Bumps at each suture entry/exit across left eyelid after blepharoplasty

I agree with Dr. Asaria's astute observation that you likely have milia along your incision. These bumps will likely resolve on their own or with minimal intervention. Also, the redness and swelling that you have is totally normal. It is unfortunate that you did not receive a faster response from your surgeon's office but I do not think that any harm was done. You appear to be healing well!
Thank you for your questions.Stephen Weber MD, FACS

It's not unusual for patients to have noticeable scarring in the immediate post-operative period following blepharoplasty surgery. It's important to realize that all incisions heal with some scarring, but the eyelid skin is thin and has unique qualities that tend to minimize scarring.In the immediate post-operative period, eyelid incisions tend to be lumpy, bumpy, red and raised. These scars tend to respond nicely to massage and avoidance of sun exposure. In the vast majority of cases, these incisions heal nicely and scarring is imperceptible.It's important to be patient and maintain close contact with your plastic surgeon. Your surgeon should be able to reassure you and alleviate your anxiety.

These small bumps along the incision line appear to be milia. Milia are small inclusions or tiny "whiteheads" and are the most common complication related to blepharoplasty. The good news is that they should not likely cause any longterm side-effects. They often open on their own, or are easily treated by your surgeon by opening up the whiteheads with a tiny needle in the office.

Best wishes,

-Dr. Jamil Asaria

Hi! Thank you for your question and your attached photo. As per observing your photo, the tiny bumps along the incision may be milia. These tiny bumps will be resolved without much intervention from your end. They can actually heal on their own. On the other hand, swelling and redness are but normal after effects of surgery. These should also resolve on their own. Usually, with my patients, I notify them that full and complete recovery can be seen in about 3 months after surgery. If these still bother you, you can visit your board certified plastic surgeon once he or she is available. You can describe what had occurred so that he or she can get an idea of what other possible solutions to be applied for hastened recovery. Hope this answers your question. Best of luck!

It would appear to me that you have two or three issues here. Initially the tissues reacted to the sutures probably a result of some infection of the suture line. This was the pain and redness that you experienced. Suture removal would be indicated in my opinion.............they usually are removed in 5 or 6 days post surgery anyway. Your removing them was wise although we doctors like to be involved in these type of decisions. And the problem was reduced a lot by your removing the sutures so that was the correct move. Each of the suture sites had a red bump after the suture removal...........this represents the local infection reaction and will gradually go away  and the Tobradex would have helped. Wait awhile for natural resolution to take place. Infrequently a thicker than normal scar can occur (hypertrophic) which can partly be resolved with topical application of special ointments containing some silicone. You may or may not be getting this scar. Months later have the scar evaluated as a scar excision might be indicated to get a good result if the poor scar persists. Have the sutures out within 1 week. Good luck. Milia might also coexcist but they are not usually painful or inflammed. They usually are just white cysts within the skin close to the incision and usually go away on their own. Occassionally they need to be removed in the office with a needle by your doctor.