Blepharoplasty: Visible Scars? Everything You Need to Know

Can blepharoplasty leave visible scars or marks? It’s highly unlikely, as the skin of the eyelids is the thinnest on the human body and doesn’t form keloids. However, there are some precautions to consider.

In upper blepharoplasty, the incision is hidden in the crease of the upper eyelid, following the exact shape and position of the fold all the way to its outer limit. On Instagram, there’s a trend of making very high and outward incisions with the idea of “pulling” the eyelid or eye. In reality, there’s no stretching effect because removing the skin only involves the skin itself and doesn’t create any tension. However, a high and outward incision exposes the scar entirely, making it far more visible.

The same principle applies to the lower eyelid. When performing lower blepharoplasty with an eyelid lift, the incision is hidden one or two millimeters below the lashes, in the eyeliner area. This makes the mark practically invisible, even less noticeable than in upper blepharoplasty. On the other hand, a very low and lateral incision on the lower eyelid exposes the scar, making it visible.

In conclusion, with the right precautions, both upper and lower blepharoplasty leave no visible traces of the surgical procedure. I hope this reassures you.

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About the author

Ophthalmologist and oculofacial plastic surgeon. He completed a two-year surgical fellowship at the University of Cincinnati (Ohio, USA). He is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), AICPE and the Orbital Society. He is an adjunct professor at the Ophthalmology Residency Program of IRCCS San Raffaele Hospital in Milan and a member of the Editorial Board of the journal Ophthalmic Plastic and Reconstructive Surgery (OPRS). He sees patients in Milan and Genoa and operates in Genoa at Villa Montallegro.