Are lumps along the incision normal after blepharoplasty?

What's normal

A fresh eyelid incision closed with sutures or adhesive, as AAO describes, rarely heals as a perfectly flat line at first. It is common to feel small firm spots, a fine ridge, or slight beading along the incision in the first several weeks. ASPS notes that irritation at the incision sites is also possible during initial healing.

Some bumps are around suture sites and settle after the sutures come out, which AAO puts at 7 to 14 days after surgery. Others are the scar itself thickening slightly before it remodels. EyeWiki describes a postoperative check within 1 to 2 weeks, which is a good moment to point out anything you can feel.

Tiny white cysts along the lash line or the incision, sometimes called milia, can appear during healing. They are usually managed easily in the office. Do not try to squeeze or open anything on a healing eyelid yourself.

Most noticeable in weeks 1 to 4, generally softening over 2 to 3 months as the scar matures.

When it stops being normal

Call your surgeon if a lump is enlarging, hot, spreading red, draining pus, or painful, or if you develop a fever. AAO lists infection among the possible complications of eyelid surgery, and StatPearls lists infection among the complications of transconjunctival blepharoplasty.

Also report wound separation, a suture poking out, or a lump that has not softened at all by 2 to 3 months. Persistent thick scar is treatable, but it is your surgeon's call, not a home project.