The appearance of small granules on the patient’s eyelids may be caused by skin warts, fatty granules, blepharitis, blepharocysts and so on. 1. Skin warts: Skin warts are skin diseases caused by human papillomavirus (HPV) infection, commonly found on the face, limbs and other parts of the face, if the patient eyelids skin warts are manifested as small granules. 2. Fatty grains: Fatty grains are often caused by irritating ingredients in cosmetics, resulting in damage to the patient’s skin, and in the process of self-repair of the skin, small white cysts are generated, so the patient’s eyelid skin can appear as small granules. 3. Blepharitis: Blepharitis refers to suppurative inflammation of the eyelid glands. Under the stimulation of inflammation, the patient’s eyelids may appear red and swollen, or even form abscesses, so the patient’s eyelids may appear small granules. 4. Blepharophalangeal cyst: Blepharophalangeal cyst is a chronic inflammatory granuloma of the blepharophalangeal gland formed on the basis of obstruction of the drainage ducts of the blepharophalangeal gland and retention of secretions, and the patient’s eyelids may appear to be elevated. It is recommended that patients with eyelid elevations be seen promptly for evaluation of their condition and treatment as prescribed by their physician.