What to expect after cortisone injection into fibrous bumps at end of suture line on day 12?

Question

IUpper blepharoplasty 14days ago. Once suture was removed,noticed bumps on both outerends. Day 12 and the PS said they were normal yet larger than normal. Injected both with cortisone&massaged them. Injected dysport into creases around bumps as they were compressing the bumps. Using moist heat&massaging them 3Xday for a week.Both little softer but still very obvious (left is harder) both are lumpier looking. Wanted to have him check today but he is on vacation now. Hoping someone can advise me.

James R. Gordon, MD, FACS, FAAO · Answer

The bumps are not unusual and would probably improve without any treatment. The addition of steroid injection usually ensures a satisfactory result. If you are not fully pleased with the appearance, the bumps can simply be excised again. I hope you find this helpful.

John J. Martin, Jr., MD · Answer

This is a common place to develop a small lump after an upper eyelid blepharoplasty.  The skin in this area is thicker than the rest of the lid.  It is also where the incision ends so you can get some bunching of the skin.  With some massage and the steroid injection these almost always flatten out.

John Michael Thomassen, MD · Answer

Best to have the little nubbin of skin excised under local.  Yes it extends the scar a bit but when it fades it will not be noticeable.  Best wishes!

Jessica Lattman, MD · Answer

You should see that bump begin to flatten over the next month.  Steroid injections do not work overnight.  They take time.  But overall eyelid scars generally heal beautifully.  Full Scar maturation can take 6-12 months.Good Luck.

Cameron Chesnut, MD, FAAD, FACMS · Answer

Overall, upper blepharoplasty incisions heal without many issues or complaints. Your surgeon will follow your incisions very closely as they are healing, and if anything does come up he or she can be right on top of it to answer your questions and take care of it if needed. That seems to be the situation that you are having, these bumps that you are experiencing can occasionally form at the medial or lateral ends of the incision. It sounds like everything is being done correctly, massage, steroid injections, and most importantly time will most likely take care of them. With the small chance that these do not resolve the bumps, they can easily be re-excised, which is another procedure, but is a very minor procedure with just local anesthesia.Be patient and reassured that your surgeon is doing everything that he or she can, stay in close communication, and everything should work out with a good long-term result.

John M. Griffin, MD (retired) · Answer

Lumps and firmness at the outer ends of upper lid blepharoplasty incisions are extremely common.They often become lumpier for about six weeks after surgery.I recommend no treatment and watchful waiting .  The vast majority will flatten out by themselves after several months of wound maturation

What to expect after cortisone injection into fibrous bumps at end of suture line on day 12?

Answers (6)

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