Are There Risks Associated With Eyelid Surgery?

Eyelid surgery, also known as blepharoplasty, is a common choice for patients who want to reduce signs of aging around the eyes or want to address functional concerns. While it is popular, there are risks associated with eyelid surgery, as is the case with all surgeries. Nevertheless, these risks are minimal if the correct precautions are taken. Let us discuss the potential risks associated with eyelid surgery and what can be done to mitigate them.

 

Risks Associated With Eyelid Surgery

 

Common Risks 

The following risks are common, usually temporary, or manageable with the proper postoperative care regimen:

  • Bleeding: A small amount of blood oozing onto gauze is normal for a couple of days following surgery. If the blood is flowing, contact your doctor. 
  • Infection: Any surgical incision can lead to infection, but proper hygiene and antibiotics can reduce this risk. 
  • Dry Eyes: It is common to experience itchy or dry eyes after surgery, which can temporarily blur vision.
  • Swelling: Swelling can sometimes affect your vision, but it is normal and usually temporary.
  • Vision Changes: Temporary double or blurred vision is common after surgery.
  • Scarring: Scarring can be noticeable following eyelid surgery, but this can be reduced by following postoperative instructions properly.

It is very important that patients discuss these risks and how they can be managed or prevented with their surgeon. This will ensure that they are completely informed and prepared for both their surgery and postoperative period. 

 

Less Common But Serious Risks

The following list of serious risks can sound daunting, but it is crucial for patients to be well aware of any outcome that a surgery can bring before proceeding. Below are some serious risks to discuss with your surgeon prior to surgery:

  • Eyelid Asymmetry: Eyelid Asymmetry can occur if there are differences in the healing process or variations in the surgeon’s adjustments on each side of the face. Minor asymmetry can occur as part of healing and may resolve on its own over time, but significant discrepancies typically require a corrective procedure. 
  • Difficulty Closing Eyes: This is rare, but if left untreated, it can lead to irritation, dryness, and damage to the cornea.
  • Hematoma Formation: A hematoma is a collection of blood outside the blood vessels. If not resolved quickly, it can put pressure on the eye and its surrounding structures. Surgeons take steps to reduce this risk during and after the procedure.
  • Unfavorable Reaction to Anesthesia: some patients may experience nausea, dizziness, or possibly an allergic reaction in response to anesthesia. 

Be sure to discuss any of these concerns with your surgeon in order to keep a stream of open communication. While the above complications are rare, it is worth discussing how these risks can be prevented or what the protocol is if they occur. 

 

How to Minimize Risks

While the above risks can be intimidating, there is action you can take to minimize them. Here are a few suggestions:

  • Choose a qualified surgeon. 
  • Follow preoperative instructions carefully.
  • Adhere to postoperative care directions.
  • Avoid smoking.
  • Attend all follow-up appointments.
  • Protect the eyes from the sun.
  • Maintain a healthy lifestyle.

Taking these steps can significantly reduce the chances of complications during and after a blepharoplasty. 

 

Emotional and Psychological Consideration

While eyelid surgery can provide aesthetic and functional benefits, it is also important to consider the emotional and psychological aspects. Surgery can impact a patient’s body image and self-esteem, leading to both positive and negative emotions. Many patients experience increased confidence as a result of their improved appearance. However, others may feel anxious or disappointed if their expectations are not met.

It is essential to have realistic expectations before undergoing surgery and to be mentally prepared for the changes. Consulting with a psychologist or therapist before the procedure can help address any concerns about body image or anxiety. Clear communication with your surgeon about your goals and motivations can also help ensure that the surgery aligns with your emotional well-being.

 

Choosing Your Surgeon

The most important step a patient can take in their eyelid surgery journey is choosing a skilled, experienced surgeon. A well-trained surgeon will have the knowledge to perform the procedure safely, understand the nuances of eyelid anatomy, and know how to address potential complications should they arise. Look for a surgeon with a strong portfolio of successful eyelid surgeries and positive patient reviews. 

Ask the surgeon about their training, experience, and whether they have handled similar cases. Ensure they are board-certified in plastic or oculoplastic surgery, as this indicates they have met high standards in training and professional competency. At our clinic, you will find that board-certified oculofacial plastic surgeon Dr. Sohrab meets all these requirements and more. Schedule your consultation today!