Non Dissolving Stitch, Now a Knot on the Eyebrow, What Should I Do?

First, let's remember that having questions answered by strangers who have not examined you is entertainment and not the practice of medicine.

WIthout an examination and a review of your medical records, it is hard to know precisely what is going on.  Presumably there is more going on here than just a palpable suture at the eyebrow.

Standard blepharoplasty does not involve leaving suture at the brow bone.  So immediately one thinks that perhaps a browpexy or internal brow fixation was done.  This  should have been discussed with you before surgery,  in which case, the presence of a palpable suture at the eyebrow should not be a big surprise.  If the doctor did this as an undiscussed aspect of the blepharoplasty, it does not make him a bad doctor, this might be considered part of the paragraph in the consent that says you give your surgeon the power to use his or her discretion to modify the surgery as necessary.  However, most eyelid surgeons would discuss this with you ahead of time.  Explanations after the fact don't inspire confidence.

If your surgeon does not know what this bump is, I personally would be reluctant to advise you to have them explore it surgically.  If they are telling you that it is a suture, then they also have some explaining to do.  If the suture is absorbable material, I would give it many more months to completely disappear and save yourself a procedure.

If your surgeon it not making a whole lot of sense to you, I would recommend getting a second (or third) opinion even if these other doctors simply confirm that the surgeon you are seeing is on the right track.  Hope that helps.

Ask your doctor if he used a dissolving suture. Oten a suture is placed in this location to elevate the corner of the eyelids after Blepharoplasty.

Typically Vicryl or other long lasting absorbable sutures are used and these can take months to dissolve.

Ask your doctor if its OK to massage as this can speed dissolution.

If the doctor used a permanent suture it is easy to remove

  Probably a little more information would be helpful, namely what type of suture the surgeon used.  If it is a dissolving suture, I would elect a wait and see approach.  But if it is a permanent suture and it is bothering you, then I would ask your surgeon to remove it.  I do not think there is much risk of drooping of your eyelid or brow from doing this.