Lower Eye Lid Blepharoplasty Surgery 20 Days Ago - Healing Normally or Brewing Complication?

Without an exam, I can not say for sure what is going on. Best to follow closely with your surgeon. Good luck.

Without having a photo or knowing the particular surgical technique that your surgeon performed, it is very difficult to comment. That being said you may have some residual swelling that sometimes takes longer to resolve or this could be some inflammation around a suture ("suture granuloma") that the nurse alluded to. The stabbing pains if not severe or constant may be due to normal healing, particularly of the nerves. This is sometimes described as "prickly/ pinecone/ shooting pains". If the pain is severe and /or constant, you need to be seen by your doctor or another surgeon who should be covering his patients while he/she is away. All scars become less noticeable over time yet this visibility of scars varies considerably based on surgeon technique, patient's healing/health. A patient can help minimize the appearance of scars by massaging the eyelid incisions with Vitamin E, starting 3 weeks after your surgery IF your doctor gives you permission to do so.