Are Strange Skin 'Bulges' Along Incision Line After Upper Eyelid Surgery Normal?

Nova

What is strange is that you have not had the experience of being 9 days out from eyelid surgery before so it is hard for you to know what to expect.  The wound shown in the photos actually looks very good for this time frame.  Certainly the wound is not yet healed and there is selling and inflammation present-all normal.  I do not see anything that suggests that you need "injections" to help wound healing.  What you need here is "tincture of time."

It's normal to have areas of irregularities along the incision following blepharoplasty surgery. These areas of irregularity occur for a variety of reasons including suture tracts, normal skin edge eversion, inflammation, crusting, scabbing and normal wound healing.These lumps, bumps and bulges tend to heal nicely with the passage of time. This process can be facilitated by gentle massage, topical ointments and avoidance of sun exposure. When these steps are taken, eyelid incisions heal nicely.If you're concerned about the appearance of your eyelids following blepharoplasty, it's important to consult your surgeon. Your surgeon should be able to make an appropriate recommendation regarding the optimization of wound healing.

The wound can look unusual during the healing stages. You do not need to be concerned about it, because over time it will look much better. Ask your surgeon about your concerns at the next follow up evaluation. 

Hi, after only nine days it is not unusual to see some fullness along an incision line. Depending on the suture technique, sometimes there is localized swelling between the skin edge and the stitch which causes it to bulge up a bit. This is normal in most cases. Fortunately, as time goes on, this in most cases goes away. Sometimes, we may recommend massage but care must be taken not to open up and disrupt the skin incision at this early time. Follow your surgeon's instructions with regards to this.

You are very early in the post operative course.  What you are seeing is most likely caused by swelling in the area.  This is normal at this point post operatively.  Let your surgeon know your concerns.

Dear Nova29 in Manhattan Beach, CA:

Small bumps, ridges and puckers are common after eyelid surgery. The skin is the thinest on the body and small amounts of swelling, bruising or irregularities in the closure are easily noticed for the first few weeks to months. Since you are only 9 days out from your blepharoplasty, it is likely that this will smooth out as the incision heals.

If you haven't already, bring it up to your surgeon, and let them check it. Sometimes additional maneuvers can be performed to help speed your healing. Most likely it will resolve with time, but if it doesn't, you will have informed your surgeon and they will be aware and prepared if somethings needs to be done.

There is a period of swelling and inflammation during the healing phase after surgery, and often there are differences between the left and right sides in the early post-op period.  Don't worry too much about this now, and if you are very concerned, follow up with your surgeon to be sure everything is as he or she expects.  Hope this helps.

Hi

You are very early after surgery.  I know the two eyes appear different - but that can happen.  This is most likely related to differential healing and inflammation associated with the closure/sutures.  Give this time. Your surgeon may want to inject the area with medications to help wound healing in the near future.  Please discuss this with him.  Best of luck 

Thankyou for your question and for attaching a photo to describe your case better.Rather than skin bulges, you seem to have some wavy skin along the line of yourincision. Just basing on the photo you have attached and your issuedescription, these are completely normal. This may still be residual from theincision swelling on that specific eye. Remember that even if you had surgeryon both lids at the same time, their recovery will not be equally the same asone might heal better and faster than the other. This “waving” of the skinshould gradually be resolved in a few days to a few weeks. With my patients, Ialways notify them that full recovery often takes 2 to 3 months to appear. This“full recovery” includes eyelids free from any surgery after effects or othersurgery irregularities.
Ifyou still feel bothered by the issue, you may want to direct consult your boardcertified plastic surgeon directly so he or she can evaluate your situation andprecisely explain the issue. He or she will also provide you with possiblemeasures to hasten the recovery.

  The small bulges above the incision line are normal swelling that occurs with eyelid surgery.  It's  always best to check with your operative surgeon