and it's just one time off on the surface of the incision area. Hmm... I'm instructed not to apply anything on my eyes as well till a month...
I cut my eyelid in a accident, now i have a scar, can I use MEDERMA??
Hi,
Sorry, but I would need to examine your cut, and your scar before recommending specific treatments. I hope this helps you.
Dr. After eyelid surgery my one eyeball feels like something is pushing on it, its been 2 weeks and its getting painfull I hoped it was swelling but it's not getting better.
Hi IzabellaRequiem ,
Sorry to hear about your problem. I would need to perform a physical examination to diagnose the cause, so I suggest you follow up with your surgeon who can examine your eye area to determine what the issue is. I hope this helps you.
@@AmiyaPrasadMD It stopped thank you :) I got a little blood stucked but it as not dangerous amount
You're welcome,@@IzabellaRequiem
Anti scar cream widened my scars badly.
Sorry to hear about your problem, Not Decaffeinated. While I don't recommend anti-scar creams to my patients after eyelid surgery, too much skin tension on the incision can also lead to widened scars, so this is also a factor to consider. I hope this clarifies things for you.
i have an inch long scar in the upper right of my eyelid. that makes my eyes look uneven
Hi VePeNqTion_ -,
Sorry to hear that. If you want something done to improve symmetry and the appearance of the scar, a physical exam of your situation is needed first. I hope this helps you.
I wish I watched this before consulting with a scar recovery “expert”. I did ALL of the wrong things. Collagen strips and scar massage. Fortunately, my surgeon has provided CO2 lasers to help.
Sorry to hear that, Rundown with Rachel. I hope your follow up treatment goes well.
I had my double eyelid surgery about 3 weeks ago and my Doctor told me to start using Biocorneum scar cream at the 3rd week.
Do you agree to this or discourage this?
I am confused and don’t know what to do since this video seems to discourage it.
Hi M Buddhasiri,
I have to defer to your doctor's judgment since they are your doctor, know your face and eyes, and performed your surgery.
Hi doc, how often should I apply aquaphor in a day? the Left side is healing perfectly but the right has so much raised skin on the incision line. 😞 I’m on day 19 since the surgery. Did I apply aquaphor too late?
Also, doctor didn’t prescribe anything for post op care except for hydrogen peroxide
Hi AP,
Aquaphor is used to protect the skin and incision while it's healing, so my patients only use it for about a week after surgery. If the skin has healed over the incision, then it's no longer needed. I suggest you see your surgeon in follow up to monitor how you are healing as that is still part of your surgeon's responsibility to you as a patient. I hope this helps you.
Hindi plzzzzz
Hi Diamond A.k,
Sorry, I don't speak Hindi, and my practice is in the US.
Friday under the knife
Best of luck to you, Linda S! I hope it all goes well.
@@AmiyaPrasadMD I have watched many of your videos. They have been very helpful. My surgeon only does eyes. Thank you. Keep making your videos.
You're welcome,@@Blue2crows. I hope the videos aided with your decisions for treatment. I will keep making videos!