How to prevent scar hypertrophy after double eyelid surgery

Apr 27, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Double eyelid blepharoplasty creates a double eyelid fold by making an incision on the upper eyelid, removing excess skin and fat, and attaching the eyelid skin to the tarsal plate. To prevent scar hypertrophy after double eyelid blepharoplasty, it is important to keep the incision dry and clean, avoid sun exposure and ultraviolet radiation, use anti-scar medications, perform moderate massage to promote blood circulation, and maintain a balanced diet.

Generally speaking, scars refer to cicatrices, and double eyelid surgery refers to blepharoplasty. Blepharoplasty creates a double eyelid shape by making incisions on the upper eyelids, removing excess skin and fat, and attaching the eyelid skin to the tarsal plate to form a double eyelid crease. The general reference price for blepharoplasty is 3,000-8,000 yuan per session, and visible improvement is usually observed within 1 to 3 months, although symptoms such as redness and pain may occur. Preventing scar hypertrophy after blepharoplasty requires keeping the incision dry and clean, avoiding sun exposure and ultraviolet radiation, using anti-scar medications, moderate massage to promote blood circulation, maintaining a balanced diet, and other measures. Detailed explanations are as follows:

  

1. Keep the incision dry and clean

Maintaining a dry and clean incision is an important measure for preventing postoperative infection. Bacterial infection may trigger an inflammatory response, which can stimulate excessive fibrous tissue proliferation and lead to scar hypertrophy. Therefore, contact with water should be avoided after surgery. Use normal saline or prescribed eye drops to gently wipe away secretions and blood crusts, ensuring the wound remains sterile.

2. Avoid sun exposure and UV radiation

Sunlight and UV exposure can stimulate melanocytes, increasing the risk of pigmentation and scar formation. During the recovery period, patients should take sun protection measures, such as applying sunscreen or wearing a sun hat, to reduce UV irritation to the wound.

3. Use anti-scar medications

Anti-scar medications can inhibit excessive fibroblast growth, thus reducing the severity of scar formation. According to medical advice, select appropriate anti-scar ointments, such as human epidermal growth factor gel or asiaticoside cream, and apply them as directed after surgery to effectively prevent scar hypertrophy.

4. Perform moderate massage to promote blood circulation

Moderate massage helps promote local blood circulation and accelerate metabolism, which benefits wound healing and prevents scar hypertrophy. It is recommended to perform gentle massage under a physician's guidance, several times daily, without applying excessive pressure that may interfere with wound healing.

5. Maintain a balanced diet

Spicy foods may cause skin vasodilation and accelerate the tissue repair process, increasing the likelihood of scar formation. It is recommended to limit the intake of spicy and greasy high-stimulus foods during the recovery period and consume more foods rich in vitamin C and E, such as kiwifruit and nuts, which help promote wound healing and collagen synthesis.

It is recommended to visit a formal hospital and perform the above procedures under the guidance of a professional physician to ensure the safety and effectiveness of the surgery. After surgery, try to minimize time spent looking at electronic screens such as mobile phones and computers, and avoid overusing the eyes to reduce eye swelling and fatigue.

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