In normal cases of granuloma, the recovery time of the disease takes about 1-2 weeks. Therefore, if this disease has lasted for 1 month and has not completely improved, there are two possibilities: first, the granuloma has formed a localized abscess, and conservative treatment with medication at this stage is usually very ineffective. The correct treatment should be, early to the regular hospital for detailed examination. If you have surgical indications, you can consider surgical incision and drainage of pus, the pus cavity of the pus completely drained out of the disease can quickly return to normal, usually about a week after surgery can be fully recovered. Secondly, it is mainly seen in middle-aged and old people, which refers to the recurring erysipelas, and it is necessary to consider whether there is the possibility of malignant tumors, such as eyelid adenocarcinoma. Therefore, for middle-aged and elderly people with recurrent erysipelas or long time cannot get better, they need to go to the hospital for surgical treatment as early as possible, and the resected tissues should be sent to pathological examination to clarify the nature of the swelling.