Why does an Eyelid Lump or Cyst occur after Blepharoplasty?

Welcome to my frequently asked questions. Today I’m answering commonly asked question about eyelids and Blepharoplasty. What do I do if I have a small lump or bump also known as an eyelid cyst after having Blepharoplasty? And in answering this question we’ll talk about, well what are the causes of these lumps and bumps and cysts. What can be done in terms of treating these lumps and bumps, and finally what I can do to ensure that I get the best possible result.

I specialize in Blepharoplasty. And eyelid surgery is the commonest surgery that I complete for my patients on a daily basis. So in answering this question, well first of all what is the cause of these lumps and bumps after Blepharoplasty.

Well occasionally after having eyelid surgery, it can have a small lesion and lump or bump also known as an eyelid cyst in the scar after having eyelid surgery. And the cause of this, well there’s a lot of glands and inside the skin that can make different kind of skin secretions oily kind of secretions that have an important purpose in the face. And these are particularly common around the eyelids. And sometimes after eyelid surgery, well one of these, these glands, rather than releasing the contents of, of the gland onto the skin surface they can become trapped. And this essentially is a type of cyst. Now, a 50% of the time then these lumps and bumps occur, they can actually spontaneously resolve, and treat themselves. But on the occasion these do persist, and can require treatment.

What is the treatment for these eyelids lumps and bumps? Well, generally speaking the first thing to do is to wait, because a good proportion or approximately 50% of these lesions, will spontaneously resolve without any treatment. However on occasion these doesn’t occur, it may be necessary to do something in order to resolve the cyst. What this would involve is putting a small amount of local anesthetic into that very focal area where the cyst is. That can sting for about 10-15 seconds.

Why does an Eyelid Lump or Cyst occur after Blepharoplasty
Why does an Eyelid Lump or Cyst occur after Blepharoplasty

Then that little cyst is removed from the skin. It literally takes 2, 3 minutes to complete that. I personally also use a little bit of cote heat treatment to try and ensure that no further cysts occur in the future. And then a small amount of antibiotic ointment is placed on the surface.

Generally speaking the recovery from this kind of minor procedure is a matter of days, 5 days to a week. However with any kind of eyelid procedure there’s always a small possibility of a bruise. And if you have any important events it’d be good idea to allow couple of weeks just in case that small possibility of a bruise. Overall these cysts happen in about 5% of patients, and they can be a little bit frustrating having lumps or bumps on the eyelids, but these are very treatable. What can be done to prevent these cysts? Well the cause of these cysts, well partly is genetic. Some people have more of a tendency to have little cysts in the skin and often you can find that you have little cysts elsewhere in the face.

However having had eyelid surgery, sometimes it can become more common. Generally speaking most patients have one at most, but there’s always a possibility of having 2 or more. Generally speaking these cysts are not really an issue that can be readily resolved but often even the appearance of the cysts is largely hidden because the skin creases, the scar is hidden within the skin crease with upper blepharoplasty. But it makes it quite difficult to see the cysts unless it’s towards the inside of the eyelid, towards the nose or the outside. But generally speaking they’re quite difficult to see, and quite small.

What can I do to prevent these cysts occurring? Well part of it is genetics, and that is difficult to change. Part of the technique that’s involved with upper Blepharoplasty, well there are certain things that can be done to minimize the chance of cyst occurring, such as the use of removable stitches that will cause less scaring, and less healing of the skin. But to an extent there’s always a small possibility of a cyst occurring and it’s just important to bear in mind that these are quite treatable even after having surgery. I hope this information has been useful for you.

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