There are numerous benign growths that can afflict the eyelid region. If bothersome, suspicious, or demonstrate increasing growth they can be removed. Great care needs to be taken to maintain the anatomic integrity of the smooth contour of the lid margin, eyelashes, and the tear drainage system (punctum and canaliculi) when performing surgery in this delicate area.
Cysts

Clear cyst at the left lower eyelid margin adjacent to the tear drain opening (punctum)

Cyst at outer corner of eyelid
Nevus
(plural = NEVI)- are benign, typically pigmented, lesions.

Small nevus located adjacent to the punctum.

Left: Compound ( elevated) nevus located with the brow hairs Right: Following surgical excision and repair, note minimal disruption to the brow hairs.

Large nevus involving the upper and lower lids. This lesion was formed in utero, early in gestation while the upper and lower lids are connected. The lids later divide, and the eye opens, forming upper and lower lids. This connected nevus between the upper and lower lids is termed a “kissing” nevus.
Xanthelasma
Are yellowish, fat deposits with sharp borders that are typically located in the inner corners of the eyelids. These lesions may be associated with markedly elevated blood cholesterol. If bothersome, they can be removed.
