Potential complications of blepharoplasty

Potential complications of blepharoplasty?

Certainly! Blepharoplasty, or eyelid surgery, is generally considered safe when performed by a qualified and experienced plastic surgeon. However, like any surgical procedure, blepharoplasty carries potential risks and complications that patients should be aware of before undergoing the surgery. Understanding these potential complications is essential for individuals considering blepharoplasty to make informed decisions and prepare for the postoperative period.

Potential Complications of Blepharoplasty

Surgical Risks

  • Bleeding: Excessive bleeding during or after the surgery is a potential risk, which can lead to complications such as hematoma (collection of blood outside blood vessels).
  • Infection: While relatively rare, there is a risk of developing a postoperative infection. Patients are typically prescribed antibiotics to minimize this risk.
  • Anesthesia Risks: Complications related to anesthesia, such as allergic reactions or adverse effects, can occur, although these are minimized through careful patient evaluation and monitoring.

Visual Changes

  • Dry Eyes: Some patients may experience temporary or, in rare cases, persistent dryness of the eyes after blepharoplasty, which can be managed with lubricating eye drops.
  • Blurred Vision: While usually temporary, blurred vision can occur as a result of swelling, bruising, or the use of ointments or eye drops after surgery.

Functional Changes

  • Difficulty Closing Eyes: In some cases, patients may experience temporary difficulty fully closing their eyes after blepharoplasty, which can lead to increased dryness and irritation.

Aesthetic Concerns

  • Asymmetry: There is a risk of asymmetry in the results, where one eyelid may appear slightly different from the other, although this can often be addressed with revision surgery if necessary.
  • Unsatisfactory Scarring: While efforts are made to minimize scarring, there is a risk of visible or hypertrophic scarring, especially in patients with a predisposition to abnormal scarring.

Long-Term Considerations

  • Overcorrection or Undercorrection: There is a possibility of overcorrection (removing too much tissue) or undercorrection (insufficient tissue removal), which may necessitate further surgical intervention.
  • Changes in Eyelid Position: Changes in eyelid position, such as ectropion (outward drooping) or entropion (inward turning), can occur, though these are relatively uncommon with an experienced surgeon.

Emotional and Psychological Impact

  • Dissatisfaction with Results: While most patients are satisfied with the outcomes of blepharoplasty, some may experience dissatisfaction with the aesthetic results, leading to emotional distress.

General Surgical Risks

  • Blood Clots: Although rare, there is a risk of blood clots, particularly in the legs (deep vein thrombosis) or lungs (pulmonary embolism), which can be minimized through early ambulation and other preventive measures.
  • Delayed Healing: Some patients may experience delayed wound healing, which can lead to prolonged recovery and potential complications.


It is crucial for individuals considering blepharoplasty to have a comprehensive understanding of the potential complications associated with the procedure. By carefully selecting a qualified and experienced plastic surgeon, adhering to preoperative and postoperative instructions, and openly discussing any concerns with their surgeon, patients can minimize the likelihood of experiencing these complications and increase the chances of a successful and satisfying outcome from blepharoplasty.

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