![[Yonsei Star Dermatology Sinchon] How much can laser treatment remove scars from double eyelid surgery and epicanthoplasty? / Sinchon Station Dermatology](/_next/image?url=https%3A%2F%2Fagqdgbuateknhwpocrgu.supabase.co%2Fstorage%2Fv1%2Fobject%2Fpublic%2Fsources%2Fbbf3bebe-45b6-4415-bd04-bda18b2cac0f%2Fblog-images%2F222900333815_00_f46ee55328de.jpg%3Ftype%3Dw966&w=3840&q=75)
Double eyelid, epicanthoplasty, and lateral canthoplasty surgeries have become common, but many people are burdened by the red or white scars that remain along the lines. The first question that usually comes to mind is one: Can scars around the eyes from surgery be lightened without reoperation? To answer directly, cases are reported where scars can be improved to be less noticeable with only lasers and procedures, depending on the scar's condition.
Hello. We are Yonsei Star Dermatology Sinchon, your skin problem solvers. Today, we will explain how we treat scars remaining after eye surgery with lasers, outlining the principles and treatment directions.
Why Scars Tend to Remain on the Skin Around the Eyes
The skin of the eyelids is among the thinnest on our body. Therefore, even with the simplest surgeries, if skin tissue is damaged during the incision and suturing process, scars are likely to remain. In the examination room, we observe that even for the same surgery, the pattern of scar formation varies from person to person depending on skin thickness and constitution.
After double eyelid surgery, red and bumpy scars often form along the line. If left untreated, these can turn white over time or lead to depressed scars due to skin adhesion. For individuals with a keloid constitution, keloid scars may form as raised areas along the incision line.
What Do Epicanthoplasty Scars Look Like?
Epicanthoplasty scars typically appear as a Mongolian fold-like wrinkle at the inner corner of the eye, or as a white, raised area at the incision site, as shown in the photo above. In the past, it was believed that there was no suitable method other than reoperation for such scars. However, by approaching scars based on their characteristics, a path to gradually refine them without surgery is also available.
Scars are not a single mass but a state where different problems such as color, depth, thickness, and adhesion overlap. When each factor is separated, the direction of treatment becomes clear.
The Core of Scar Treatment: Pinhole Technique
The Pinhole Technique is central to eye surgery scar treatment. It involves creating microscopic holes in the whitened scar area with the high-spec Ultrapulse Encore laser, inducing powerful skin regeneration. This helps the regenerated tissue settle in a way that resembles normal skin. The detailed application of the Pinhole method is adjusted according to the scar condition, such as with Mild Pinhole.
Treatment Combinations Vary by Scar Type
Since scar characteristics vary, it is difficult to treat all scars with a single method. At Yonsei Star Dermatology Sinchon, we approach scars by categorizing their shape and color as follows:
| Scar Type | Main Appearance | Approach |
|---|---|---|
| Whitened Scars | Loss of color, rough surface | Induce skin regeneration with Pinhole Technique |
| Adhered Scars | Skin pulled, depressed | Subcision to release fibrous bands |
| Red Scars | Persistent redness | Vascular laser treatment |
| Raised Scars | Elevated along the line | Triamcinolone Scar Injection |
- First, we distinguish the color, depth, and thickness of the scar to set priorities.
- If there is adhesion, we release the pulled skin with Subcision to cut the fibrous bands.
- For redness, we aim to calm it with lasers targeting blood vessels.
- For raised scars, we adjust the thickness with Triamcinolone Scar Injection.
- Rather than finishing in one go, we gradually refine the scar while observing its progress.
If you have any questions, you can comfortably ask through inquiry for eye surgery scar treatment consultation.
Things to Know Before Treatment
Scar treatment is not about making scars completely disappear with a single procedure, but rather a process of refining them to be as close to normal skin as possible. The degree and speed of improvement may vary individually. Laser treatment, including the Pinhole Technique, is utilized for surgical scars and cosmetic surgery scars in general, and the combination and number of procedures will vary depending on the scar's condition.
If you are concerned about double eyelid scars, epicanthoplasty, or lateral canthoplasty scars, accurately assessing the current state of the scar is the starting point. Based on its condition, you can determine which methods to apply and in what order.
If you have any questions, 💬 Consult Now
Chief Director Lee Sang-ju (MD, PhD, Yonsei University College of Medicine and Graduate School, completed dermatology residency at Severance Hospital, President of the Korean Society for Dermatology) Chief Director Lee Sang-ju's Profile First published 2022-10-14 / Last reviewed 2026-06-16 This article is for general information purposes only, and as scar patterns and treatment responses may vary individually, please consult with medical staff for an accurate diagnosis and treatment plan.