Possible Blepharoplasty Complications

blepharoplasty complications

Any plastic surgery may be accompanied by complications and blepharoplasty is no exception. It is important to note that eyelid surgery is the most technically delicate and complex.

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Possible blepharoplasty complications that may occur:


The most common complication after blepharoplasty is ectropion. The presence of open areas of the sclera, resulting from the removal of a large amount of skin can lead to the development of an ectropion. When a shortage of skin is detected during the operation, the plastic of the defect is carried out with a full-layer skin flap borrowed from the upper eyelid. Additionally, supporting stitches are applied to the eyelid. With a pronounced ectropion, surgical correction is necessary.

As prevention of the development of ectropion, the patient is recommended to perform special exercises during the rehabilitation period. Fixing the edges of the lower eyelids with the index fingers, the patient gently lifts them up, while “rolling” his eyes. For a few seconds, the eyelids are held in this position and then released. This exercise should be started from the third day after the plastic surgery of the eyelids and performed during the first two weeks.

Subcutaneous hematoma

Detection of this complication after eyelid surgery is usually eliminated without active intervention. The blood is often removed by a puncture. An urgent surgical intervention requires only the presence of an intense hematoma when bleeding occurs from a sufficiently large vessel. Failure of a hematoma can cause excessive scarring of the tissues with a thickening of the eyelids and the formation of tight knots under the skin that do not dissolve for a long time.


A complication arises as a result of edema due to the displacement of tear points outwards. Narrowing of the tubules due to scarring of the tissue can cause prolonged tearing.  Diplopia. The cause of this complication is dysfunction of the motor muscles of the eyeball. Diplopia may occur several hours after eyelid surgery. The most common complication is the inferior oblique muscle when the intervention occurs in the deep layers of the eyelids. Symptoms of diplopia disappear within 2-3 weeks after surgery.

blepharoplasty complicationsDry keratoconjunctivitis

This complication is quite rare. It can be triggered by surgery but is not due to blepharoplasty. Prolonged use of special eye drops helps eliminate dry conjunctivitis.

Retrobulbar hematoma

Symptoms of complications: pain, protrusion, and restriction of movements of the eyeball with compaction of tissues due to damage to a relatively large vessel. An ophthalmologist’s examination, control of blood circulation in the retina, and tonometry with further development of a treatment plan are required to eliminate a retrobulbar hematoma. At the same time, anti-edema infusion therapy is always prescribed. Possible temporary loss of vision with an increase in intraorbital pressure, in the worst case, there may be retinal artery thrombosis and acute glaucoma.

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