Can you remove a chalazion on the lower eyelid, right next to the tear duct if you have keloids/ hypertrophic scars?

Question

I'm really worried because I have a chalazion on my lower eyelid near the tear duct, basically on the waterline of the eye, and if I have to have surgery to remove it is it possible to get hypertrophic scars/ keloids there? Because I'm really prone to having those and I don't want one on my eyes!

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

Thank you for the question. It's very rare for eyelids to form keloids and just as rare for incision and drainage of a chalazion to effect the tear duct. With that said, I rarely surgically remove chalazions. Over 90% can be treated with Kenelog injections, hot compresses and oral antibiotics. If this fails, incision and drainage can be performed. I hope this helps you. Good luck.

Samuel Baharestani, MD, FACS · Answer

I would not worry about keloid formation.  An oculoplastic surgeon will be able to treat your chalazion and protect your tear duct from scarring.  Good luck!

Curtis Wong, MD · Answer

and as the others have said, you can have this removed if needed with the duct protected if necessary.  But you still have to accept the risk for scarring for anyone to do this for you and if someone guarantees that you will not get scarring, get it writing and go for it.

Chris Thiagarajah, MD · Answer

Styes or chalazion on the eyelid can be removed with the tear duct protected. In short, an oculoplastic surgeon can remove it in the office in about 20 minutes. The risk of scarring is expectionally low in the eyelid. You can read more at denverstye.com.

Can you remove a chalazion on the lower eyelid, right next to the tear duct if you have keloids/ hypertrophic scars?

Answers (4)

Answer: Scarring on eyelid is uncommon

Answer: Scarring on eyelid is uncommon

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Can you remove a chalazion on the lower eyelid, right next to the tear duct if you have keloids/ hypertrophic scars?

Answers (4)

Answer: Scarring on eyelid is uncommon

Answer: Scarring on eyelid is uncommon

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.