Eyelid
Common benign eyelid growths — squamous papillomas and skin tags, some HPV-associated (verruca) — and their removal by an oculoplastic surgeon.
Medically reviewed by Ronald W. Kristan, MD, FACSOculoplastic SurgeonLast updated June 2026
An eyelid papilloma is one of the most common benign growths of the eyelid. The term covers a few related lesions — most often a squamous papilloma (a soft, flesh-colored bump or skin tag) and the viral papilloma or wart (verruca). All are non-cancerous, but because they sit on the eyelid — sometimes right at the lash line — they can be irritating, cosmetically noticeable, or occasionally hard to tell apart from a skin cancer.
This is an in-depth companion to our main Eyelid Skin Tumors & Lesions guide. Papilloma is one of several benign eyelid lesions an oculoplastic surgeon manages.
Viral papillomas are caused by human papillomavirus and behave like warts elsewhere on the skin — they can recur and occasionally seed nearby skin. Common squamous papillomas and skin tags, by contrast, are usually not virally driven and relate more to age and mechanical rubbing. The distinction matters mainly because viral lesions may need the surrounding skin treated to limit recurrence.
Papillomas are typically painless. Patients notice a bump that catches on tissues or makeup, a lesion at the lash line that feels gritty, tearing or irritation if it rubs the eye, or simply a cosmetic change. Bleeding, ulceration, loss of eyelashes, or rapid growth are not typical of a simple papilloma and warrant evaluation.
An oculoplastic surgeon can usually identify a papilloma by its appearance on slit-lamp examination. Because a small number of eyelid “papillomas” are actually early skin cancers (basal cell, squamous cell, or sebaceous carcinoma), any atypical or changing lesion is excised and sent for pathology to confirm the diagnosis.
Most papillomas are removed in a brief procedure under local anesthesia. Techniques include shave excision, full-thickness excision with fine closure, and radiofrequency or cautery. Lesions on the eyelid margin require particular care to preserve the lid edge, the lash follicles, and the tear film. Tissue is routinely sent for pathology when there is any diagnostic question.
See a specialist if a lesion is enlarging, bleeds or ulcerates, sits on the lash line or rubs the eye, recurs after a prior removal, or simply looks different from a typical skin tag. Removal near the eye is best done by a surgeon trained in eyelid anatomy and reconstruction.
See an oculoplastic surgeon
Eyelid lesions sit millimeters from the eye, where removal and reconstruction demand specialist care. Find an ASOPRS-trained oculoplastic surgeon near you.
Schedule a consultation with Ronald W. Kristan, MD, FACS to learn if this procedure is right for you.
