What Do Eyelid Keloid Scars Look Like?
Keloid scars on the eyelid often appear as raised, firm, and sometimes shiny bumps that sit above the incision line. Unlike typical scars, they may become thicker and extend beyond the original cut. Depending on pigmentation, they may appear pink, red, or even darker than your natural skin tone.
Unlike a flat line hidden in the natural eyelid crease, a keloid scar can cause slight asymmetry or a visible ridge, especially during facial expressions. While not dangerous, they can be distressing for patients seeking subtle results from cosmetic surgery.
What Is a Keloid Scar from Blepharoplasty?
A keloid scar is a raised, firm, and sometimes itchy or discolored scar that grows beyond the original incision site. In the context of blepharoplasty surgery, this type of scarring is uncommon due to the thin, flexible nature of eyelid skin. However, in rare cases, individuals with a genetic predisposition may develop blepharoplasty keloid scars, especially if the healing process is disrupted or if there’s excessive tension along the incision line.
Keloids differ from hypertrophic scars in that they do not remain within the boundaries of the wound. They can appear as a bump or ridge above the natural eyelid crease, potentially affecting both appearance and comfort. Recognizing and treating keloids early can help minimize their impact.
How Eyelid Scars Form and Heal
After eyelid surgery, the body initiates a complex healing process to close the incision and rebuild tissue. This results in minimal scarring for most patients, especially when the incision is placed along the natural fold of the upper eyelid. Over time, the scar fades and becomes nearly invisible, particularly when an experienced plastic surgeon performs the procedure.
However, certain factors can interrupt routine healing. These include infections, excessive sun exposure, skin type, and improper post-operative care. While rare in the eyelid area, Keloids may form during this period, usually within weeks to months after surgery.
Identifying Problematic Healing Signs
Is a Bump or Lump on the Eyelid After Blepharoplasty Normal?
Some swelling or firmness is expected in the early stages of recovery. However, a persistent bump on the eyelid or a growing lump long after surgery may indicate a complication, such as a keloid or inclusion cyst. While some irregularities near the lash line are harmless, a raised or expanding lesion should be evaluated by your surgeon to rule out abnormal surgery scars.
If the area becomes painful, itchy, or discolored, it is important to schedule a follow-up appointment. Early treatment can reduce the risk of the scar becoming noticeable or permanent.
Keloid vs. Hypertrophic Scars: What’s the Difference?
Both keloid and hypertrophic scars are responses to trauma or surgery, but they behave differently. A hypertrophic eyelid scar remains within the original wound margins and typically flattens over time. In contrast, a keloid continues to grow and can extend beyond the incision, sometimes forming a visible bump along or above the natural eyelid crease.
Distinguishing between the two is essential, as treatments vary. A skilled cosmetic surgeon can accurately diagnose the scar type and recommend the most appropriate course of action.
Treating and Managing Eyelid Scars
How to Treat and Remove Scar Tissue in Eyelids
Several options are available to manage or remove keloid scars from the eyelid area. One of the most effective early treatments is silicone gel or sheets, which help flatten the scar and reduce redness. Corticosteroid injections may also soften and shrink the keloid over time.
In some cases, non-invasive therapies such as laser or cryotherapy can help. However, surgical excision is generally avoided unless combined with post-operative therapies, as keloids may return or worsen after re-injury to the area.
Do Keloid Scars Ever Go Away?
Keloid scars rarely resolve on their own. Unlike typical scars, which fade during the recovery process, keloids tend to persist and may even grow. While treatments can significantly reduce their size and appearance, complete removal without recurrence can be challenging.
That said, early intervention and consistent care can make a noticeable difference. Patients should avoid picking at the area and protect it from sun exposure during healing.
Eyelid Scar Healing Timeline: What to Expect
- Weeks 1–2: Mild swelling and scabbing along the incision. Scars may look red or slightly raised.
- Weeks 3–6: Swelling reduces. The scar begins to flatten and lighten in color.
- Months 2–6: Most upper eyelid surgery scars fade significantly. If a keloid is forming, it may become more noticeable during this period.
- After 6 months: Mature scars should be soft and pale. Persistent elevation or thickening may signal abnormal scar healing.
Patients are encouraged to take photos during their recovery process and refer to blepharoplasty recovery guidelines to better understand what’s normal and when to contact their surgeon.
Prevention and Eyelid Surgery Expert Guidance
How to Prevent Blepharoplasty Scarring
The best strategy for managing keloid risk is prevention. Choosing a qualified plastic surgeon like Dr. Joel E. Kopelman ensures proper incision placement and tension control, which lowers the risk of abnormal eyelid surgery scars. For upper eyelid procedures, incisions are typically hidden in the natural fold, making visible scars less likely.
Post-operative care is also critical. Following aftercare instructions, using silicone gel, and avoiding trauma to the area during healing can reduce the risk of complications. Patients with a known history of keloid scar eyelid or keloids elsewhere on the body should inform their surgeon beforehand.
When to See a Specialist for an Eyelid Scar
If a scar appears raised, itchy, or progressively more visible weeks after upper blepharoplasty, it’s time to seek expert advice. At Kopelman Aesthetic Surgery, Dr. Kopelman evaluates all forms of post-operative scarring and offers customized treatment plans to promote healthy outcomes and minimal scarring.
Sometimes, keloid scar eyelid issues may arise after functional eyelid surgery, especially if the patient is prone to abnormal scarring. Delaying care can make certain treatments less effective. A prompt evaluation can guide early and effective treatment, whether you notice a firm spot at the incision site or a bump near the lash line.
Do Eyelid Scars Go Away Over Time?
Most scars from cosmetic surgery gradually fade and soften over several months. The incision line often becomes difficult to detect, especially when placed in a natural eyelid crease. However, healing speed varies based on age, skin type, and how well the area is cared for during recovery.
If you’re concerned about your healing progress, especially after blepharoplasty surgery, your best step is to schedule a consultation with a board-certified doctor. A tailored approach can help optimize results and ensure long-term satisfaction with your cosmetic procedure.
