Why does an Eyelid Lump or Cyst occur after Blepharoplasty? How can an eyelid cyst be treated?

Hallo, 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. My name is Dr. Julian de Silva, and I’m a London based facial
cosmetic and plastic surgeon. And 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. So, 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 10-15seconds. 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, thank you for watching.

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