Blepharoplasty: complications after surgery and how to deal with them



Inversion century after surgery Blepharoplasty is a plastic surgery performed by a surgeon to correct the shape of the eyelids and eye incision. By surgical intervention, you can remove circles under the eyes, remove excess skin.

This operation is positioned as low-impact and fairly well tolerated by patients. But such intervention is not as safe as it seems initially. It can turn into unpleasant consequences, complications. Better before you decide on an operation, read them.



Thus, blepharoplasty complications after surgery may appear both immediately after the surgery (early complications), and overtaking the patient after several months after the intervention (such complications are called late).

Early complications that occur after surgery can be:

  • Edema . The reaction of tissues to injury, aimed at reducing inflammation in its focus.
  • Bleeding The walls of the vessels are damaged, and a hematoma is formed. Hematomas after surgery on the eyelid are called:
    • Subcutaneous, if the area of ​​hemorrhage is limited.
    • Strained if the bleeding does not stop and there is an expansion of tissue under the pressure of blood.
    • Retrobulbar, if damage occurred especially large vessel in the tissue behind the eyeball.
  • Inversion of the lower eyelid .

When blepharoplasty to late complications after surgery on the eyelid include:


  • Scars . Wounds are formed at the site of healing and may occur if the stitching is poor-quality or the cut is too deep.
  • The divergence of the seams . When using weak tissues or improper suture, the edges of the wound can diverge, forming marks in the form of scars during healing.
  • A cyst is a neoplasm that can appear on the postoperative suture line. It can resolve itself, but sometimes requires surgical intervention.
  • " Hot eyes " - a complication that can not be eliminated without re-operation and arising from damage to the lacrimal canal. It is characterized by dryness of the mucous eyes and a sensation of heat.

Rare, but possible consequences of plastic surgery on both centuries due to improper management of the postoperative period can be:


  • Infection - the entry of bacteria into the wound after surgery. Characterized by inflammation, the possible appearance of pus and requires the use of antiseptic solutions.
  • Diplopia - the effect of ghosting in the eyes due to the integrity of the muscles of the eyeball, eliminated only by surgery.
  • Visual impairment - occurs for a number of reasons, for example, an intense hematoma can lead to malfunction of the retina.

Consequences of blepharoplasty of the upper and lower eyelids

The problems that may appear after blepharoplasty in the upper eyelids are completely different from the problems after surgery in the lower eyelids. During an operation on the upper eyelid, dissection should be done at the level of the crease of the eyelid in order to become inconspicuous after the operation. During the operation, excess skin is removed, fatty hernias are excised and straightened.

Ectropion after blepharoplasty The most frequent effects of blepharoplasty of the upper eyelids:

  • Removal of excessive amounts of upper eyelid skin . This defect is eliminated without surgical intervention due to the fact that the skin of the upper eyelid is elastic and stretches over time. If the problem is not solved - the doctor injects special injections to stretch the skin.
  • Removing insufficient skin . This consequence of blepharoplasty of the upper eyelids is solved only by surgery when re-operation.
  • Excessive excision of fatty hernia of the eyelid requires correction with the help of lipofilling (the introduction of its own fat in the eyelid area).

As with any plastic surgery, blepharoplasty of the lower eyelids is fraught with a number of characteristic complications. Most often it is swelling and compaction.

Seals may occur due to excessive scarring of the tissue. If the internal hematoma is not removed - there is pain when touching.

The most serious complication after blepharoplasty of the lower eyelid is the ectropion of the lower eyelid (when the skin of the eyelid shifts below the set level, thereby opening the eye excessively).

Unsuccessful blepharoplasty: blepharaptosis, eversion of the century, ectropion

Like any surgery, blepharoplasty is associated with certain risks. An operation can ruin not only the patient’s face, but also his morale. If necessary, repeat transactions will require additional financial expenditure.

The reasons for unsuccessful blepharoplasty are:

  • the selection of an inexperienced surgeon;
  • non-observance of instructions in the pre-and postoperative period ;
  • individual features of the structure of the patient's century.

Unsuccessful blepharoplasty is characterized by the following symptoms:

  • face change for the worse;
  • "Sad look" due to lowering the corners of the eyes;
  • significant change in the shape of the eyes;
  • inability to completely close the eyelids;
  • noticeable asymmetry;
  • coarse scar formation;
  • inversion of the lower eyelid.

Blepharoptosis after blepharoplasty

Increased tearing Blepharoptosis is a common complication after surgery. Occurs as a result of damage to the small nerve doctor. Manifested in a strong sagging of the upper eyelid. Usually, within one and a half to two months, the muscles are restored and return to normal, but there are cases when recovery does not go away and one more plastic surgery is required.

Inversion of the century after blepharoplasty

Due to the removal of an excessive amount of skin during surgery, an eyelid reversal may occur. In such a situation, the eyelid is deformed, the eye is constantly in the ajar position, which leads to its drying. Inversion of the eyelid after blepharoplasty may be twofold (when both eyelids are affected).

Ectropion after blepharoplasty

A likely complication of blepharoplasty may be ectropion of the lower eyelid. This complication appears as a result of delaying the lower eyelid, as a result of which the conjunctiva becomes visible. If the complication does not pass in short

Other complications after blepharoplasty: irregularities, bags and asymmetry

After a poorly performed surgery, the patient can detect unevenness in the eyelids. These may be postoperative scars or a cyst. If such irregularities have not passed within a month - it is necessary to consult a doctor.

Nodules and seals under the skin can also cause abnormal hematoma treatment. In any case, it will not be possible to do without expert advice. Irregularities after blepharoplasty are quite common complications.

Bags under the eyes after blepharoplasty may appear almost immediately after the intervention. They are the body's response to tissue injury. After some time (7-14 days), they will resolve themselves. But it is possible that the decline of swelling will not occur.

The reason for the formation of such bags can be a surgeon error and insufficient removal of subcutaneous fat.

Asymmetry after blepharoplasty may disturb the patient. This happens if the surgeon, not paying attention to a small congenital asymmetry of the eyes, aggravates the defect. Also, the problem may appear due to uneven seams and scarring. Eliminate this defect can only surgery.

After surgery, tearing can often occur. After blepharoplasty, this complication is formed when the lacrimal points move outward or if the lacrimal ducts narrow as a result of improper scarring of the tissues. Depending on the probable cause of occurrence, treatment should be prescribed only after consulting a specialist.


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