Red bump on eyelid 2 months after eyelid surgery. Doctor has me on antibiotics and ointment but no change after 4 weeks. (photo)

Based on your history and your photos, the bumps you are experiencing are most likely either inclusion cysts or reaction to sutures placed deeply at the time of surgery. The latter will typically become inflamed and the area will open, extruding the sutures and then resolving. Inclusion cysts are very common after eyelid surgery and most resolve on their own. Occasionally, it is necessary to unroof a cyst with a sterile needle to correct the problem. Follow your surgeons instructions regarding care and further treatment.

The photos that you have provided demonstrate the presence of a suture granuloma of the upper eyelid incision site.  I suspect that there was a dissolvable suture placed in the upper eyelid for closure that will soon dissolve but may need a small steroid injection to calm it down.  I no longer use dissolvable sutures in the upper eyelids as issues with potential inclusion cysts, granulomas, and track marks are more common than you might think.

Thank you for your pictures and questions. While a physical exam would be helpful, this looks to be most consistent with a suture granuloma or superficial abscess in the area. I would agree that treatment with antibiotics seems reasonable and some warm compresses in the area might also help. Stay in touch with your surgeon and if it does not resolve with antibiotics, then discuss other treatment options. Chances are, time will heal all.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery