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

I had upper eyelid surgery 9 days ago. My stitches were removed on day 5 and although my right eye looks fine my left one has strange bulges around the incision line. It doesn't itch and I'm not in pain. Is this normal during healing or should I be concerned?

Doctor Answers 16

Bulges along suture line after Upper Blepharoplasty can occur but are usually temporary

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The eyelids heal very fast and sometimes the skin cells can grow into the suture "hole" or the suture can cause irritation of the skin causing redness and lumps.

 

This almost always goes away. However I find ,massage -gentle-can speed the recovery. Ask your surgeon if massage is OK.

Bumps and Puckers on Eyelid Incision after Blepharoplasty

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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.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 17 reviews

Upper eyelid incision pucker

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The skin on the upper lid is very thin and will pucker or bulge with the sutures. After some time, the incision lines will smooth in and are rarely a problem. Don't look too closely after just nine days as what you have is normal healing.

Best of luck,

peterejohnsonmd

Wavy skin along incisions after upper eyelid surgery

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Yes, these wavy lines along the upper eyelid incisions are quite normal and are from swelling along the incision.  This should slowly resolve over the following several weeks, IMHO but as always you should ask the plastic and cosmnetic surgeon that performed your Blepharoplasty.  I tell all of my Eyelid Surgery patients that it takes a full 3 months for all the swelling and irregularities to completely resoilve.

Too early to tell

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Your results look a little rolled at the stitch line but you are very early and the roll could just be the suture technique. Wait for another few weeks and then see your surgeon if the situation persists. Chances are you will be just fine

Harlow Hollis, MD
Victoria Plastic Surgeon

Quite honestly, that all looks very good.

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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."

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Wound Healing Following Blepharoplasty

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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.

Normal healing

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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. 

Post blepheroplasty bumps

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Healing can be quite differen side to side. You need to allow more time and consult your surgeon. I think you will be fine.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Give time to heal after surgery

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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.

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.