How to handle wound crusting after double eyelid surgery

Generally, double eyelid surgery refers to blepharoplasty. Crusting after blepharoplasty can be managed by keeping the wound clean, avoiding picking at the scabs, physical therapy, and medication treatments. Blepharoplasty involves altering the eyelid's tissue structure to reshape the eyelid's appearance, creating a double eyelid. This procedure visually enhances the eye's contour, making the eyes appear larger and more alert. The surgery typically costs between ¥2000-8000, with visible results appearing after 2-3 months. Possible postoperative symptoms include localized redness, swelling, and pain. Detailed explanations are as follows:

1. Keep the wound clean

Cleaning the wound helps prevent infection and promotes natural scab shedding. Use a sterile cotton swab dipped in saline or medical alcohol to gently wipe the scabbed area and surrounding skin. This is because saline and medical alcohol have antibacterial properties that reduce bacterial growth and promote wound healing. Mild stinging or discomfort may occur, which is considered normal.

2. Avoid picking at the scabs

Scabs are a natural part of the healing process and serve to protect the wound. As the wound heals, scabs will naturally fall off. Forceful removal may cause bleeding, infection, or leave scars. Scabs typically fall off naturally within 1-2 weeks and may be accompanied by mild itching, which is normal; scratching should be avoided.

3. Physical therapy

Physical therapies such as microwave and laser treatments can accelerate blood circulation and promote wound healing. The cost of such aesthetic treatments usually ranges from ¥500-2000 per session, and 3-5 sessions may be needed to see visible results. Initial physical therapy may cause mild discomfort or redness, which is considered normal and not a cause for concern.

4. Wound infection

If the wound is not properly cleaned postoperatively, bacterial growth may lead to infection. Infection can cause increased redness, swelling, pain, and bleeding at the wound site. Symptoms such as fever and fatigue may also occur. Under a doctor's guidance, medications such as Cefradine Capsules, Gentamicin Sulfate Tablets, or Erythromycin Ointment can be used for treatment.

5. Scar hypertrophy

During the wound healing process, reactive edema between cells may occur, and improper management could lead to scar hypertrophy. Scar hypertrophy can affect the shape of the double eyelid, making the eyes appear stiff and unnatural. The scarred area may also experience itching, pain, or other discomforts. In such cases, follow medical advice to use medications such as Cresseon Cream, Dexamethasone Azone Lotion, or Retinoic Acid Cream for treatment.

In daily life, to prevent these symptoms, one should avoid getting the wound wet after surgery and clean the wound daily using a sterile cotton swab dipped in saline or medical alcohol. Ensure adequate sleep, avoid excessive eye strain and strenuous exercise to promote wound recovery.