Can epicanthoplasty hypertrophic scars or keloids be eliminated?

Oct 16, 2024 Source: Cainiu Health

Dr. Liu Wenmin

Introduction

In general, hypertrophic scars or keloids resulting from eye corner surgery can usually be improved or eliminated. They may be treated through daily methods such as medication, massage, warm compresses, and a balanced diet. Alternatively, medical aesthetic treatments like dermabrasion, radiation therapy, picosecond laser, or fractional laser can also be effective. It is recommended to visit a reputable hospital and choose the most suitable method under the guidance of a qualified physician.

In general, hypertrophic scars or keloids resulting from eye corner surgery can usually be improved or eliminated. They may be addressed through daily methods such as medication, massage and heat application, and proper diet, or through medical aesthetic treatments including dermabrasion, radiation therapy, picosecond laser, and fractional laser. It is recommended to visit a reputable hospital and choose the most suitable method under professional medical guidance.

Everyday methods to improve hypertrophic scars at the eye corner:

1. Medication: Under medical supervision, topical medications such as erythromycin ointment or madecassol cream can be used. These help form a protective film on the skin surface, maintain moisture balance in the scar area, reduce water evaporation, and thereby inhibit excessive proliferation of fibroblasts. Additionally, they help regulate collagen synthesis, promoting more orderly collagen arrangement.

2. Massage and Heat Application: Gentle massage can enhance local blood circulation and help reduce redness, swelling, and hardness of hypertrophic scars. Apply moderate pressure during massage to avoid damaging newly formed tissue. Begin massaging in circular motions from the edge of the scar and gradually move toward the center for about 5–10 minutes per session, 2–3 times daily. This improves local blood supply, delivering more nutrients and oxygen to the scar tissue, enhancing metabolism, and potentially softening and flattening the scar over time. Heat application should last 15–20 minutes, performed 1–2 times daily. Warm compresses dilate local blood vessels, increase blood flow, relieve tension in scar tissue, and help reduce inflammation.

3. Balanced Diet: Consuming foods rich in vitamin C and vitamin E can help reduce scar pigmentation and support skin repair. Vitamin C acts as an antioxidant and inhibits melanin production; good sources include oranges, strawberries, and kiwis. Vitamin E is another antioxidant that protects skin from free radical damage; foods such as spinach, nuts, and vegetable oils may aid in fading scar tissue.

Medical aesthetic treatment options for removing hypertrophic scars at the eye corner:

Treatment Name	Dermabrasion	Radiation Therapy	Picosecond Laser	Fractional Laser
Image Example
Treatment Principle	Removes abnormal scar tissue from the surface of the hypertrophic scar at the eye corner, stimulating skin regeneration and repair to improve appearance	Delivers high-energy radiation to the scar area to damage abnormal cells and halt scar growth	Uses high thermal energy to directly target scar tissue and repair damaged fibrous structures	Creates microscopic thermal injury zones within the scar area to cut off nutrient supply, thereby reducing or eliminating the scar
Advantages	1. Highly targeted 2. Results in more natural skin contours	1. Controls scar growth at the cellular level 2. Reduces risk of scar hardening	1. Promotes skin repair and regeneration 2. Reduces scar pigmentation	1. Treats in zones to minimize tissue damage 2. Improves hardness and elevation of keloids
Potential Risks	1. Erythema (redness) 2. Pigmentation changes	1. Skin cracking 2. Infection	1. Bleeding 2. Redness	1. Burns 2. Pain
Recovery Time	14–28 days	15–30 days	15–30 days	15–30 days
Number of Sessions	2–3 sessions per month	4–5 sessions per month	2–3 sessions per month	3–5 sessions per month
Reference Price	3,000–5,000 RMB per session	2,000–5,000 RMB per session	6,000–20,000 RMB per session	1,000–3,000 RMB per session

After treating hypertrophic scars at the eye corner, avoid getting the scar area wet and protect it from UV exposure. Maintain a light diet and avoid spicy, irritating foods such as chili peppers, garlic, and Sichuan pepper, as these may interfere with skin healing.

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