Risks with Blepharoplasty (Eyelid Surgery)


Blepharoplasty is commonly performed and generally safe.  As with all surgery there is a degree of uncertainty and risk, however complications are infrequent and minor when, the eye lift surgery is completed by a qualified surgeon.  Any operation can face complications such as an unexpected reaction to the anaesthetic, infection and excessive bleeding.  Complications specific to eyelid surgery include: 

  • Haematoma (a pool of blood collected under the skin) occasionally appear but disperses usually over 2-3 weeks.  If it is large it can be drained away.
  • The lower eyelid may be pulled away from the eye and require further surgery if it does not settle on its own.
  • Damage may occur to the eyeball or eye muscles.
  • Acute glaucoma may be caused.
  • Uneven appearance of eyes may occur.
  • You may experience sunken appearance or hallow eyes, caused by the removal of too much fat during blepharoplasty.  Fat can be transplanted back into the eye, in such circumstances. 
  • Eyelid skin loss may occur and usually heals itself but skin grafting may be an option.
  • Eyelashes may be lost, but this is extremely rare.
  • The incisions made in the procedure may cause droopy, saggy or turned down eyelids (an ectropion), because of the weakening of the eyelid skin and muscle.  This may be corrected surgically in a procedure known as canthoplasty and can be avoided by undergoing transconjunctival blepharoplasty.
  • There may be some pain, which can be controlled with painkillers.
  • Blindness caused by surgery is exceptionally rare.

Deciding whether to have blepharoplasty (eyelid surgery) is a personal decision and you must be realistic about your goals and weigh up the potential risks and complications. 

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