Eyelid Surgery Risks & Complications Explained

As with every clinical procedure, there are some risks associated with cosmetic eyelid surgery.  Your surgeon will take time to discuss these risks as they may apply to you. Patients can expect some swelling and bruising in the days after surgery. The extent will vary between patients but most patients find that this has noticeably reduced after 7 to10 days or so after surgery. Your eyes may feel dry or itchy but this can be relieved with the use of lubricating eye drops.

Complications are rare with blepharoplasty surgery but your Oculoplastic surgeon is specifically trained to perform this delicate surgery in and around the lids and is well prepared to manage any complications that may arise. Some of thes complications are listed below.

  • Bleeding under your skin (haematoma). Your surgeon will advise you on stopping taking medication that may increase the chances of bleeding and advise you on avoiding lifting or bending as this can increase the risk of bleeding. Most of this bruising clears itself within a few weeks and only if excessive may it require an operation to drain the blood away.
  • Bacterial infection, a risk with any sort of surgery, usually requires treatment with antibiotics.
  • Eyelid asymmetry or uneven appearance. There may be a difference in the look or level between the eyes. This may require further surgery to correct this.
  • Overcorrection of your upper lid, removing too much skin, can lead to the eyelid not being able to close correctly. This can lead to changes to the front of the eye and will require surgery to correct this
  • Undercorrection of the eyelids when too little skin is removed. It is important before sugery that the patient is fully aware of how much skin can be safely removed and your surgeon will discuss with you what is realistically possible.
  • Bleeding behind your eye. This causes swelling which compresses the optic nerve leading to damage to the vision. This is very rare but requires immediate treatment.