The scar after eyelid surgery: how visible is it really?
“Will you be able to see it?” is one of the most asked questions. The honest answer: there is always a scar, but after well-performed upper eyelid surgery it sits exactly in the natural eyelid crease, where it disappears when the eyes are open.
Why this scar heals so favourably
The skin of the upper eyelid is the thinnest skin of the body and heals remarkably well. Moreover, the incision is placed in the existing crease, so the scar coincides with a line that is naturally already there. With open eyes it vanishes into the fold; only with closed eyes, up close, is a thin line visible at first.
The timeline
- Week 1: the stitches are still in (removed after about 6 days); the scar is a thin, red line.
- Weeks 2 to 6: the line is pink and can feel slightly firm. Make-up on the scar is usually possible after stitch removal, in consultation with the clinic.
- Months 2 to 6: the scar gradually fades from pink to skin-coloured. The definitive picture is there after about six months.
How to help your scar heal well
- Do not smoke; smoking demonstrably slows wound healing.
- Protect the scar from bright sun for the first six months (sunglasses, SPF 50); sun permanently darkens young scars.
- Do not pull, rub or scratch, even when it itches during healing.
- Follow the clinic's aftercare instructions; they differ slightly per person.
When is a scar a problem?
A scar that stays thick, wide or painful after months is not normal and should be assessed by the treating physician. This is uncommon around the eyelids, but do report it if you are worried. The broader honest story is in the article on risks.
FAQ
Will everyone see that I had surgery?
In the first week or two, yes, because of swelling and discolouration. After that, the scar disappears into the crease. After a few months, most people at most hear that they look well rested.
Does the scar heal equally well for everyone?
No. Genetics, skin type, age and lifestyle all play a role. But eyelid skin heals better than skin almost anywhere else on the body.