What is the Best Treatment for a Soft Tissue Lump Under Eye After Blepharoplasty?

U & L bleph – Healed quickly - stiches out in 1 week. Suddenly, 3 weeks after surgery, a soft tissue lump formed under 1 eye. I saw the doctor, and he said it looks like my body is overcorrecting healing, so it’s pooling tissue and blood vessels in the area. He suggested massage and wait it out. He said he can inject it to dissolve the tissue if it doesn’t resolve on its own. So far it hasn’t resolved, and I am concerned about the injection as a treatment. Going to see my doc again next week.

Doctor Answers 8

Healing after eyelid surgery

It's common to get little areas of activity or fibrosis or focal swelling after any surgery, and the limited soft tissue coverage around the eyes makes bumps here well known.  So your situation is not alarming, and most likely will resolve with just time.  Massage is valuable, as well as the knowledge that your doc has a solution if nothing is improving by the third month.  Sounds like you are well covered, and your doc remains invested in you too.

Madison Facial Plastic Surgeon
4.7 out of 5 stars 14 reviews

Follow progression closely

Keep an eye on it to see how it progresses. Often, abnormalities resolve on their own so injections may not be necessary.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Lump under eye after blepharoplasty

I would recommend following the area closely.  After 3 weeks most significant swelling should be resolved but there can be a collection of fluid or blood remaining.  I would not recommend any type injections yet.  If the area does not correct with another month I  would return to your surgeon to have the area reevaluated. Hope this information helps you.

Bradford S. Patt, MD
Houston Facial Plastic Surgeon
4.0 out of 5 stars 4 reviews

Lump under eye after blepharoplasty

This early after surgery you can encounter lumps like you mentioned. It sounds like you're following this closely with your surgeon so I would follow his advice as he knows you best and has examined the area. Performing a dilute steroid injection to help with the problem may be indicated, but it would require an examination to find this out.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Lump after blepharoplasty.

I would not inject anything into the lid for several MONTHS and wait and it should resolve without any treatment.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

What is the Best Treatment for a Soft Tissue Lump Under Eye After Blepharoplasty?

 Honestly, you still are under the care and supervision of the plastic and cosmetic surgeon that did your Eyelid Surgery and should follow his/her instructions.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Photos would be helpful

Your surgeons recommendations seem reasonable at this time. Massaging the area should help settle any scarring that is taking place. An injection of a steroid might also be indicated and seeing our surgeon next week is a good idea.

Jumping in too soon after surgery will only complicated and likely worsen things, so I would urge patience to allow your body to heal.


Good luck

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 41 reviews

Lower blepharoplasty healing

Due to lack of pictures it is not possible to provide relevant recommendations or advice. Scar contraction or small pocket of fluid in the surgical field is part of normal healing process. You are still very fresh post-op and going through the healing process. At this point, conservative measures such as the ones your doctor has recommended are the standard approach. I would normally recommend conservative measures for at least the first 3 months post-operative and only then perform a surgical touch-up if there isn't a significant improvement.


Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon
4.4 out of 5 stars 20 reviews

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.