Physical urticarias are a subset of chronic urticarias in which patients have urticaria induced by a variety of environmental stimuli, including pressure. A 50-year-old white woman with a history significant for dermatographism presented with recurrent swelling of the eyelids shortly after manipulation or removal of her custom-fit prosthesis. This swelling, which lasted for hours to days, responded to treatment with oral corticosteroids. This is an uncommon finding of a physical urticaria in the periorbital region.