Hard Lump After Upper and Lower Blepharoplasty

Two months ago I had upper and lower Blepharoplasty. All went well, and then I noticed a hard lump under my left eye. The doctor said it might be a muscle that is twisted, and I should put a little cream on it and massage it. After several weeks of massaging it, nothing has changed. Can it be fixed and how?

Doctor Answers 19

This appears to be some type of cyst or foreign body...

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This appears to be some type of cyst or foreign body reaction. If you had a transconjunctival blepharoplasty with the incision made inside of the eyelid it is possible that this is a reaction of from the ointment that was placed on your eye during surgery. The ointment can insite a foreign body reaction. The treatment is surgical excision.

Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Hard or soft lump?

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It is unusual to see such a large, distinct mass after blepharoplasty. If it is soft, it could be a fluid-filled cyst, seroma, or small hematoma. Your surgeon could easily try to aspirate it or lance it with a needle puncture. If it is hard, surgical exploration and excision would be advisable. Although extremely unusual in its temporal relationship to your surgery, a tumor from skin appendages or from the lid cartilage can occur. Usually these are benign. If you do not get adequate answers or attention from your surgeon, go seek a second opinion from a reputatable surgeon. A good surgeon would be amenable to helping you get another opinion.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Reoperation at 2 months

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2 months is very early to reoperate after lower eyelid surgery.

Only your surgeon knows exactly what was done during your surgery. If fat injection was performed at the same time, for example, he or she will determine whether steroid injections to the area or removal of the lump may be in order.

Problems such as this are not uncommon after eyelid surgery, and close communication with your doctor is a must.

If your last interaction with your doctor was him advising you to massage the area, and he hasn't heard from you since, he may assume that you are getting better. If you are not, you should communicate this with him to get a speedier resolution to your problem. If you are quietly dissatisfied with your treatment, your doctor may have no idea, and no chance to help you properly.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

It may be scar formation

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I would try steroid injection in the area to see if the scar will resolve. I would return to the surgeon and explained your concern and see if they will consider injection of steroid in the area.

Lump after lower lid surgery

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Depending on the extent of lower lid fat manipulation and if your surgeon used permanent or absorbable sutures, I would first recommend asking your surgeon what they think. Next, I would consider having an Oculoplastics specialist take a look if you are still concerned. You do not want to rush back into surgery unless an abscess is suspected. Hopefully warm compresses and some massage will calm the area down and you will have a great result!

Sean Paul, MD
Austin Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Bump following blepharoplasty

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The cause of your bump following surgery cannot be determined from your photograph. It should be easy for your surgeon to simply remove it. This will have no impact on your final results. 

Hard lump lower lid

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It may be a cyst or the result of something like a fat injection. It should have gone away by now.  You should return to your surgeon to have it looked at and removed.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 29 reviews

Cystic Lesion Following Eyelid Surgery

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Review of your pictures suggest that you may have some type of cystic lesion of your left lower eyelid. A variety of lesions of this type can occur following eyelid surgery. These include cystic lesions, foreign body reactions, localized fat collections and scar tissue. In the initial post-operative period conservative management is appropriate, if this fails then simple excision is indicated. 

2 months postop lower blepharoplasty

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 At 2 months postop you should be very well healed from the lower eyelid blepharoplasty. It is not a muscle that is twisted, but could potentially be a cyst. Best to check in with yourr original surgeon to have it removed.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Eyelid surgery and revision in Los Angeles

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This is an uncommon presentation and may warrant a surgical revision if the bump does not resolve conservatively. Raffy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.