Blepharoplasty Complications and Risks

What are the potential risks and complications of blepharoplasty (eyelid surgery)?

Fortunately, significant complications from eyelid surgery are infrequent. Every year, thousands of people undergo successful eyelid surgery and are pleased with the results. Blepharoplasty procedures, which remains the gold standard for eyelid rejuvenation, are usually performed without any major problems.

All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:

It’s common after eyelid surgery to temporarily have:

. Puffy, numb eyelids that are difficult to close at night

. Irritated, sensitive or watery eyes – this may last a few weeks

. Bruising that looks like a black eye

. Scars – these eventually fade to almost be invisible

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Eyelid surgery can occasionally result in:

. Temporary blurred or double vision

. Your eyes looking slightly uneven (asymmetrical)

. A pool of blood collecting under the skin (haematoma) – this usually disappears on its own after a few weeks.

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. Noticeable scarring

Rarely, it can result in more serious problems, including:

. Injury to eye muscles

. The lower eyelid drooping away from the eye and turning outwards (ectropion)

. The lower eyelid becoming pulled down and showing the white of the eye below the iris (eyelid retraction)

. Visual impairment – though this is extremely rare and many people find that their vision improves in the long term

Also, any type of operation carries a small risk of:

. Excessive bleeding

. Developing a blood clot in a vein

. Infection

. An allergic reaction to the anaesthetic

The surgeon should explain how likely these risks and complications are, and how they would be treated if they happen.

Occasionally, patients find the desired effect was not achieved and feel they need another operation.

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