Will having double eyelid surgery leave scars for someone with a scar-prone constitution?

Mar 17, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Whether individuals with a scar-prone constitution develop scars after double eyelid surgery mainly depends on the surgical technique and postoperative care. The sutured double eyelid procedure causes minimal trauma and may leave no visible scar if properly cared for. In contrast, the incisional double eyelid surgery involves greater trauma, and inadequate postoperative care may lead to infection, inflammation, and subsequently more noticeable scarring.

Generally speaking, scar-prone constitution refers to a瘢痕体质 (scar-prone体质). Double eyelid surgery refers to blepharoplasty. The general reference price for blepharoplasty ranges from 10,000 to 30,000 yuan per session, and noticeable improvement is usually observed within 7-14 days. Whether individuals with a scar-prone constitution will develop scars after undergoing blepharoplasty mainly depends on the surgical technique and postoperative care. If the suture technique (non-incisional blepharoplasty) is performed and proper postoperative care is followed, scarring is generally unlikely. However, if the full-incision blepharoplasty is performed and postoperative care is inadequate, scarring may occur. The detailed explanation is as follows:

If the suture technique (non-incisional blepharoplasty) is chosen, the surgical trauma is relatively minimal. With appropriate postoperative care and no complications such as redness, swelling, or pain at the wound site, individuals with a scar-prone constitution may not necessarily develop scars. However, proper postoperative care is essential. Early contact with water or touching the wound with hands should be avoided to prevent irritation and delay healing, which could increase the risk of scar formation.

However, if the full-incision blepharoplasty is performed, due to the larger wound area, improper postoperative care may lead to infection by pathogens such as bacteria or fungi. Repeated irritation of the wound by pathogens and subsequent inflammatory reactions may cause symptoms such as redness, swelling, pain, and oozing. If individuals with a scar-prone constitution do not treat the wound promptly, more noticeable scarring may develop. Therefore, it is recommended to timely apply medications as directed by a physician, such as compound acetic acid dexamethasone cream, polysaccharide sulfates cream, or anti-scar ointments.

It should be noted that individuals with a scar-prone constitution are more prone to scarring than people with normal skin. Therefore, appropriate postoperative care is necessary to reduce the risk of scar formation. Additionally, sun protection is important post-surgery to avoid early exposure to ultraviolet light.

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