Peer Reviewed


Right Lower Eyelid and Cheek Tenderness and Swelling

Melissa M. Warne, BS1 Daniel Buscaglia, DO2


    1Albany Medical College
    2Cosmetic Vein and Laser Center


    Warne M, Buscaglia D. Right lower eyelid and check tenderness and swelling. Consultant. 2023;63(7):e4. doi:10.25270/con.2022.11.000012

    Received March 27, 2022. Accepted September 26, 2022. Published online December 22, 2022.


    The authors report no relevant financial relationships.


    Melissa Warne, Albany Medical College, 280 Quail Street Apartment 3, Albany, NY 12208 (

    A 54-year-old woman presented to an outpatient office for recurrent erythema and tenderness of the right lower eyelid and cheek (Figure 1).

    Figure 1

    Figure 1. A firm erythematous plaque on the patient's right lower eyelid and cheek.

    Patient history. She was not taking any medications, and her health was excellent. She denied having a fever or drainage from the site. She had no history of diabetes or thyroid abnormalities but reported intermittent episodes of facial swelling and erythema occurring about once per month, each lasting about 2 to 5 days. Her history was remarkable for numerous malar and tear trough fillers over the previous 5 years.

    Diagnostic testing. A computed tomography (CT) scan of her head and sinuses was unremarkable. Laboratory studies, including an antinuclear antibodies test and routine chemistries, were within normal limits. The area was tender to palpation but not fluctuant.