Discomfort after Blepharoplasty

The bump below the incision line and redness may suggest that there is a permanent suture that was placed in the lateral canthal area on the orbital rim and it may be infected. There is also potential for having a sebaceous cyst in the area if some epithelium was trapped underneath the skin. It is impossible... more

During a Blepharoplasty, sometimes permanent sutures are used to help maintain results. If the suture causes irritation, it may need to be removed. Another cause for the bump can be scar tissue or an inflammatory reaction from an underlying suture. These causes may also require surgical intervention to... more

Typically, the only permanent suture that is used is to resuspend the canthus or lower lid supporting ligament. This may be the problem or a long lasting stitich that will dissolve over time. Either way you're healed, so have your surgeon look at it. No harm will come to removing it.

There can be two inflammatory reactions causing your symptoms: permanent suture reaction or skin pore obstruction around the incision site. If the area has a pimple or whitish material near it, then it would be the latter; if not, probably the former. If suture is the cause, inflammation should regress with... more

I had to go back and take out the canthopexy stich on a couple of patients. I use a permanent suture to support the lower eye lid and sometimes it could create a reaction. You plastic surgeon will recommend removing it if it keep bothering you.

To irkharness, Hi! This is fairly common. Removing the canthopexy stitch will probably relieve your symptoms. I use dissolving stitches to avoid this problem, but many excellent surgeons think permanent stitches are necessary, inspite of the occasional problem. I think the issue has not been resolved.

The symptoms you describe may be realted to the permanent sutures that you stated that you had placed. If they get close to the surface, they can be an irritant and should be removed.

If your surgeon mentioned a permanent suture you may have had a canthoplasty as a part of your blepheroplasty. The suture(s) may be causing a reaction and may need to be removed.

That actually sounds like the only answer. The permanent suture must be causing some inflammation (redness) which is irritating some tissues (nerves) and causing the pain.  Should be an easy procedure to have done.

Dear Irkharness, From your description, it sounds as though the lump is a permanent suture used to tighten the eyelid at the time of the blepharoplasty. I frequently use a deep suture to tighten the eyelid muscle out by the corner of the eye, although I use absorbable sutures. Occasionally, the body... more