Scar Course After a Double-Line Excision — One Year On
It's been a while since my last post.
Posts have been sparse lately, but I want to start sharing some of the cases I've worked on in the meantime.
Today's post walks through the recovery course of a double-line excision case.
For background on what double-line excision is, see the earlier post:
Double-Line Excision: Revising Heavy Sausage-Lid Folds — Naver Blog
Multiple Folds, Mucosal Show Surgery, and Lash Lift — Naver Blog
We typically reach for a double-line excision in heavy-crease cases like this.
She felt her crease was sitting a bit too high and wanted it brought down.
Here's her pre-op view.
Pre-op, the crease reads as high largely because of her prominent globe. With prominent eyes, even a standard crease height tends to look elevated.
This is something to factor in at the very first surgery. Plan the shape carefully with a specialist.
Immediate post-op view. The original scarring has been released and the crease has been set lower.
Through the core technique that prevents multiple folds, the lid no longer creases along the original scar line.
One week post-op. Very little swelling, and the scarring should soften considerably over time.
Six months post-op. The lid has largely settled by this point, though the scarring continues to improve well past that mark.
One year out.
Medically, full wound maturation is generally considered to take up to two years.
The scarring should continue to fade with time.
Scars typically do not disappear, but they soften considerably as the months pass.
We have considerable experience minimizing scarring during revision — that experience is yours when you choose us.
If you ask whether there will be no scar at all, the honest answer is that there will be one.
Surgery without scarring doesn't exist; what we can do is keep it as light as possible.
Thank you.
