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Dr. Gerzenshtein

Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon

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What are the possible complications related to blepharoplasty?

Go Back to Eyelid Surgery

Possible Complications of Blepharoplasty

Introduction

Blepharoplasty, a surgical procedure aimed at improving the appearance of the eyelids, can have potential complications associated with it. Understanding these risks is crucial for individuals considering eyelid surgery. In this article, we will explore the possible complications related to blepharoplasty and discuss their management and prevention.

Anesthesia Risks

Like any surgical procedure, blepharoplasty carries inherent anesthesia risks. These risks include cardiac complications, allergic reactions, pulmonary embolism, and other organ system problems. It is important to discuss these risks with your anesthesiologist, as they are not specific to blepharoplasty but apply to any surgery involving anesthesia.

Surgical Complications

Complications directly related to the surgical aspect of blepharoplasty can be divided into general procedure risks and those specific to eyelid surgery. General risks include bleeding, infection, acute or chronic pain, and delayed healing. These risks are inherent to any surgical procedure and should be discussed with your surgeon.

Specific Complications of Blepharoplasty

  1. Asymmetry: One possible complication is asymmetry of the eyelids. In cases where asymmetry occurs, surgical correction through re-operation may be necessary to achieve a balanced appearance.
  2. Excess or Insufficient Skin Correction: In some instances, the excess skin may not be adequately addressed or over-corrected during the surgery. Insufficient correction can result in functional issues such as the inability to close the eyelids properly. Reconstructive surgery may be required to address these complications.
  3. Contour Abnormalities: Following blepharoplasty, contour abnormalities such as divots, lumps, bumps, or wrinkles may appear. These irregularities are often a result of internal scarring and tend to resolve on their own. However, in certain cases, corrective measures may be necessary.
  4. Recurrence of Skin Droop: Recurrence of upper lid skin droop, known as ptosis, can occur after eyelid surgery. Additional skin excision may be required to correct this issue.
  5. Scarring: Scars are a common outcome of any surgical procedure, including blepharoplasty. Their prominence or asymmetry may require revision surgery or other techniques to minimize their visibility.
  6. Rare Complications: Although rare, complications such as blindness (caused by bleeding into the eye-socket) and damage to the eye muscles can occur. These require immediate medical attention and may necessitate surgical repair.

Long-Term Effects and Management

Long-term effects of blepharoplasty include dryness of the eyes, ectropion (outward dislodgment of the lower lid), lid irritation, and eyelid hair loss. These complications may require further surgery or specific treatments to alleviate the symptoms and restore comfort.

Conclusion

While blepharoplasty is generally a safe procedure, it is important to be aware of the potential complications that can arise. By choosing an experienced surgeon, discussing risks and expectations, and following proper post-operative care, the likelihood of complications can be minimized. Hence, regular follow-up appointments with your surgeon are essential for monitoring healing progress and addressing any concerns that may arise. Remember, the goal of blepharoplasty is to achieve satisfactory aesthetic outcomes while prioritizing patient safety and well-being.

Check out our gallery of before and after images for blepharoplasty here.

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