Cyst under my eyebrow - what are my options for treating this? (Photo)

Question

I have had a mass showing under my eyelid since 2019. I had a blepharoplasty in 2022 with the purpose of removing it, but the surgeon could not find it. He went in a second time with local anesthesia, and I was watching as he tried to get it, but it kept slipping from his hands. He refused to go back in again. It's not growing, it's soft, and it moves to the touch. However, there are times it gets hard, and it hurts. It's very uncomfortable and does not look good. Today, it's hardly noticeable, but I would like to get it removed. I am also concerned because I have something else showing on my eyeball near the iris, and it hurts at times, making my eye red. I use dry eye drops about three times a day since I work from home in front of the computer, and it seems to alleviate the discomfort. I don't know if these two issues are connected. What are my options for treating this? Thank you ! Maritza

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the discomfort and frustration you've been experiencing. Here are some potential options and steps you might consider for addressing the cyst under your eyebrow and the issue with your eyeball:

### Cyst Under the Eyebrow

1. **Consultation with a Specialist:**
   - **Ophthalmologist**: Given the location and your previous experiences, consulting with an ophthalmologist who specializes in oculoplastic surgery might be beneficial. They have specific expertise in the delicate areas around the eyes.
   - **Dermatologist**: If the cyst is more superficial, a dermatologist might also be able to provide treatment options.

2. **Imaging Studies:**
   - **Ultrasound or MRI**: These imaging studies can help in better defining the nature and exact location of the cyst, making it easier for a surgeon to locate and remove it.

3. **Minimally Invasive Procedures:**
   - **Needle Aspiration**: If the cyst is fluid-filled, a needle aspiration might be attempted. However, this is often a temporary solution as cysts can refill.
   - **Laser Treatment**: Some cysts can be treated with laser, depending on their nature.

4. **Surgical Removal:**
   - **Re-evaluation by a Different Surgeon**: Since your previous surgeon had difficulty, seeking a second opinion from another experienced oculoplastic surgeon might be prudent. They may have different techniques or tools that could be more effective.

### Issue on the Eyeball Near the Iris

1. **Comprehensive Eye Exam:**
   - An ophthalmologist should thoroughly evaluate the new growth or lesion on your eyeball. It's important to determine if this is related to the cyst or an entirely separate issue.

2. **Possible Conditions:**
   - **Pterygium or Pinguecula**: These are common growths on the conjunctiva that can cause redness and irritation. They are often related to UV exposure and dry eyes.
   - **Conjunctival Cyst**: Similar to other cysts, these can form on the surface of the eye and cause discomfort.

3. **Treatment Options:**
   - **Artificial Tears**: Continue using lubricating eye drops as they help alleviate dryness and irritation.
   - **Prescription Medications**: Your ophthalmologist might prescribe anti-inflammatory drops or ointments if there is significant inflammation.
   - **Surgical Excision**: If the growth is causing significant discomfort or is cosmetically concerning, surgical removal might be an option.

### General Recommendations

1. **Regular Follow-ups:**
   - Regular check-ups with your ophthalmologist are essential to monitor both the cyst and the new growth on your eyeball.

2. **Protective Measures:**
   - **UV Protection**: Wear sunglasses with UV protection to prevent further irritation or growth of any lesions on your eye.
   - **Eye Hygiene**: Maintain good eye hygiene; avoid touching or rubbing your eyes frequently.

3. **Dry Eye Management:**
   - **Environmental Adjustments**: Use a humidifier at home, take regular breaks from the computer, and blink frequently to reduce dry eye symptoms.
   - **Omega-3 Supplements**: Some studies suggest that omega-3 fatty acid supplements can help with dry eye symptoms.

### Conclusion
Given the complexity of your situation and the previous surgical difficulty, seeking a second opinion from a highly experienced oculoplastic surgeon or an ophthalmologist is advisable. They can provide a more tailored approach based on a thorough examination and possibly additional imaging studies. Additionally, addressing the new growth on your eyeball with professional evaluation and treatment is essential to ensure comprehensive care.

Cyst under my eyebrow - what are my options for treating this? (Photo)

Answers (1)

Recommended reading

Everything you need to know about Cyst Removal

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

Cyst under my eyebrow - what are my options for treating this? (Photo)

Answers (1)

Browse related questions

Recommended reading

Everything you need to know about Cyst Removal

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