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Swollen eyelid 5 months after MOHS surgery, is this normal?

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GirlduckJun 24, 2018
I got mohs surgery on my right temple 5 months ago. I got a forward advancement flap reconstruction. My right eye area was very very swollen for a long time. It is still somewhat swollen above my eyebrow. My upper eyelid is still very swollen as well. Not as bad as originally, of course, but still significantly after 5 months. Is this normal? Should I expect lymph glands to drain properly a few months from now and the swelling to go down? What could be wrong at this point? Thanks.

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From board-certified doctors and trusted medical professionals
Dr. Brad M. Gandolfi, MD
Board Certified Plastic Surgeon
Answered on Jun 26, 2018
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Brad M. Gandolfi, MD

Hi David, that does not look like pus. Generally what you will see is some necrotic (dead-ish) skin debris. Without a graft, expect your nostril to get pulled up pretty significantly as the wound heals. However, in this location, a skin graft would not be the first option for reconstruction.

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Brad M. Gandolfi, MD

What you are describing sounds like nerve pain. As a nerve heals it can be itchy, painful, or can give occasional sharp bolts of pain. Numbness means nerve injury, which can occur to a small branch of nerve that runs through the forehead on the way to the scalp. Be patient, and discuss it with...

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Joshua E. Lane, MD, MBA

Without a photo this is very difficult to answer; however, you are likely correct in that a dissolving suture is the most likely culprit.  These are typically cream colored or clear...you can likely just pull it out but the safest answer would be to go have your surgeon evaluate it.

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