Complications of blepharoplasty


Result scars

If you consider undergoing the eyelid surgery you should know about various complications that can be associated with this surgery. One of them is oculo-cardial reflex caused by pressure in the eyeball. It is manifested by reduction of blood pressure and pulse. This state can be very severe, although usually it is only small pressure reduction. Sometimes we can see separation of the wounds after taking out the stitches.

Most severe complication is so-called ectropion. It is a state when the eyelid is turned outwards and/or when the conjunctiva is separated from the eye. The patient has permanent tears and the skin around the eyes is constantly moist and irritated. One has the feeling of foreign element in the eye. The eye is then too sensitive and easily infected. Ectropion appears soon after the surgery as a consequence of the swellings, such ectropion is temporary and it improves with absorbing of the swellings. Permanent ectropion is caused by removal of excessively big part of the skin or by complication of deep scars in the area of muscles and ligament.

Therapy: It is not simple. If ectropion is caused by excessive removal of skin, muscle or fat and it is visible even during the surgery, an immediate transplantation of removed skin is then recommended. If such state is visible after the surgery, a skin transplanted from the back of the ear lobe replaces the removed skin. Within conservative therapy also a pressure massage and suspension of the eyelid are recommended. Sometimes even a surgical method canthopexy is used (fixation of outer eyelid).

Another possible and severe complication of blepharoplasty is feeling of dry eye.

Therapy: It is treated by conservative way with the help of artificial teardrops.

We often encounter with lagophthalmos. It is manifested by inability to close eyes completely, especially during sleep.

Therapy: Treatment is conservative because in most cases the improvement is reached without medical help. It is important that the eye doesn’t dry up too much. That is why artificial teardrops and eye creams during night are used. Sometimes it is good when the eyelids are covered with moistured plaster. Exceptionally a surgical treatment is performed.

Swellings and hematomas cause ptosis after the surgery. It is healed automatically during several days. Sometimes the levators of the eyelid can be damaged or innervated during the surgery. That causes permanent ptosis.

Therapy: Following therapy is surgical with the help of frontalis suspension, which is mentioned in therapy of congenital ptosis.

Very rare complication present visible scars, where the ligaments are reproduced. If you already have such scar on your body, consult it with your surgeon immediately after first session.

We usually encounter with hyperpigmentation (increased darkening) of treated area.

Therapy: If the hyperpigmentation is too visible it can be corrected with laser, although earliest half a year after the procedure.

Among very frequent complications that are not too severe belong milia. Those are tiny white formations localized in the scars. They are formed by damage and closing of the apertura of tiny glands.

Therapy: Easy treatment, when the milium is punctured with thin needle and the content is pushed out. If milia are formed repeatedly they can be cut off.

Asymmetry of palpebral fissure doesn’t have to be caused by the surgery. If the patient before the surgery was without asymmetry it means probably asymmetric removal of fat prolapses.

Therapy: The state is treated with reoperation.

The state is often complicated with infections that have very slight progress.

Blindness after the surgery is very rare. It is caused by bleeding behind the eyeball. Pressure of effusion of blood causes mortification of the retina. Symptoms of such bleeding are insidious; it is a tension inside the eye, pain and firm eyeball.

Therapy: It is very complicated. The main aim is to cease bleeding and revision of eyeball. At the same time suction of extravasation of blood. Blood losses are added with infusions and corticosteroids are taken.

Updated: 2009-03-30

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