I have a pre-op appointment on May 12th for Blepharoplasty. I’m a little scared about doing this. I don’t want to regret it if things don’t turn out good. I’m also afraid of the dry eye problem that can occur. My eye doctor says that I don’t have extreme dry eyes. but I feel they are dry at times. Will they become extremely dry after surgery, for the rest of my life?

A: Dry eye problem after blepharoplasty

Blepharoplasty (upper or lower) can certainly cause dry eyes postoperatively as a complication. If you feel you have dry eyes before surgery, your ophthalmologist should do a thorough examination and testing necessary to determine the exact cause of your dry eyes. Once that is established and/or treated, it is reasonable to proceed with a conservative blepharoplasty.

Judicial removal of upper eyelid skin is usually sufficient to avoid dry eye problems. Regarding the lower lid, the lid needs to keep its contact with the globe (eyeball) in order to avoid excess watering of the eye which can also lead to dry eyes. Eye drops in the post-operative period will help alleviate some of the dryness you may experience.

Please consult with a board certified plastic surgeon prior to your blepharoplasty.