| Despite common concerns regarding the rate of healing and the final appearance of the upper eyelid scar created by Asian double eyelid surgery, complaints about scar visibility and thickness are uncommon, as is the need for scar revision.
Much of this worry seems to be stoked by product manufacturers hoping to increase sales of their miracle creams, gels, and magic potions that in the end accomplish little or nothing.
"Hypertrophic," or overly aggressive, scarring may occur in rare patients and, in our opinion, seems more related to the fact that Asian patients are generally much younger than their Occidental counterparts rather than due to ethnicity.
Even when the healing scar is hypertrophic (redder, thicker, slightly shiny), the final smoothing and maturation, while slower, are equivalent to non-hypertrophic scars.
It is widely stated that Asian patients show a slightly higher rate of "keloid" formation.
While keloids are known to favor skin that is not under much tension, the phenomenon is expressed rarely in eyelid skin, a "privileged" tissue and the thinnest skin in the body.
Most so-called "keloids" are simply bad scars that result from a variety of controllable external factors such as . . . |
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