Pyogenic granuloma after a non-sutured transconjunctival blepharoplasty in the lower eyelid

Pyogenic granuloma (PG) is a vasoproliferative inflammatory response composed of granulation tissue. The pathogenesis is not entirely clear. Pyogenic granuloma was found involving the skin or mucosal surfaces, and it is associated with tissue irritation or inflammation. Pyogenic granuloma as a complication after blepharoplasty is uncommon. The treatment is simple and saves the patients from the discomfort caused by the lesion. Surgical excision is effective in patients who do not improve with a local application of steroids. We describe two cases of uncommon pyogenic granuloma occurring after lower transconjunctival blepharoplasty, with no suture and alert ophthalmologists and oculoplastic surgeons to the possibility of encountering and treating these lesions. Level of Evidence: Level V, therapeutic/diagnostic study.