What are the risks of upper eyelid surgery?

A: Risks of upper eyelid surgery (Blepharoplasty)

The risks of upper eyelid surgery (blepharoplasty) are both cosmetic and functional. The most feared, and rarest of complications, involves a change in vision. More commonly seen complications involve dry eyes, inability to completely close eyes, asymmetry of scars, unfavorable scars (thickened scar), infection (extremely rare), and an unnatural appearance to the eye if too much skin/fat is removed.

The best way to avoid complications is to identify patients who are at risk for developing complications pre-operatively. For example, if a patient has dry eyes or excessive tearing of their eyes, the cause needs to be diagnosed before surgery; this may require consultation with an ophthalmologist pre-operatively. Patients who have had previous LASIK surgery need to wait an appropriate amount of time (>6 months) prior to blepharoplasty.

Most patients do quite well with this procedure, provided the skin and/or fat removal is done conservatively to result in a natural eyelid appearance.