What is the best treatment for suture granulomas after upper bleph? Adverse events vs benefits and healing time post. (photo)

This type of suture line scar may or may not have anything to do with a granuloma which is typically a reaction the body has to foreign material.  It is normal for the incision to form scar.  This is precisely how the body is supposed to heal.  Your reaction is not abnormal.  Generally with time, these types of reactions quiet down.  Discuss your concern with your plastic surgeon.  They are of course very motivated for you to have the best possible results and will recommend if you might benefit from treatment beyond simple tincture of time, which is very powerful and highly effective.

Patients heal at different rates and the incisions mature at different rates as well. When the incision does mature the raised firmness and pinkness should resolve. It can take several months, but most often is much quicker. You might need several months before the incision looks good. Massage can help hasten it's maturity. Be patient...it should look much better in a couple of months.

The incision from any type of surgery goes through a cycle of healing.  Typically at 4 weeks the scar looks the worst.  This is the body healing the trauma.  I would give your incisions more time to heal.  Typically I will inject the incision with a dilute solution of a steroid to help the body dissolve the scar tissue.

You are on a very slippery slope. I might recommend more healing time without further medication intervention. But via the internet we CAN NOT examine you in person. Would be nice to know what "internal sutures" were used, though...