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Hard Lump After Upper and Lower Blepharoplasty

Two months ago I had upper and lower Blepharoplasty. All went well, and then I noticed a hard lump under my left eye. The doctor said it might be a muscle that is twisted, and I should put a little cream on it and massage it. After several weeks of massaging it, nothing has changed. Can it be fixed and how?

Asked 34 months ago by Bon Bon in Toronto,

Tags:

lower eyelids lumps

Reoperation at 2 months

2 months is very early to reoperate after lower eyelid surgery. Only your surgeon knows exactly what was done during your surgery. If fat injection was performed at the same time, for example, he or she will determine whether steroid injections to the area or removal of the lump may be in order. Problems such as this are not uncommon after eyelid surgery, and close communication with your doctor is a must. If your last interaction with your doctor was him advising you to massage the area... more

Doctor's Website

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

This appears to be some type of cyst or foreign body...

This appears to be some type of cyst or foreign body reaction. If you had a transconjunctival blepharoplasty with the incision made inside of the eyelid it is possible that this is a reaction of from the ointment that was placed on your eye during surgery. The ointment can insite a foreign body reaction. The treatment is surgical excision.

Jeffrey Zwiren, MD

Atlanta Plastic Surgeon

ASPS

It can be fixed

It looks like you have a cyst or small fat pocket. Check back with your surgeon. Your surgeon is the best person to know what to do.

Kamran Khoobehi, MD

New Orleans Plastic Surgeon

ASAPS ASPS

Looks like a cyst.

Hi! I would try to lance this with a tiny blade or the tip of a needle. If that did not work, I would wait another 4 months, and surgically re-explore (take a look inside) your eyelid. Unfortunately, what you are doing now is not going to help.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Hard or soft lump?

It is unusual to see such a large, distinct mass after blepharoplasty. If it is soft, it could be a fluid-filled cyst, seroma, or small hematoma. Your surgeon could easily try to aspirate it or lance it with a needle puncture. If it is hard, surgical exploration and excision would be advisable. Although extremely unusual in its temporal relationship to your surgery, a tumor from skin appendages or from the lid cartilage can occur. Usually these are benign. If you do not get adequate answers... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Hard lump after blepharoplasty

Sometimes after manipulation of the eyelid after surgery a small chalazion or stye can develop. It could have developed on its own, without surgery having anything to do with it. Without examining you, that is what appears to be in your eye. Alternatively it could be a granuloma or foreign body reaction that occurs near the transconjunctival incision. An ophthalmologist can remove the stye without a problem. Have your surgeon take a look at it and let them judge what they think it is.... more

Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon

Hard lump after blepharoplasty is likely a granuloma or suture

Although a cyst is certainly a possibility causing a lower eyelid hard lump after blepharoplasty, the fact that this lump appeared so soon after surgery makes a granuloma or foreign body reaction more likely. If sutures were placed beneath the lower eyelid during surgery, the suture may have caused a form of scar tissue called a granuloma to occur. I agree with massage as the first thing to do. However if the hard lump is still present after 6 months then surgical exploration may be... more

Doctor's Website

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

May be Some type of Foreign Body Reaction

Since this appeared shortly after the procedure it appears to be either some type of reaction to suture material or other foregn body or an organized collection of blood. Any type of persistent infraorbital fat or some type of glandular cyst would feel soft but should still part of the differential. I would think the surgeon might consider steroid injection to the area and if this is not successful then the surgeon should consider re-opening the blepharoplasty incision and exploring the... more