does stye surgery leave a scarirvin-parkview funeral home

Em 15 de setembro de 2022

Eye specialists, including optometrists and ophthalmologists, are called upon to treat more advanced cases such as styes that appear infected or those that recur. Its important to protect your scar when youre outside or any time it may be exposed to the sun. See additional information. V Oculoplastic Surgeon, Board Certified in Ophthalmology, Is there a way to make my lower eyelids smaller naturally and permanently? Most people return to work the following day, without the need for pain medication. Scars can also be painful sometimes, particularly if a neuroma (the abnormal growth of nerve tissues) is involved. I have this scar from a stye and it made a bit of an indent on my eyelid. The appearance of a chalazion changes during the healing process. The steroid injection carries the complication of possible scarring of the lid, discoloration (depigmentation) of the overlying skin, infection, bleeding or bruising, and in extremely rare situations, blindness if the steroid is injected improperly. To help avoid complications, choose your surgeon carefully, fully discuss the procedure (including risks and expected results), closely follow post-op instructions, and reach out if you notice any side effects. For others, the reduction of a scar's appearance can help overcome an emotionally traumatic event or reduce feelings of embarrassment that can lead to social isolation. Very rarely, a chronic, recurring chalazion is a sign of cancer in the eyelid. Heres what to know about drinking coffee if you have blepharitis. Do not wear contact lenses until healing is complete. Removal of a chalazion cyst. Finally, the chalazion can be incised and drained. An abscess can form in the eyelid. In addition to diminishing the scar's appearance, the surgery can treat areas where tissue contraction is causing a loss of mobility and/or range of motion. If a sty appears infected, oral antibiotics may be necessary. Depending on the size and location of your scar and physical demands of your job, you may be able to return to work the next day. 2017;18(4):255-260. doi:10.7181/acfs.2017.18.4.255, Wagh MS, Dixit V.Tissue expansion: Concepts, techniques and unfavourable results. Advances in the treatment of traumatic scars with laser, intense pulsed light, radiofrequency, and ultrasound. Camouflage makeup helps your scar match your natural skin color. From diagnosis to treatment, our experts provide the care and support you need, when you need it. Hello and thank you for your question. American Society of Plastic Surgeons. Smoking status. Fusiform elliptical excision is a basic surgical technique used to repair a mature scar that is either deep or has spread beyond the margins of the original wound. Z-plasty has several advantages over an elliptical incision: There are several variations of Z-plasty used by plastic surgeons, including W-plasty (used primarily for short facial scars) and S-plasty (used for oval contracted scars).. Ready to start planning your care? Swelling and bruising after surgery are common and to be expected. WebCosmetic reasons Fear of spreading the infection Symptoms that may indicate a need for stye surgery include: Multiple styes Styes dont respond to conventional treatment Massive To do this, use your fingers to gently massage your scar for 1 to 2 minutes. The procedure is a quick outpatient surgery, so youll be able to go home the same day in most cases. This information will help you care for your scar after skin surgery. I suspect that what you think you are talking about, what you are showing us, and what we are going to see, are not going to be the same. Medical history. Call the surgeon immediately if you experience any of the following after scar revision surgery: The transitional (or proliferative) phase immediately follows the inflammatory phase. Scar revision surgery can be used for a variety of reasons. This is one reason why your doctor may recommend waiting to see if the chalazion goes away on its own before removing it surgically. This debulking of the gland's contents may be sufficient to shrink the chalazion; however, there is a risk that the chalazion may recur, particularly if the underlying cause is not addressed. In addition to inflammation of the facial skin, symptoms include dilation of the blood vessels and pimples (acne rosacea) in the middle third of the face. After the wound is bandaged, you are wheeled into the recovery room or, for major surgeries, to a post-anesthesia care unit (PACU). I see great results in keeping the area covered for one full week, followed by a twice-daily application of Aquaphor, says Dr. Ostad. Chalazia (the plural form of chalazion) often heal without treatment within a month. It may even take more than one surgery to get the results youre after. Styes can be external, meaning the blocked gland protrudes outward and appears as a visible swelling under the skin, or interior, in which the blocked gland protrudes behind or under the eyelid. (photos) My lip lift was done with some other facial surgeries and it came out great. Some scars, like keloids, typically need a combination of treatments to be improved or prevent them from returning. What can be done to lift outer corners of eyes? Treatment for a chalazion/meibomian cyst: Information for patients. You can also try putting green-tinted makeup over a red scar to help it blend in with your skin color. You can wash the sheet daily and reuse it. Keep it covered with ointment and a surgical dressing. Each has different causes and treatments. Most people can start doing them about 4 weeks after surgery. This involves closing the lower layers with dissolving sutures, after which the upper layer is stitched with non-dissolving sutures. Some plastic surgeons recommend vitamin A, vitamin C, vitamin E, and zinc supplements to aid with tissue repair. The answer to your question depends on how long the scar has been present. JAMA Facial Plast Surg. This might be a sign of infection. Theyll also prescribe antibiotics to avoid the risk of infection. You must have JavaScript enabled to use this form. This causes your eyelid to redden and swell. A flat, flesh-colored, or brown scar-like lesion or a rough, scaly red or brown patched area. A device undergoing clinical trials that warms the lids and expresses thickened oils may also help alleviate chronically clogged oil glands. As with many surgeries, you can expect to see some swelling and bruising around the affected area for up to 2 weeks. The procedure may damage the glands responsible for maintaining your tear film. People often blame lack of sleep or stress, but there are many possible causes. Styes and chalazia (inflammation of the eyelid): What can you do if you have a stye or a chalazion? Scars are a part of your bodys healing process. This helps the oil gland drain, which reduces swelling and redness. The most common risk factor is a sluggish outflow of the sebum from the meibomian glands, which is commonly seen in a chronic inflammatory condition called meibomian gland dysfunction (also commonly called meibomian gland disease, meibomitis, meibomianitis, or blepharitis). Its still visible after a 15 months and looks bumpy in spots and with lines. WebInternal styes may disappear completely without medical intervention, but it can also leave a fluid-filled cyst that may need to be opened by an eye doctor and drained. What Causes Goopy Eyes and How Do I Treat Them? Ask your ophthalmologist for advice about the use of preventative antibiotics. But as with any surgical procedure, risks include infection and bleeding. If you cannot quit, ask your healthcare provider about prescription aids like Zyban (bupropion) or Chantix (varenicline), both of which may be fully covered by insurance under the Affordable Care Act. It is important to ask as many questions as you need to understand the benefits, risks, and likely outcome of surgery. Preventing wounds can help avoid scar formation. If any form of general anesthesia, regional anesthesia, or intravenous sedation is used, fasting will be needed, and your surgeon will typically advise you to stop eating at midnight the night before the surgery. The surgery is used for cosmetic purposes or to restore function to a part of the body that has been restricted by scar tissues. The surgical incision should heal in about 7 to 10 days. 2015;72(4):668-73. doi:10.1016/j.jaad.2014.11.032. As a Royal College-certified plastic surgeon with Infection can lead to poor scarring. In a part of the body that moves a lot (like the shoulder or the back), your surgeon may also tape the incision to help support it. Use a broad-spectrum sunscreen thats SPF 30 or higher. The pain goes away but a bump remains. A culture of the material in the chalazion is sometimes obtained to identify the bacterium. Post-surgical healing may take several weeks. The wound is then inspected and any remaining tissues are severed until the wound is free of chalazion content. Scar revision surgery is sometimes referred to as scar removal surgery, although it does not erase a scar but rather reduce its Another common scar revision technique, Z-plasty, can change the direction of a scar. Antibiotic treatment is particularly important if the bacterial infection is spreading along the skin (cellulitis) or spreading into the orbit (orbital cellulitis). Call us at 833-347-1665 to make an appointment. Avoid swimming in chlorine-treated pools, salt water, or lake water. While we read all feedback, we cannot answer any questions. Lower eyelids are designed to distribute tears across your eye so that they stay lubricated. Should the stye never heal, you will develop scar tissue that forms a permanent painless bump on your eyelid. How common are scars? Monitored anesthesia care (MAC) is sometimes used with local anesthesia and require the same restrictions as the other forms of anesthesia. For this surgery, an incision is made down the center of the scar. Ling N, Martin A. Ask to see examples of scars like yours that they have improved with surgery. In the first weeks after surgery, please follow the instructions from your healthcare provider on how to care for your surgery site. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. You should develop some scar tissue after the chalazion removal. J Cutan Aesthet Surg. Wound healing - A literature review. The answer to your question depends on how long the scar has been present. You may get a chalazion if you have an eyelid stye that doesnt drain and heal. You will also want to bring someone along to drive you home. To minimize the appearance of the wound, one edge of the scar is beveled and the opposite edge is counter-beveled so that they fit together in a tongue-and-groove fashion.. Contact a doctor if you see no improvement within 2 weeks to a month, or if the chalazion: If a chalazion doesnt heal with basic treatment, it may require surgical removal. Examples of these treatments include: These treatments can be done after enough time has passed for your scar to heal on its own. Chalazion surgery is a low-risk procedure, but it does still carry a few risks. A practical guide to wound healing. If you have questions about your care, contact your healthcare provider. Read on to find out what you can expect to see as a chalazion heals. The old scar is removed, and incisions are made on the side of the wound to create flaps, which are then rearranged to create a Z pattern. What about golden staph? It's natural for patients to be concerned about J Craniofacial Surg. See additional information. In cases like these, a roster of surgeries may be scheduled, separated by six to 12 weeks or even more., It usually takes between 12 and 18 months for a scar revision wound to fully heal. Surgical outcomes of patients on isotretinoin in the perioperative period: A single-center, retrospective analysis. Pull your hair into a bun and ponytail if it is long. A scar may appear flat, lumpy, sunken, or colored. If you have any questions, contact a member of your care team directly. Protect the scar from sun exposure to help prevent discoloration and pigmentation. Will the puffiness go away? Treatment of a cyst depends upon what caused the cyst in the first place. Theyll give you an eyepatch or eye pad to wear home after the procedure. A chalazion on your eyelid looks like a swollen, red bump. Meibomian gland dysfunction is frequently associated with acne rosacea on the cheeks and nose but can also be seen alone. My best, These include: Some scars also require layered closure. Monday through Friday, 8 a.m. to 6 p.m. (Eastern time), Monday through Friday, 9 a.m. to 5 p.m. (Eastern time), Monday to Friday, 8 a.m. to 6 p.m. (Eastern time). 2012;59(2):90-102. doi:10.2344/0003-3006-59.2.90, Coon D, Tuffaha S, Christensen J, Bonawitz SC. This is a relatively quick, safe procedure. A stye forms when a tiny oil-producing gland in your eyelash The V-Y enhancement effectively lifts skin upward, while the Y-V enhancement draws the skin downward, as follows: Local flaps and skin grafts are used when there are significant areas of burned or scarred tissues. Exposing your scar to sunlight can make it heal more slowly. If the scar tissue is superficial in depth, a partial thickness transplant or laser procedure (called phototherapeutic keratectomy, or PTK) can be done to remove the scar. In some cases, it may not even be improved. You should also avoid wearing makeup or contact lenses while the chalazion is healing. A child may need help applying the warm compress. Learn the difference between a chalazion and a stye. Abstaining from smoking from four weeks before to four weeks after surgery can improve scar quality. You can use them under your makeup and clothing. ", A local injection of epinephrine is also sometimes used to slow blood circulation around the surgical site, thereby reducing bleeding and inflammation.. (photos). In many cases, a linear section of scar tissue is excised, and the surrounding skin is neatly sutured closed. Although scar revision surgery often requires only one procedure, it can sometimes take multiple surgeries to achieve the desired effect. Answer: Scar Hello and thank you for your question. You should develop some scar tissue after the chalazion removal. In addition to a physical exam, the surgeon may use a variety of tools to map the surgical plan, especially for those with severe or disfiguring scars. Arch Craniofac Surg. Befor Though styes can be painful and unattractive, they usually are harmless and rarely affect eyesight. The redness of the bump should also start to fade. They can be reduced or removed with either surgery or an injection of steroid. Follow up with your surgeon as scheduled, so they can evaluate healing and remove your stitches, Motiva Implants Are Among the Safest On the MarketHeres Why, This Month in Aesthetics: A Reality Star Dies After a Mommy Makeover, a New Under-Eye Filler Gets FDA Approval, Amy Schumer Shares Ozempic Experience, and More, Why I Decided to Take Ozempic After Losing 100 Pounds Naturally, Nicki Minaj Just Revealed Her Breast Reductionand Says She Wishes Shed Done It Sooner. What are symptoms and signs of a sty (stye)? What are the risk factors for a sty (stye)? They can form after surgery or when you have a cut or other wound on your skin. Dermatol Surg. If the sty is draining material from the gland's opening, there may be thick discharge or crusty material accumulating on the lids and lashes. After surgery, youll be prescribed antibiotics. See additional information. It is particularly important to identify infection that has spread from the gland to the eye, neighboring skin, or orbit. Scar removal surgery helps make scars less noticeable, which may help boost your confidence or even put a traumatic event behind you. WebRealSelf: Research Cosmetic Procedures & Find a Doctor /questions This helps relieve tension on the incision and prevent the scar from widening. Most plastic surgeons will recommend quitting four weeks before surgery and three to six weeks after (and ideally forever). Your surgeons technique will also depend on the type of scar thats being removed. If there is a depression, sometime filler can be used. If conjunctivitis (pinkeye) develops, topical ophthalmic antibiotics (antibiotic ointments or drops) might be necessary. It can disguise a scar by repositioning it along natural skin creases. The stitches will dissolve on their own during this time. Styes form a bump with a small amount of pus inside. An itchy or tender flat spot with a scaly, crusted surface. Doing so allows the layers to heal in a more natural position without tension. For instance, surgery to repair a scar on your leg may take two weeks to heal, while a facial procedure may take a week or less. Nearly everyone develops some type of scar, whether from an accident, a surgical procedure, acne or an illness like chickenpox (varicella). Arguably, the greater concern is whether the procedure will lead to even worse scarring. You can seek help from either an ophthalmologist or an oculoplastic surgeon. Side effects like headaches, dizziness, nausea, and fatigue are not uncommon. If general anesthesia, regional anesthesia, or MAC are used, other pre-operative procedures would be performed, including: You may also meet with an anesthesiologist before surgery to discuss any drug allergies you have or drug reactions you've experienced in the past. Both types of styes should resolve completely once the plugged gland drains. Eyes are swollen & I have darker circles after lower blepharoplasty. Youll be given additional information about how to prepare, including whether you can eat or drink before surgery, from your healthcare provider. Although some scars may resolve on their own, others are just permanent so to either fix that you can go through surgery, where the scar tissue is directly removed from the eyelid or undergo Kenalog injection. A nurse will then take your vital signs (temperature, blood pressure, heart rate) and record your height and weight (which are used to calculate the anesthesia dose). One. To use a silicone sheet, cut it to the size of your scar and apply it to the scar. 2014;7(1):3. doi:10.4103/0974-2077.129959, Oh SJ, Yang J, Kim SG, Jung SW, Koh SH. It may need to be drained if it doesn't resolve Read More For patients with darker skin, a mix with 5-FU and a small amount of Kenalog, or even just 5-FU, could help. The eyelid is everted, and the meibomian gland is incised from the back surface of the eyelid, avoiding cutting the skin on the front surface. All rights reserved. If it doesnt heal and continues to grow, you may need a steroid injection or surgical removal. Which types of specialists diagnose and treat styes? It's also uncomfortable and I can definitely feel it. Scar revision surgery encompasses a range of surgical techniques used either alone or in combination with other surgical or non-surgical scar treatments. It may be tender to the touch, but its rarely painful. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Ben Simon, G.J., et al. Learn the warning signs and symptoms of common eye conditions such as glaucoma, cataracts, pink eye, macular degeneration and more. If an infection sets in, treatment will be necessary. This may resolve on it's own, but we find for some medium and darker skin types that it can take an extremely long time an At 4 days post op, it is really too soon to judge your results. Scar Revision Surgery: Everything You Need to Know. It involves the removal of scar tissue along with a small margin of normal tissue, the edges of which are then delicately stitched together with fine sutures. Once the scar tissue forms, the only treatment is to cut out the scar tissue. Stress is a normal part of life, but chronic or severe stress can be harmful to your health. Please do not write your name or any personal information. Wear something comfortable you can get into and out of easily as you may be asked to remove some or all of your clothing. These include: When embarking on scar revision surgery, the surgeon will conduct an assessment using one of several systems. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Let it cool to a warm, comfortable temperature. Anticoagulant complications in facial plastic and reconstructive surgery. Surgeries performed too soon are more likely to experience hypertrophy and poor results. Kenalog injection or 5fu injections might be helpful to reduce scar tissue Sometimes massage with a topical steroid in indicated. Ask your doctor. This includes people who cannot stop taking anticoagulant drugs like Coumadin (warfarin) due to the risk of thrombosis. Frequently, "styes" become walled off with hard fibrous tissue ( chalazion ). A randomised controlled study: RCT of excision suture technique, Modified dovetail-plasty in scar revision, A comparison of the local flap and skin graft by location of face in reconstruction after resection of facial skin cancer, Tissue expansion: Concepts, techniques and unfavourable results, Management of keloids and hypertrophic scars: current and emerging options, Preoperative fasting in the department of plastic surgery, Anticoagulant complications in facial plastic and reconstructive surgery, Surgical outcomes of patients on isotretinoin in the perioperative period: A single-center, retrospective analysis, Local anesthetics: Review of pharmacological considerations, Plastic surgery and smoking: A prospective analysis of incidence, compliance, and complications. If you smoke, its recommended to avoid smoking as much as possible before surgery. The technique involves making a Z-shaped incision along the line of the greatest tension of a scar, after which the upper and lower triangular flaps are "switched" to the opposite positions. Blepharitis and styes are common eye conditions. Talk with your dermatologist (skin doctor) before doing any of the things A clinician will make a small incision in the affected eyelid and remove the fluid buildup within the chalazion. Try alternating cold with heat once the swelling has subsided a bit. The best prevention is to keep the eyelids and eyelashes clean. facial aging. The information on RealSelf is intended for educational purposes only. If a chalazion gets too large, it may press upon your eyeball and blur your vision. When a sty or chalazion clears on its own, there are rare complications. New, immature scars need to be diligently protected during the healing process. In some cases, you might also be given a steroid ointment. Leave any jewelry or other valuables at home. Read our, Complications and Realities of Plastic Surgery, What to Know About Anesthesia and Surgery, How Quitting Cigarettes Improve Surgical Outcomes, Risks and Complications of General Anesthesia, What to Expect When Recovering From Surgery, Treating Nausea and Vomiting After Surgery, Eyelid Surgery: Everything You Need to Know, Dermabrasion: Everything You Need to Know, Trapeziectomy: Everything You Need to Know, Tympanoplasty Surgery: Everything You Need to Know, Herniorrhaphy: What to Expect with Hernia Repair Surgery, Sinus Surgery: Everything You Need to Know, Varicocele Surgery: Everything You Need to Know, Bunion Surgery: Everything You Need to Know, Panniculectomy Surgery: Procedure and Recovery, Three suturing techniques for closing fusiform excisions. Chalazions typically arent painful and often go away on their own within two to eight weeks. A chalazion is type of eyelid bump. What Is Scar Revision Surgery? Most scars cannot be fully erased. No scar can be removed entirely, but in some cases, its appearance can be improved so significantly that youd have to look hard to detect it. The circular opening exposes the conjuctival aspect of the eyelid to control the bleeding during surgery. Your eye may be watery, dry, sticky, itchy, or sensitive to light. But common side effects, such as nausea and sore throat, are minor. LASIK Eye Surgery Costs and Tips for Finding a Surgeon. Recurrence is likely if chronic underlying conditions aren't addressed. Tobacco smoke causes extreme and persistent vasoconstriction (narrowing of the blood vessels), depriving surgical wounds of the oxygen and nutrients they need to heal. Our website services, content, and products are for informational purposes only. This helps to distinguish between a hordeolum and a chalazion. What is scar removal surgery? Healthcare providers, including pediatricians and emergency medicine physicians, often diagnose and treat eye problems. Do I need surgery to fix this? Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. Any medication that impedes wound healing may need to be temporarily stopped before and after surgery. Terms of Use. James Myhre is an American journalist and HIV educator. is extremely safe when performed by a specialist with the training required to I have dark skin is a kenlog injection still a possibility? To treat droopy eyelids for aesthetic purposes or help improve your vision, you may consider an upper blepharoplasty to lift the eyelid & remove, Lens replacement surgery is a relatively quick & minimally invasive procedure that can improve your vision if you have certain conditions, including, Laser surgery uses focused light beams to remove or reshape tissue. If a sty or chalazion becomes infected, the infection can spread to the eye (conjunctivitis or corneal keratitis), skin (cellulitis), or orbit (orbital cellulitis). Australasian J Dermatol. Any disruption of these functions can lead to hypertrophy and the formation of visible scars. For more resources, visit www.mskcc.org/pe to search our virtual library. As you recover, call your healthcare provider if you experience any of the following: If your chalazion doesnt go away on its own, your healthcare provider may recommend surgical removal. It can also make the scar darker and more noticeable. 1996-2021 MedicineNet, Inc. All rights reserved. doi:10.1136/bmjoq-2017-000161, Kraft CT, Bellile E, Baker SR, Kim JC, Moyer JS. Scar revision surgery is sometimes referred to as scar removal surgery, although it does not erase a scar but rather reduce its appearance or impact. What should I expect during my scar revision recovery?. Do not rub or touch your eye, especially with unclean hands. The most conservative treatment is the application of frequent warm (not too hot) compresses alone. Acne is a localized skin inflammation as a result of the overactivity of oil glands at the Over time, the scar will become softer, smoother, and less red. The best home treatment to get rid of a stye is to apply a warm water compress as often as possible. Large chalazia that dont resolve with conservative treatment may require surgical removal. On one side of the incision, random geometric patterns (e.g., semicircles, triangular teeth, square notches) are cut into the skin. Everyone feels differently about their scars. You cant apply a cookbook approach, but generally, if a scar is bothering you from a cosmetic standpoint give it at least six months, says Dr. Ostad. Because of this, it also made my eyelid droop and make my double eyelid uneven. Every effort should be made to keep the wound clean and to dress it regularly with sterile gauze and breathable bandages to prevent moisture build-up. If needed, Tylenol (acetaminophen) may be provided for short-term pain relief. Skin grafts involve moving a healthy patch of skin to a distant part of the body, severing the blood flow and requiring the growth of new blood vessels., Flaps and grafts sometimes require tissue expansion. 2010;125(6):230e-244e. Meibomian glands are small oil glands within the eyelid behind your eyelashes. These include the oral drug Accutane (isotretinoin) and topical retinoids like Retin-A (tretinoin).. Some like the MCFONTZL classification are used specifically for facial lacerations, while others like the Vancouver burn scar assessment score are used solely for burns.. Heres What Experts Say. They produce an oily substance designed to keep your eyes moist and comfortable. Learn about possible causes, available treatments, and ways to prevent eye pain. Doing so can cause the infection to spread. The incision may also leak a pale reddish fluid for a day or two. This scar treatment option can improve the appearance of a scar thats unsightly or highly visible, helping people feel more comfortable with the way they look. Ring out the washcloth, so it doesnt drip. GBLC can greatly minimize the appearance of a linear scar due to the random twists and turns that are difficult for the eye to follow.. Youwould only need a small amount of steroid for this, which should not depigment your skin. For patients with darker skin, a mix with 5-FU and a small amount of Kenalog, or even just 5-FU, could help. Surgical removal of scar tissue or the Local anesthetics can also cause headaches, blurring, and dizziness in some people.. The more before and after photos a provider can show, the more experience they have, says Dr. Ostad. Increased intake of omega-3 fatty acids in the diet or from supplements may also help improve the flow of sebum. You may also be given eye pads or an eye patch to protect your eye. What are the steps of a scar revision procedure? Some wounds require nothing more than a simple dressing, while others need specialized dressings and adjunctive therapies like hyperbaric oxygen to aid with healing. You can do this 1 to 3 times per day. The process also requires patience. of a superficial pustule (contains pus), a pimple, a deeper cyst, congested pores, whiteheads, or blackheads. Also, the doctor will look for signs of scar tissue, foreign bodies, and underlying chronic meibomitis. 2023 Healthline Media LLC. Read on to learn more about the procedure, including how its done and the recovery time involved. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon.

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does stye surgery leave a scar