Developed keratin pearl at the site where a stitch was removed 26 days after blepharoplasty. (photo)

Question

In December 2015 I had blepharoplasty surgery on both lower lids. PS took some stitches out after 12 days, but left remaining for another 14 days. About 2 mos ago I notched a little white hard bump developing on outer part of my right eye at the site where the stitch had protruded through the skin. I went back to the PS a week ago and he assured me it was common and no problem to remove with a needle. I'm wondering if indeed this is common and is it anything to be overly concerned about?

John J. Martin, Jr., MD · Answer

Very common to form small cysts along the incision line.  Can easily remove in office with a needle.

Kenneth D. Steinsapir, MD · Answer

A keratin pearl is very common.  Suture are needed to put tissue together and can cause minor issues like this.  It is very straight forward.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

Developing these little white bumps in your incision is not unheard of and easily remedied. If they continue to develop, have your surgeon remove them.

Steven Wallach, MD · Answer

This is very common and often can be treated by just un-roofing it with a needle.  Best of luck.......

Michael Olding, MD · Answer

Not to worry.  They are common following eyelid surgery, and can be easily treated by "unroofing" in the majority of cases by taking the sharp edge of an hypodermic needle and removing the thin layer overlying it which enables your doctor to remove it much like a pimple.  If it returns, then a small excision of the cyst can be done in the office under local.

David A. Schlessinger, MD · Answer

It is common to have cysts develop along the suture line after eyelid surgery. These sometimes resolve by themselves, but otherwise can be easily removed in the office. They generally heal well without any scarring.

Katrinka L. Heher, MD · Answer

No worries as this is fairly common. It may go away with the needle extraction and if not it can be snipped off.  It is best to leave it heal on it own so for a few days it will look red.  In the end there will be no scar and it will be like it was never there.  Hope this helps and best of luck.

Developed keratin pearl at the site where a stitch was removed 26 days after blepharoplasty. (photo)

Answers (7)

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