What Do I Do About Bumps Along Suture Line (Stitches Out) Post-lower Bleph?

Question

I had lower blepharoplasty two weeks ago, and the dr. removed the stitches 5 days later. I have a line of bumps along the suture line of both eyes. What can I do to make these go away? Can the dr. remove them at this point?

James M. Pearson, MD, FACS · Answer

Thank you for your question. First, do not hesitate seek advice from your surgeon especially during the early postoperative period. The small 'bumps' that you describe are commonly seen during the early healing period. They typically resolve without any intervention. If the appearance worsens or does not improve with time, there are treatment options available. Good luck.

Richard J. Bruneteau, MD · Answer

It's normal to have areas of irregularity along the incision following blepharoplasty surgery. These areas of irregularity occur for a variety of reasons including suture tracts, normal skin edge eversion, inflammation, crusting, scabbing and normal wound healing.These lumps, bumps and bulges tend to heal nicely with the passage of time. This process can be facilitated by gentle massage, topical ointments and avoidance of sun exposure. When these steps are taken, eyelid incisions heal nicely.If you're concerned about the appearance of your eyelids following blepharoplasty, it's important to consult your surgeon. Your surgeon should be able to make an appropriate recommendation regarding the optimization of wound healing.

James R. Gordon, MD, FACS, FAAO · Answer

The bumps that are often seen along the wound is very common and almost always resolve without treatment. If any large ones persist, your surgeon can remove them. The time for an eyelid scar to fully heal is about 1 year.

Bhupesh Vasisht, MD · Answer

Its too early for anything.  These small "bumps" should resolve on their own.  THere is no need to apply any medications or ointments in my opinion. I would simply apply scar cream and gently massage that area with a q tip.  This will allow the scar area to soften with time.  If you are too aggressive it may lead to more problems in my opinion.  Be patient.

	Dr. Vasisht- South Shore Plastic Surgery

Jed H. Horowitz, MD, FACS · Answer

the bumps are generally a normal reaction to sutures

	they usually resolve over several weeks.  gentle massage , time,  warm and cold compresses may help

	occasional steroid such as maxitrol or tobradex can be of benefit

Kenneth D. Steinsapir, MD · Answer

Time will resolve these bumps. Presumably your surgeon has removed the remaining suture. If not this should be done. The bumps typically fully resolve. Occasionally, a small cyst can form. This is so common, it can not be regarded as a complication, more an annoyance. These cysts should they form are easily dealt with in the office setting. It is impossible to know at this point if any of these bumps will be come cysts but time will determine this.

Sean Paul, MD · Answer

Give yourself some time for these skin incision sites to heal up. Talk to your surgeon as you are only two weeks out of surgery and most likely this a part of normal healing. Rarely, you can develop and inflammatory reaction to the suture used but consult your surgeon if this persists.

Robert L. Kraft, MD, FACS · Answer

As you note, you are two weeks post-blepharoplasty and the "bumps" you note could be either part of the healing process or small cysts. Definitely bring this to your surgeon's attention and monitor the progress of the healing. In all likelihood, they will resolve gradually and no intervention would be required at this early post-operative stage.

Alan Weiss, MD · Answer

Bumps along the suture line post blepharoplasty should be observed for several weeks. Once you have healed completely, should they persist as true cysts, they can be removed and shouldn't require sutures. I agree that you are too early for any intervention and talking to your surgeon is your best option at this stage. Try to be patient.

Joseph N. Togba, MD (retired) · Answer

Bumps along the suture lines are not an uncommon occurrence after blepharoplasties (upper or lower). These will usually flatten out over a period of 4 - 6 weeks. Occasionally, one might notice some white bumps as well which are little cysts that will also disappear with time. Nothing need to be done - a little tincture of time takes care of these minor problems.

What Do I Do About Bumps Along Suture Line (Stitches Out) Post-lower Bleph?

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