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?
Hard Lump After Upper and Lower Blepharoplasty
Doctor Answers 19
Cystic Lesion Following Eyelid Surgery
This appears to be some type of cyst or foreign body...
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.
Hard or soft lump?
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.
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Reoperation at 2 months
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.
It may be scar formation
Lump after lower lid surgery
Bump following blepharoplasty
Hard lump lower lid
2 months postop lower blepharoplasty
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.
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.