How Cosmetic Eyelid Surgery is Performed on Darker Skin While Avoiding Keloid Scars

How Cosmetic Eyelid Surgery is Performed on Darker Skin While Avoiding Keloid Scars


can eyelid surgery be done on dark skin
prone to keloid scars people with dark skin such as those of African and
Hispanic Mediterranean and Asian descent are often concerned about having eyelid
surgery because of the possibility of undesirable scarring such as scars
referred to as keloids although it is well-established that people with darker
skin types are more prone to these types of scars I can speak to how I approach
upper and lower eyelid surgery for so-called ethnic skin types like mine in
my practice I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and
Fellowship trained oculofacial plastic and reconstructive surgeon I’ve been in
practice in Manhattan and Long Island for over 20 years I did my residency in
ophthalmology in Brooklyn I also worked as a division chief of oculoplastic
surgery for many years in the same hospital after my oculoplastic surgery
training we served a community of mostly people of African heritage else well as
a large Hispanic and Caribbean population during this time I also
became known for Asian eyelid surgery both primary and revision surgery
performing cosmetic eyelid surgery as well as a wide range of facial trauma
related surgeries including lacerations and fractures which provided me with the
foundation of experience that inspired me to help my colleagues understand some
important aspects to performing eyelid surgery in non-caucasian patients with
this purpose in mind I wrote an article titled ethnic considerations in eyelid
surgery to avoid scars my first principle is if you can avoid an
incision than do that for example my approach to lower eyelid
surgery to reduce under-eye bags regardless of skin color and skin type
is using the transconjunctival method this means for a person who has puffy
under eye bags caused by fat pockets which have herniated forward I perform a
surgery from the inside of the eyelids which means there are no external or
outside incisions on the lower eyelid my objective is to help you look like you
never had eye bags or eyelid surgery the art is to preserve the natural shape and
character of the eyes upper eyelid surgery does require the removal of skin
which means an external incision is necessary as well as the placement of
sutures when it comes to upper eyelid surgery there are also some more
specific considerations for different ethnic groups for example in asian
eyelid surgery the level of the crease and the options of non-incisional in
versus incisional as well as the type of epicanthal fold and whether fat should
be removed makes this type of surgery a specialty area within my specialty
practice I have found that people who have the highest risk for keloid
scarring still can have upper eyelid surgery performed safely I explain to my
patients with skin types ranging from light olive skin to dark brown skin that
there are some things that are important to do to minimize the risk of
undesirable scarring the design of the upper eyelid skin removal is critical we
want to avoid an incision line which is obvious outside of the eyes when the
eyes are open the tension of the skin closure should be minimal and the
sutures and suture techniques are critical to creating a fine line well
hidden inside the natural upper eyelid crease
I routinely perform both upper and lower eyelid surgery using local anesthesia
with LITE intravenous or IV sedation so patients are comfortable and can recover
from surgery much faster than they would with general anesthesia typically my
patients return to work in about a week in the early to mid 90s I believe very
strongly in making cosmetic eyelid surgery more accessible to everyone
many people came to me feeling confident that as one of a very few specialists in
oculoplastic surgery of indian-origin at that time in the tri-state area that
because of my own skin type I would have some insight in the concerns of patients
with darker skin certainly this had some validity but my training and subsequent
experience was the foundation to my approach to customizing eyelid surgery
for all people regardless of ethnicity I hope you found this information helpful
thank you for your question you

7 Comments

  • Jeannie Jones Spagirl says:

    Dr. Prada’s, I had upper and lower 43 days ago at age 56 and My eyes are a mess inside with I guess Chemosis and now the left eye has like a small white dot on the white part to the right of the pupil. Two days after surgery my surgeon prescribed me some antibiotic drops for the blob in my lower Eye above the lower blepharoplasty on the right side. At this point the right side lower does not look any different than it was before except that my eye is messed up inside. I saw Central Florida eye doctors and they said the pressure was good in my eyes and to use Blink gel eye drops to get rid of the Chemosis but it didn’t help and now I have that little white dot on the left side. I am afraid I may have to go to the mayo clinic to an expert in Jacksonville Florida. I see my plastic surgeon again on month three which is August 7, 2019. I am so scared that I did this surgery. I am journeying my experience with photographs on my YouTube channel. Do you think The insides of my eyes will correct themselves? I am using icy washclothes to soothe my eyes gently twice a day but I WISH I could wear contacts. Will my eyes return to normal?

  • Maureen floralpark says:

    What a difference.. they look so good!

  • ALEXANDER MONDAY says:

    Thanks for the good information

  • Adnan A says:

    How do you minimize risk of keloids for flat mole removal?

  • H Owen says:

    Hi doctor thank you for very informative video. I am Asian and did both upper and lower bleph approx 2 months ago. After suture removal I got suture granuloma on the inner corner of my upper eyelid and still there. Would this be due to my Asian skin? Would this go away? What is the best to treat this? Thanks.

  • la vie est belle sara says:

    Please Dr. Prasad, my upper eyelid surgery scar is turning white. How can I stop it from getting whiter? Is there anything I can do about that? Thank you very much!

  • DaRunningMan says:

    Can PRP+ACell treatment do anything for stretch marks?

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