Swelling After Double-Line Excision (and Fine Wrinkles from Swelling)

Swelling After Double-Line Excision (and Fine Wrinkles from Swelling)

A note on a patient who had surgery over the recent Chuseok holiday and is now just past the one-week mark.

She reached out through our coordinator, concerned about her recovery. I'd like to walk through a similar case to explain what's happening.

Pre-op, she had significant depressed scarring, a sausage-lid look, and prominent mucosal show.

Our surgical plan:

Lower the crease.

Release the adhesions thoroughly, without excising skin.

Use adjacent tissue to soften the depressed scar areas — as much as possible, though scar improvement cannot be guaranteed.

Improve the mucosal show — to the extent that no functional issues remain.

Roughly ten days post-op.

In the video she sent, there's a faint wrinkle visible just above the crease.

This is different from the multiple folds that can develop after a double-line excision; it's simply that swelling above the incision resolves faster than below, and the imbalance creates a temporary wrinkle. It will smooth out with time. See the related case below for reference.

https://blog.naver.com/medicdoctor/222157893648

For comparison, here's what an actual problematic multiple-fold case looks like:

A patient who came to us after a failed double-line excision at another clinic, on whom I performed an early revision.

Early Revision After a Failed Double-Line Excision (feat. Triple Folds) — Naver Blog

There is no need to worry — this will continue to improve with time.