2026-05-29
Incisional Double Eyelid Scars: Understanding the Healing Process
Learn about incisional double eyelid scars, from the initial stitch removal to the 4-month recovery phase, and the importance of preserving the orbicularis oculi muscle.
In this post, we will discuss incisional double eyelid scars and what to expect during the healing process.
When undergoing an incisional double eyelid surgery, scarring is naturally a primary concern for many patients.
#IncisionalDoubleEyelidScar
Does the scar look prominent in the photo above? This is the appearance immediately after the stitches were removed, one week after surgery.
The photo above shows the appearance after about 4 months, once the swelling has subsided significantly.
The ultimate goal is to make the scar appear as a natural, fine crease or small wrinkle.
Comparing the before and after makes the progression much clearer, doesn’t it?
Generally, to minimize scarring after incisional double eyelid surgery, the orbicularis oculi muscle must be well-preserved.
The area indicated by the arrow is the orbicularis oculi muscle. If too much of this tissue is removed, it can result in severe sunken or ‘depressed’ scarring.
However, if too much of this muscle is left behind, the double eyelid fold may loosen or unravel. Maintaining the optimal level of tissue is the key to a successful result.
Frequently Asked Questions
When do scars from incisional double eyelid surgery become natural-looking?
Scars usually become natural-looking about 4 months after surgery. While scars may appear prominent when stitches are removed a week after surgery, it is a normal recovery process for swelling to subside over time, making the scar look like a small wrinkle.
What causes sunken scars after incisional double eyelid surgery?
This is due to the excessive removal of the orbicularis oculi muscle around the eye. If too much of the orbicularis oculi muscle is cut during incisional double eyelid surgery, a severe sunken scar may remain in that area, so caution is needed.
Should I always leave a lot of orbicularis oculi muscle to reduce scars?
No. If too much orbicularis oculi muscle is left, the double eyelid can easily loosen. Therefore, the key to the surgery is to preserve an appropriate level of the orbicularis oculi muscle to prevent sunken scars while maintaining a clear double eyelid line.
What is the ultimate goal for scars in incisional double eyelid surgery?
The ultimate goal is for the surgical scar to look natural, like a small wrinkle, when the eyes are open. We aim for results where the surgery is not very noticeable by minimizing scars through appropriate orbicularis oculi muscle preservation techniques.