Cyst on Lower Eyelid.

A cyst that has been present for a year will probably need to be removed.  The cyst could grow if left untreated.  It is difficult to say whether the cyst is from the surgery or it developed naturally, but the best thing to do is discuss it with your surgeon.  If your surgeon is comfortable removing it then he should proceed.  If not then seek out a surgeon specializing in eyelid plastic surgery and reconstruction.

I think if you trusted your Surgeon to perform your lower eyelid surgery, you can trust him to remove this niggling cyst, which after one year most likely won’t resolve on its own.. the most common cyst is a Milia and it’s as easy as un-roofing the cyst with a needle like cracking the egg open and simply squeezing the content out with q-tip, twizzer, or whitehead extractor .. I think most of us will gladly offerr this 2 minute service, gratis... but each office has their own policy....if the cyst proves to be something else other than a milia, it may require more work. I would first follow up with your Surgeon to find out the exact cause of the persistent cyst.     Giod Luck

Having a small
lump on the eyelid incision after blepharoplasty is relatively common. Often a
small lump soon after surgery may be healing scar tissue which will improve
with time, if however it continues to enlarge in size and has a shape like a
small ball it is likely to be a cyst. In the skin there are small glands that if become trapped can produce a small cyst, they are not serious and have no long term implications. A small cyst may spontaneously resolve,
if increasing in size it may be necessary to complete a small procedure to
remove the lesion. The procedure to remove a cyst usually takes less than 5-minutes
with local anaesthesia. 

A cyst can occur after surgery  on the eyelids as suture is used, and there are many tiny glands present.  When a suture is used, and a knot is formed to close your skin, a micro gland may be pinched closed, and when the suture is removed, the gland fails to open back up.  This is a risk to all who have the procedure, and can happen to any surgeon.  This is just one of the risks of surgery.  The cyst may go away, stay the same size, or get bigger.  Ask your doctor to remove the cyst and you can submit it to insurance.  Just be sure to get authorization from your insurance.

Sure in an ideal world, your eyelid surgeon would be a board certified ophthalmologist and fellowship trained oculoplastic surgeon.  Then they would be qualified to diagnosis and remove this cyst rather than just telling you that it would go away.  To find a highly qualified oculoplastic surgeon, look on the American Society for Ophthalmic Plastic and Reconstructive Surgery website: ASOPRS.org.  They maintain a geographic directory.

The cyst might be related to the surgery or it may not be.  Cysts on the eyelids can form from various causes.  If it hasn't resolved after a year, it is likely to go away.  It should be evaluated and biopsied or excised. Consult your surgeon or an oculoplastic surgeon.

It is not uncommon for patients to develop milia or cysts at the margin, where sutures were placed. Depending on the nature of the lesion, it could be unroofed or removed. Generally, milia do not grow but a cyst can become infected. I would encourage you to return to your surgeon for evaluation and treatment. Unroofing a milia is extremely minor and I would be surprised if you were charged a fee for this, although every doctor has different policies after the initial followup period. Cyst removal would be covered by your health insurance.

If the cyst is present after 1 year, then it will not likely go away.  Every office has different policies in whether they would do something like this for free.  The best thing to do is ask your surgeon.  If he feels that it is not from the surgery, then it should be biopsied as well.  If it is a cyst in the suture line, then it is much easier to handle.

Majority of lower eyelid cysts after eyelid surgery are inclusion cysts and very small. These can be taken care of by your surgeon or any specialist who perform these surgeries. Without a photograph, there will be speculations about its nature and many different suggestions.

You need to have the cyst removed.

Cysts are common following blepharoplasty. They usually go away on their own, but after one year you need to have it removed. Your surgeon should be able to remove it under local anesthesia. As for charge, it really depends on your surgeon.