I Had Upper Blepharoplasty 6 Weeks Ago. Three weeks ago I had pus collect under the incision line on my right eyelid. The nurse drained the pus and said that it's probably due to a retained stitch. A week later the pus returned and the doctor placed me on PCN for 7 days. It seemed to respond nicely to the antibiotic until one week after d/c the med and the pus has returned again. Doctor felt it was either abcess from sutures although he felt unlikely since it's so far out from surgery or makeup infecting incision line. What to do?
Post-op Bleph Abscess?
Doctor Answers (3)
First, continue to follow your surgeon's instructions. Second since one round of antibiotics did not solve the issue the the pus needs to be cultured to make sure the bacteria can be identified and the specific antibiotics for that bacteria can be used. Warm soaks may be helpful and possibly re-exploration of the incision.
Abcess in lower eyelid
the time course is worrisome for a mycobacterial infection. if simple maneuvers don't work then a culture is mandatory including AFB culture. drainage is always proper. I would get a culture immediately because it can take weeks to grow.