Will eyelash retraction surgery leave scars？

Eyelash retraction surgery, also known as trichiasis correction surgery, may leave scars, but the degree and visibility of the scars vary depending on several factors:

• Surgical method:
  • External approach: For more severe trichiasis, an external surgical approach may be used. This usually involves making an incision on the skin of the eyelid. Although surgeons will try to make the incision as small and precise as possible, there is still a possibility of leaving a visible scar, especially during the recovery period. However, with proper care and as time passes, the scar may gradually fade and become less noticeable.
  • Internal approach: In some cases, an internal approach can be adopted. The incision is made on the inner side of the eyelid, so the scar is relatively hidden and less likely to be visible from the outside. This method is more suitable for mild trichiasis or certain specific situations where the trichiasis is mainly caused by problems within the eyelid.
• Individual healing ability: Everyone's skin healing ability is different. Some people have better wound healing capabilities and a lower risk of obvious scarring. They may experience only slight fibroproliferation at the surgical site, and the scar will be faint and hardly noticeable after complete healing. In contrast, people with poor wound healing abilities, such as those with a tendency to form keloids, are more likely to have obvious scars after surgery. Even with careful postoperative care, the scars may be more prominent and require additional scar treatment measures.
• Postoperative care: Strict and proper postoperative care is crucial in reducing the risk of scarring. Keeping the surgical area clean and dry, following the doctor's instructions to apply medications, and avoiding excessive rubbing or irritation of the eyes can help the wound heal properly and reduce the formation of scars. If the wound becomes infected or is not cared for properly, it can lead to inflammation and increased fibroproliferation, resulting in more obvious scars.