Is there any way to get rid of this chalazion/ scar tissue once and for all? (photo)

I had a massive chalazion and after each surgery it appeared smaller but it was still there. The second time I went for surgery the doctor said it was scar tissue left from the chalazion so he said he got most of it out and the eye drops should flatten my eyelids out. It's almost 2 weeks after surgery and it still looks the same to me, I don't really know how to help reduce scar tissue, and If I should use warm compresses a few days after the op. What can I do to reduce this bump appearance on my eyelid ?

Doctor Answers 8

Recurrent Chalazion.

These can be prone to recurrence, but if they keep coming back in the same location then they should be biopsied as cancer tissue can cause chalazia.  I would recommend an oculoplastic surgeon for evaluation.


Colorado Springs Oculoplastic Surgeon
5.0 out of 5 stars 14 reviews

Chalazion removal

You should get a biopsy of it first, to make sure it is in fact a chalazion. Once it is confirmed, the injection of Kenalog 40 into the scar will significantly reduce the lump.

David A. F. Ellis, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 7 reviews

Getting rid of a stye

Sometimes, it may take multiple procedures to completely treat a chalazion. Even when the chalazion is "cut out", it can recur, which is very frustrating for the patient and doctor alike. Kenalog is often used to treat chalazia, but one of the main risks is permanent skin depigmentation (i.e., it can turn your skin white). 5FU is another alternative, but that is an off-label use. Hope it goes away soon!

Dan Landmann, MD
Ridgewood Oculoplastic Surgeon
5.0 out of 5 stars 34 reviews

Difficult to shift chalazia

Some larger chalazia take time to settle after incision and curettage surgery and there is a residual swelling and inflammation. If there is ANY doubt that it is a chalazion, then a biopsy must be taken for histopathological examination to exclude meibomian cell carcinoma. 

Some large chalazion recur or partly persist as  they are loculated and require a longer incision or repeat incision and curettage. Mostly there is a residual swelling with redness that can settle either with topical antibiotic steroid cream or small injection of kenalog.

An oculoplastic surgeon can look under the eyelid to see if there is the tell tale sign of a grey creamy swelling on the tarsal conjunctival aspect, which confirms a collection of fluid gel within the meibomian cyst, which is suitable for further incision. 

5FU (5 fluorouracil) has been recommended as an injection for the treatment of chalazion, but it often requires more than one injection. 

From Miss Jane Olver, Oculoplastic Surgeon, London UK

Jane Olver, MBBS, FRCS
London Oculoplastic Surgeon
4.2 out of 5 stars 5 reviews

Chalazion

What is left behind appears still quite sizable. It may get a little better with time but you may need another procedure to remove the residual scar tissue and whatever is left behind. Sometimes these can be stubborn and re-accumulate. Surgery along with medication or Anti-inflammatory Injections can sometimes be helpful. Sincerely,

Malena Amato, MD
Austin Oculoplastic Surgeon
5.0 out of 5 stars 2 reviews

Chalazion

these little bumps have a tendency to come back. I think in your case a repeat surgery with removal of scar tissue as well as any residual chalazion will likely be needed. I do not think topical creams will help in your particular case. 

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 26 reviews

Eyelid surgery

Hi

Though it is difficult to be sure without examining you, my first impression is part of the cyst still may be there. As the other doctor has mentioned, please see a surgeon specialising in eyelid surgery for an independent opinion. An eyedrop is unlikely to flatten a scar.

Anindya Lahiri, FRCS (Plast)
Birmingham Plastic Surgeon
4.8 out of 5 stars 25 reviews

Consider seeing an actual oculoplastic surgeon.

Seeing a fellowship trained oculoplastic surgeon with well worth your while to help get this resolved.  While general ophthalmologist do treat chalazia, eyelids are not their practice focus.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory on their website that will help you find a well qualified surgeon to help you with this issue (ASOPRS dot org).

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 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.