What are the risks associated with Blepharoplasty?
Like all surgical procedures, with blepharoplasty (eye-lid surgery, upper and lower) there is always a possibility of complications. Although these complications are rare, they can include:
- Infection.
- A reaction to the anaesthetic.
- Temporary swelling, particularly at the corners of your eyelids near the incision sites.
- Asymmetrical healing (one side heals faster than the other).
- Scars.
- Acne (small whiteheads) which your plastic surgeon can remove.
Who might not be a suitable candidate for blepharoplasty?
There are some medical conditions which increase the risk of complications from blepharoplasty.
These risk factors are:
- Hyperthyroidism.
- 'Dry Eye' or problems with your tear ducts.
- Graves' disease (a thyroid disorder).
- Hypertension (high blood pressure).
- Diabetes.
- Cardiovascular disease.
- Glaucoma.
- Detached retina.
- Ectropion - A very rare complication which results in a downward pulling on the lower lids. Additional surgery may be required to correct this.
What other risks are associated with blepharoplasty?
Some of the most serious, also extremely rare complications are mentioned below:
- Infection - This is very rare, but can happen after eyelid surgery and or any surgery. The infection is treated with antibiotic ointments during the first few weeks after surgery.
- Blood clot behind the eyeball (Haematoma) - It is exceedingly rare that behind the eyeball or under the skin blood clots may develop. The most common symptom of this complication is typically a steady, stabbing pain, similar to glaucoma. If this is the case, removal is necessary.
- Loss of Eyelashes - This complication is again very uncommon post eyelid surgery.
- Ptosis - This is the medical term for drooping eyelids. This inability can be over treated surgically.
- Eyelid Skin Loss - This may happen but is extremely rare and usually heals without any additional operation. Occasionally, the affected site may need a small skin graft.
- Pain - Temporary pain is very rare as well, but can be treated with medication.
Will I be sore after Blepharoplasty?
Once the anaesthesia wears off, you may feel tightness around your eyelids and they may feel sore. This is not unusual, but if you feel severe pain call your plastic surgeon immediately.
Will there be bruising?
Bruising usually reaches its peak during the first week after surgery. You can expect the bruises to be greatly diminished within about two weeks.
Will I have difficulty closing my eyes?
This is generally temporary as the scars heal, but can be permanent in some cases, leading to difficulty sleeping.
Will my vision be affected?
You may experience some temporary blurring of your vision. However, this is usually just for a few days.
Will there be swelling?
You will experience temporary swelling, particularly at the corners of your eyelids near the incision sites.
When will I be able to face the world again?
As a rule of thumb, after blepharoplasty most patients feel comfortable about facing the public in about 10 to 14 days. You will look your best at 4 to 6 months (but sometimes up to a year).
Find out more
Only through an in-depth discussion with your surgeon will you be able to understand the risks, benefits and expected outcomes of this procedure.
If you would like to find out more about blepharoplasty or arrange a consultation, contact us today by completing our online enquiry form for an immediate response.


