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A chalazion begins gradually as a small, red bump on your eyelid that may be painful. The condition isn’t an infection, however. After a few days, the pain usually subsides, but the cyst keeps growing. It can reach the size of a pea. While a chalazion tends to form on your upper eyelid, one may appear on the lower one, as well. Although chalazia, occur most often in adults between the ages of 30 to 50, they do occasionally appear in children. Chalazion excision procedure begins by administering a local anesthetic to numb the area around the cyst. The doctor then places a clamp on your eyelid to hold it still during the chalazion excision procedure. After making a tiny incision at the chalazion, the eye doctor uses a specialized instrument to remove the cyst.