{"id":7439,"date":"2026-08-24T12:19:58","date_gmt":"2026-08-24T12:19:58","guid":{"rendered":"https:\/\/www.lmaclinic.com\/lma\/?p=7439"},"modified":"2026-08-24T12:20:42","modified_gmt":"2026-08-24T12:20:42","slug":"eyelid-surgery-scars","status":"publish","type":"post","link":"https:\/\/www.lmaclinic.com\/lma\/blog\/eyelid-surgery-scars","title":{"rendered":"Will Eyelid Surgery Leave a Scar?"},"content":{"rendered":"\n
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If you are considering eyelid surgery, you may like the idea of looking fresher but still worry about visible scars. With blepharoplasty, surgeons usually place incisions within natural eyelid creases or close to the lash line, making them less noticeable as they heal.<\/p>\n\n\n\n

Your incision may initially look pink or red and feel slightly firm or more noticeable, but it usually becomes softer, flatter and less visible as healing progresses. The final appearance depends on the surgical technique, incision position, your healing response and how carefully you follow postoperative advice.<\/p>\n\n\n\n

Why Does Blepharoplasty Involve an Incision?<\/strong><\/p>\n\n\n\n

Blepharoplasty treats excess eyelid skin, bulging fat and other tissues, so you will usually have an incision as part of the procedure. This means you should expect some scar tissue rather than no scar at all. Careful incision placement can help make the resulting scar less noticeable as it heals.<\/p>\n\n\n\n

For your upper eyelid, your surgeon will usually place the incision within your natural eyelid crease. For your lower eyelid, you may have an incision just beneath your eyelashes or, in selected cases, inside your eyelid. Your anatomy, the amount of skin being treated and the result you want will all influence where your incision is placed.<\/p>\n\n\n\n

Does Every Eyelid Operation Leave a Visible Scar?<\/strong><\/p>\n\n\n\n

A surgical incision creates scar tissue, but that does not mean you will have an obviously visible scar. If your blepharoplasty incision is carefully positioned, your scar will often become less noticeable as your skin heals.<\/p>\n\n\n\n

For your upper eyelid, your scar may be easier to see when your eyes are closed because it usually sits within your natural crease. As you recover, you may find that your scar gradually fades, although you should not expect it to become completely invisible because your individual healing response affects the final result.<\/p>\n\n\n\n

Where Is the Scar After Upper Eyelid Surgery?<\/strong><\/p>\n\n\n\n

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During upper blepharoplasty, your surgeon will usually place the incision within your natural eyelid crease above your eyelashes. This provides access to the tissues being treated while positioning the incision within an existing eyelid fold, where the resulting scar may become less noticeable as it matures.<\/p>\n\n\n\n

If more skin needs to be removed, your incision may extend towards the outer corner of your eye and follow a natural line in that area. During your early recovery, you may notice the incision more because of swelling, bruising and redness, but the scar will often become finer and less noticeable as healing progresses.<\/p>\n\n\n\n

Where Is the Scar After Lower Eyelid Surgery?<\/strong><\/p>\n\n\n\n

Lower-eyelid blepharoplasty can use different techniques, so whether you have an external scar depends on the approach your surgeon chooses. If you need excess lower-eyelid skin removed, your surgeon may place the incision just beneath your lower eyelashes, known as a subciliary incision.<\/p>\n\n\n\n

Your incision may extend towards the outer corner of your eye if needed, depending on your anatomy and the amount of tissue being treated. You may notice your scar more during the early healing period because of swelling and redness, but it may gradually become finer and less noticeable as the scar matures.<\/p>\n\n\n\n

Can Lower Blepharoplasty Be Performed Without an External Skin Scar?<\/strong><\/strong><\/p>\n\n\n\n

Some lower-eyelid procedures can be performed through a transconjunctival approach, where your surgeon makes the incision inside your lower eyelid. This avoids an external skin incision, although the internal incision still needs time to heal.<\/p>\n\n\n\n

1. Internal Incision:<\/strong> Your surgeon makes the incision on the inner surface of your lower eyelid rather than through the outer skin.<\/p>\n\n\n\n

2. No External Skin Scar:<\/strong> Because the access point is inside your eyelid, you will not have a visible external scar from that incision.<\/p>\n\n\n\n

3. Best for Selected Concerns:<\/strong> This approach may be suitable when prominent lower-eyelid fat is your main concern and significant excess skin does not need removing.<\/p>\n\n\n\n

4. Not Completely Scar-Free:<\/strong> An internal incision still creates healing tissue, so the procedure should not be described as entirely scar-free.<\/p>\n\n\n\n

If you also have loose or excess lower-eyelid skin, your surgeon may recommend an external incision instead. The most appropriate approach will depend on your anatomy, skin excess and the result you want to achieve.<\/p>\n\n\n\n

Why Do Eyelid Scars Often Heal Discreetly?<\/strong><\/p>\n\n\n\n

Your eyelid skin is thin, and your surgeon can often place blepharoplasty incisions within your natural folds and lines. This can help your scar become less noticeable as it matures, especially when the wound is closed carefully with minimal tension.<\/p>\n\n\n\n

However, your healing biology still influences the final result. Your genetics, skin characteristics and recovery can affect how your scar develops. Raised or problematic scars around your eyelids appear to be uncommon, although you should understand that an unfavourable scar is still possible.<\/p>\n\n\n\n

What Will Your Scar Look Like Immediately After Surgery?<\/strong><\/p>\n\n\n\n

You should not judge your final scar during the first few days after eyelid surgery. Your eyelids may be swollen, bruised, red or tight, making your incision look much more noticeable than it will later.<\/p>\n\n\n\n

You may also see sutures, surgical strips or small areas of dried blood, depending on your procedure and aftercare. Your eyelids can feel numb or uncomfortable too, but these effects usually improve as you heal. The NHS notes that swelling, bruising, numbness and visible, tight scars can occur during the early recovery period.<\/p>\n\n\n\n

How Does an Eyelid Scar Change During the First Few Weeks?<\/strong><\/p>\n\n\n\n

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As your initial swelling settles, you will usually find your incision easier to assess. Your scar may still look pink or red and feel slightly firm, but this can be a normal part of your healing as new scar tissue develops and remodels.<\/p>\n\n\n\n

You may also notice that your eyelids heal at slightly different rates, with one side remaining more swollen or red. Try not to touch or rub your scar unnecessarily, and follow your surgeon’s wound-care advice and follow-up schedule to support a smooth recovery.<\/p>\n\n\n\n

How Long Does It Take for Blepharoplasty Scars to Fade?<\/strong><\/p>\n\n\n\n

Your eyelid scar does not fully mature on one specific day. As you recover, your scar will gradually become paler, flatter and softer, even after your bruising and swelling have settled.<\/p>\n\n\n\n

You may feel comfortable with your appearance before your scar has fully matured. For you, it is more helpful to judge your scar over several months rather than several days. Your incision can continue changing for many months. Although eyelid scars may become discreet relatively early, scars can continue to mature for up to two years or more, so the final result should not be judged too soon.<\/p>\n\n\n\n

UK Guidance Note<\/strong><\/p>\n\n\n\n

NHS guidance explains that bruising and redness after blepharoplasty can take several weeks to fade and that scars may remain visible or feel tight for a few months. Upper-eyelid incisions are generally placed in the natural eyelid fold, while lower-eyelid surgery may use an incision below the eyelashes or inside the eyelid. Contact your surgical clinic as soon as possible if you develop severe or worsening pain or other unexpected symptoms after surgery. If you develop sudden loss of vision or a significant sudden deterioration in vision, seek immediate medical assessment.<\/p>\n\n\n\n

What Factors Can Affect Your Final Scar?<\/strong><\/p>\n\n\n\n

Your final scar depends on both your surgery and how your body heals afterwards. Your surgeon’s incision placement, wound closure and the amount of tension across your skin can all influence how your scar develops.<\/p>\n\n\n\n

Tell your surgeon about all medicines and supplements you take, particularly medicines that affect bleeding, and do not stop prescribed treatment unless the appropriate clinician advises you to. If you notice increasing redness, warmth, discharge, swelling or significant pain, you should contact your surgical team rather than waiting for it to settle. Remember that your scar will also change with time, so a scar at six weeks should not be compared with someone else’s scar after a year.<\/p>\n\n\n\n

Clinical Tip<\/strong><\/p>\n\n\n\n

Do not judge your scar by how it looks during the first few weeks. Redness, firmness and asymmetry from swelling can make the incision look more noticeable early on. Compare progress over months and raise any concerns at your scheduled follow-up rather than starting scar products yourself.<\/p>\n\n\n\n

Does Your Skin Type Affect Eyelid Scarring?<\/strong><\/p>\n\n\n\n

Your skin can influence how your eyelid scar heals, so you should tell your surgeon if you have previously developed thick, raised or unusually pigmented scars. You may also experience temporary darkening or lightening around the incision as your skin heals.<\/p>\n\n\n\n

Your natural skin tone can influence pigmentation changes, but having darker skin does not automatically mean you will develop a problematic scar. If you have a history of keloid or raised scars, you should discuss this with your surgeon so they can consider your individual risk and healing history.<\/p>\n\n\n\n

Can Smoking Affect the Way Your Eyelid Incision Heals?<\/strong><\/p>\n\n\n\n

Smoking can interfere with wound healing and is an important factor to discuss before surgery. In a large retrospective study of upper blepharoplasty, a history of smoking was associated with wound separation, although it was not an independent predictor after other factors were taken into account.<\/p>\n\n\n\n

This does not mean you will definitely develop a poor scar if you smoke, but it is an important risk factor for your surgeon to consider. If you smoke or use nicotine products, tell your surgical team honestly and follow their advice about stopping before and after your procedure.<\/p>\n\n\n\n

What Can You Do to Help Your Scar Heal Well?<\/strong><\/p>\n\n\n\n

Your best approach to scar care is to follow your surgeon’s specific aftercare instructions. You may be advised to keep your head elevated, use cold compresses correctly and clean your eyelids as directed while using any prescribed ointments or eye drops.<\/p>\n\n\n\n

You should avoid rubbing your eyes, picking at crusts or disturbing the healing incision. Do not start scar massage or use silicone products, acids, retinoids or other treatments near your eyes without checking with your surgeon first. Your eyelid tissues are delicate, so using the right treatment at the right stage can help you heal safely.<\/p>\n\n\n\n

Evidence Note<\/strong><\/p>\n\n\n\n

A 2025 randomised double-blind study of 96 patients undergoing bilateral upper-eyelid blepharoplasty or ptosis repair compared silicone gel on one eyelid incision with petrolatum ointment on the other. The researchers found no significant difference in scar redness, elevation, pigmentation, firmness, itching, pain or patient satisfaction. The study found no significant additional benefit from silicone gel over petrolatum for the upper-eyelid surgical scars examined, so these findings should not be assumed to apply to every type of eyelid scar or scar treatment.<\/p>\n\n\n\n

Does Sun Exposure Affect a Healing Eyelid Scar?<\/strong><\/p>\n\n\n\n

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Your healing eyelid scar can be sensitive to sunlight, so you should protect it during recovery. General NHS scar guidance recommends protecting healed scars from the sun and using sunscreen with SPF 30 or higher.<\/p>\n\n\n\n

Follow your surgeon’s advice about when to apply sunscreen. Avoid skincare or cosmetic products directly on an unhealed incision, and once your surgeon confirms it is safe, continue regular sun protection to support your scar care.<\/p>\n\n\n\n

When Should You Be Concerned About an Eyelid Scar?<\/strong><\/p>\n\n\n\n

A pink or slightly firm scar can be normal during early healing. However, you should contact your clinic if your wound opens, becomes more painful, red or hot, develops discharge, or swelling suddenly increases.<\/p>\n\n\n\n

Seek urgent assessment at an eye emergency department or A&E if you develop sudden loss of vision, rapidly worsening vision, severe or increasing eye pain, rapidly increasing swelling, marked redness or excessive discharge after eyelid surgery. These symptoms should be assessed promptly rather than treated as normal scar healing. If your scar remains thick, raised or noticeably irregular several months after healing, ask your surgeon to review it and discuss suitable treatment options.<\/p>\n\n\n\n

What Should You Ask About Scarring Before Eyelid Surgery?<\/strong><\/p>\n\n\n\n

Your consultation is the best time to discuss your expected scar. You can ask where your incision will sit, how far it may extend and whether your lower-eyelid surgery could use an internal or external approach.<\/p>\n\n\n\n

You should also tell your surgeon about previous scars, medical conditions, medicines, smoking and any dry-eye symptoms. Ask about aftercare and realistic results, remembering that your goal is usually a discreet scar rather than completely scar-free skin.<\/p>\n\n\n\n

Myth vs Fact<\/strong><\/p>\n\n\n\n

Myth<\/strong><\/td>Fact<\/strong><\/td><\/tr>
Blepharoplasty leaves no scar.<\/td>Any external skin incision forms scar tissue, although careful placement may make it less noticeable.<\/td><\/tr>
An upper-eyelid scar should disappear completely.<\/td>Not necessarily. It often fades considerably but may still be detectable when examined closely.<\/td><\/tr>
Lower-eyelid surgery always leaves a scar below the lashes.<\/td>No. Selected procedures can use an internal transconjunctival incision.<\/td><\/tr>
A transconjunctival blepharoplasty is completely scar-free.<\/td>It avoids an external skin scar, but an internal incision is still made and must heal.<\/td><\/tr>
Silicone gel is proven to improve every eyelid scar.<\/td>No. A 2025 randomised trial found no significant advantage of silicone gel over petrolatum ointment for the upper-eyelid surgical scars studied.<\/td><\/tr>
The appearance at two weeks is the final scar result.<\/td>No. Scars continue remodelling for many months.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Key Takeaways<\/strong><\/p>\n\n\n\n

1. Blepharoplasty does create scar tissue wherever an external skin incision is made.<\/p>\n\n\n\n

2. Upper-eyelid incisions are usually positioned within the natural eyelid crease.<\/p>\n\n\n\n

3. Lower-eyelid surgery may use an incision just below the lashes or, in selected cases, inside the eyelid.<\/p>\n\n\n\n

4. Early scars can look red or feel firm before becoming paler and softer over several months.<\/p>\n\n\n\n

5. Scar visibility depends on incision placement, surgical technique, wound healing and individual factors.<\/p>\n\n\n\n

6. Smoking can adversely affect wound healing and has been associated with wound separation after upper blepharoplasty.<\/p>\n\n\n\n

7. Do not start scar massage or apply silicone products, acids or retinoids to a healing eyelid incision unless your surgeon says it is safe.<\/p>\n\n\n\n

8. Severe or worsening eye pain, rapidly increasing swelling or sudden significant changes in vision after surgery require urgent medical assessment.<\/p>\n\n\n\n

Frequently Asked Questions<\/strong><\/strong><\/p>\n\n\n\n

1. Does eyelid surgery leave scars?<\/strong>
Yes, eyelid surgery involves an incision, so some scarring is expected. However, your surgeon usually places the incision in a natural eyelid crease, close to the lash line or, for some lower-eyelid procedures, inside the eyelid, making the scar less noticeable as it heals.<\/p>\n\n\n\n

2. Where is the scar after upper eyelid surgery?<\/strong>
After upper blepharoplasty, the incision is usually placed within your natural upper-eyelid crease. This helps the scar blend into the existing fold and makes it less noticeable when your eyes are open.<\/p>\n\n\n\n

3. Where is the scar after lower eyelid surgery?<\/strong>
Your scar depends on the technique used. An external incision is usually placed just beneath the lower eyelashes, while selected procedures may use an incision inside the eyelid.<\/p>\n\n\n\n

4. Can lower blepharoplasty be performed without a visible skin scar?<\/strong>
Yes, in suitable cases, your surgeon may use a transconjunctival approach, with the incision made inside your lower eyelid. This avoids a visible skin scar, although it may not be suitable when excess lower-eyelid skin also needs to be removed.<\/p>\n\n\n\n

5. What will my eyelid scar look like immediately after surgery?<\/strong>
Your scar may initially look red, swollen or more noticeable, and you may see sutures or small areas of dried blood. These early changes do not represent your final scar.<\/p>\n\n\n\n

6. How long do eyelid surgery scars take to fade?<\/strong>
Your scar gradually becomes softer, flatter and paler as it matures. Although it may become discreet within months, further fading and softening can continue for up to two years or longer.<\/p>\n\n\n\n

7. Can smoking affect eyelid scar healing?<\/strong>
Yes. Smoking can interfere with tissue repair and may delay healing. Tell your surgical team if you smoke or use nicotine products so they can advise you appropriately.<\/p>\n\n\n\n

8. How can you help your eyelid scar heal well?<\/strong>
Follow your surgeon\u2019s aftercare instructions carefully and avoid rubbing or disturbing the incision. Use any prescribed ointments or eye drops as directed, and check with your surgeon before applying scar treatments or skincare products near your eyes.<\/p>\n\n\n\n

9. Does sun exposure affect an eyelid surgery scar?<\/strong>
Yes, sunlight can affect a healing scar, so protecting the area is important. Once your wound has healed sufficiently, follow your surgeon’s advice about sunscreen and consider wearing sunglasses for additional protection.<\/p>\n\n\n\n

10. When should you be concerned about an eyelid surgery scar?<\/strong>
Contact your surgical team if your wound opens or becomes increasingly painful, red, hot or swollen, or develops discharge. If you experience severe eye pain or sudden loss of vision, seek urgent medical attention.<\/p>\n\n\n\n

Final Thoughts: What to Expect from Eyelid Surgery Scars<\/strong><\/p>\n\n\n\n

Eyelid surgery does leave a scar, but your surgeon can usually position the incision within natural eyelid creases or close to the lash line so it becomes less noticeable as it heals. With appropriate aftercare and time, your scar can gradually become softer, flatter and paler.<\/p>\n\n\n\n

If you\u2019re thinking about eyelid surgery in London<\/a>, you can get in touch with us at the London Medical & Aesthetic Clinic to discuss your options and what to expect from the procedure and recovery.<\/p>\n\n\n\n

References:<\/strong><\/p>\n\n\n\n

1. Fineide, F.A., Khan, A.Z., Boberg-Ans, L.C., Allen, R.C., Bohman, E., T\u00f8nseth, K.A. and Utheim, T.P. (2025) \u2018Minimizing postoperative scars in upper eyelid blepharoplasty: A concise review\u2019, Surgeries<\/em>, 6(4), article 93. Available at: https:\/\/www.mdpi.com\/2673-4095\/6\/4\/93<\/a><\/p>\n\n\n\n

2. Naik, M.N., Honavar, S.G., Das, S., Desai, S. and Dhepe, N. (2009) \u2018Blepharoplasty: An overview\u2019, *Journal of Cutaneous and Aesthetic Surgery*, 2(1), pp. 6\u201311. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2840922\/<\/a><\/p>\n\n\n\n

3. Murri, M., Hamill, E.B., Hauck, M.J. and Marx, D.P. (2017) \u2018An update on lower lid blepharoplasty\u2019, *Seminars in Plastic Surgery*, 31(1), pp. 46\u201350. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5330800\/<\/a><\/p>\n\n\n\n

4. Homer, N.A., Zhou, S., Watson, A.H., Durairaj, V.D. and Nakra, T. (2021) \u2018Wound dehiscence following upper blepharoplasty: A review of 2,376 cases\u2019, *Ophthalmic Plastic and Reconstructive Surgery*, 37(3S), pp. S66\u2013S69. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/32852369\/<\/a><\/p>\n\n\n\n

5. Karanfilian, T.S., Thuma, T., Cheng, T., Paramo, R., Moon, J.Y., Akella, S. and Barmettler, A. (2025) \u2018Efficacy of silicone gel versus placebo for postsurgical scars of the eyelids: A randomized, controlled, double-blinded study\u2019, *Ophthalmic Plastic and Reconstructive Surgery*, 41(5), pp. 555\u2013559. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/39946309\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

If you are considering eyelid surgery, you may like the idea of looking fresher but still worry about visible scars. With blepharoplasty, surgeons usually place incisions within natural eyelid creases or close to the lash line, making them less noticeable as they heal. Your incision may initially look pink or red and feel slightly firm… Read more… Will Eyelid Surgery Leave a Scar?<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":7444,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-7439","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","entry"],"yoast_head":"\nDoes Eyelid Surgery Leave Scars?<\/title>\n<meta name=\"description\" content=\"Learn whether eyelid surgery leaves scars, where blepharoplasty incisions are placed, how scars normally heal and what can affect their final appearance.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lmaclinic.com\/lma\/blog\/eyelid-surgery-scars\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta 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