The most common complaints after blepharoplasty are asymmetry (one side does not match the other) and removal of too little skin. It is important to be realistic about how much skin can safely be removed. If too much skin is removed, the eyelid will not function properly(see further discussion below).
Perfect symmetry is very difficult to achieve and it is possible that you may need a touch up procedure after the initial procedure to achieve symmetry. It is also important to realize that the final result cannot be judged for many weeks after the procedure because swelling of the eyelid from the procedure can make the eyelid look abnormal.
Bleeding into the skin (called a hematoma) after the procedure is a common complication. It is critical to stop all over the counter and prescription medications that increase the risk of bleeding. Furthermore, after the procedure, you must avoid vigorous activity, lifting, bending, or any other activity that may increase the risk of bleeding.
The worst complication of blepharoplasty is called retrobulbar hematoma and occurs after lower lid blepharoplasty. Bleeding into the space in front of the eye can occur, resulting in pressure on the optic nerve and its blood supply. When left untreated, permanent blindness can occur.
Early diagnosis-recognized by eye pain or visual changes-is critical. Another complication is called lagophthalmos which is the inability to completely close the eyelid. Lagophthalmos can be transient from eyelid swelling, or permanent if too much skin from the upper lid was removed.
This causes drying of the cornea and then inflammation of the cornea. Lubricating ointments are used to treat this temporarily but if it becomes permanent, a skin graft may have to be used to correct the problem. Scarring can also occur post-operatively, leading to a poor cosmetic outcome.
Scarring of the lower lid can pull the lower lid out, leading to an unnatural appearance and dysfunction of the lower eyelid. You and your surgeon should discuss these and any other risks and decide if this is the right procedure for you.
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Dallas TX 75209
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