After undergoing blepharoplasty (eyelid surgery), it’s crucial to follow a meticulous aftercare routine, as with any surgery, to minimise the risk of complications. While outcomes are typically positive, some common issues may arise during recovery. Here’s an overview of potential complications and how they are managed.
Common Complications After Eyelid Surgery
Significant Bruising
Bruising is common after blepharoplasty, and while it usually subsides over time, some individuals—particularly those with naturally darker pigmentation on the lower eyelids—may experience more pronounced or long-lasting bruising. To minimise bruising, avoid blood-thinning medications and supplements, such as aspirin, non-steroidal anti-inflammatories, fish oil, green tea, and vitamin E, before surgery. Post-surgery, keeping your head elevated and applying ice packs can help reduce bruising.
Loose Skin
In some cases, loose skin may recur even after eyelid surgery. This often occurs due to the relaxation of the frontalis muscle, which may have been compensating pre-surgery by lifting the eyebrows to help with vision. After surgery, as the muscle relaxes, the eyebrows may drop slightly, leading to minor skin excess. Advanced skin laxity due to ageing or tissue relaxation may also contribute. In such cases, a minor touch-up procedure can help reduce the excess skin.
Tiny Bumps Along the Incision
Small bumps may develop along the incision line due to lymphatic fluid retention, healing scar tissue, reaction to suture material, or even minor fat accumulation. These bumps are often temporary, but if they persist, it’s best to consult your surgeon rather than self-diagnosing, as the cause may vary.
Asymmetry
Subtle asymmetry is natural, as each eye may heal differently. Minor asymmetries are generally acceptable and not considered complications. However, if significant asymmetry occurs, revision surgery may be an option to improve the outcome.
Malposition of the Lower Eyelid
Occasionally, the lower eyelid may not rest in the ideal position, resulting in one eye appearing slightly smaller or larger than the other. This can also affect the eyelid function and may require surgical correction in certain cases.
Difficulty Closing Eyes
In rare cases, excessive removal of skin can lead to an inability to fully close the eyes. This serious complication underscores the importance of choosing a qualified, experienced surgeon to avoid over-resection of skin.
Pain and Discomfort
Some discomfort is expected after any surgery, including eyelid procedures. Pain can typically be managed with prescribed medication, so speak to your surgeon about any post-surgery pain relief.
Corneal Injury
Direct trauma to the cornea during surgery or corneal exposure due to incomplete eye closure can lead to injury. This risk reinforces the need for a careful approach and post-operative care to protect the delicate eye structures.
Scarring, Itchiness, or Dryness
Scarring is possible with any surgery, but it can be minimised with proper aftercare. Itchiness and dryness are also common during the healing process. Following your surgeon’s aftercare guidelines and using prescribed ointments or eye drops can help alleviate these symptoms.
Sunken Eyes
Removing too much fat during surgery may result in a sunken or hollow appearance, giving an overly “surprised” look instead of a youthful one. Careful planning and a conservative approach to fat removal can help prevent this outcome.
Changes in Vision
Temporary changes in vision, such as blurred or double vision, are not uncommon and typically resolve on their own. In rare cases, complications can result in more lasting vision impairment. Permanent vision loss is extremely rare but can occur, highlighting the importance of entrusting your care to a skilled, accredited surgeon.
Additional Information
While uncommon, some additional complications reported across the web include infection, bleeding, temporary light sensitivity, eyelid numbness, and corneal irritation. With proper aftercare and a qualified surgical team, risks can be effectively managed to support a successful recovery.
Eyelid Surgery
About Dr Rodrigo Teixeira
Dr Rodrigo Teixeira, MD, FRACS, is a Specialist Plastic Surgeon based in Melbourne, Australia, at Unveil Plastic Surgery in the heart of East Ivanhoe Village.
With extensive experience in aesthetic and reconstructive surgery for the face, nose, and breast, Dr Teixeira is a Fellow of the Royal Australasian College of Surgeons (RACS). He is also a respected member of the Australian Society of Plastic Surgeons (ASPS) and the Australasian Society of Aesthetic Plastic Surgeons (ASAPS). Internationally, he holds memberships in both the American and International Societies of Plastic Surgery.
Please note that any surgical or invasive procedure carries risks. To discuss your aesthetic goals or address any concerns about facial appearance or other cosmetic procedures, please consult with your general practitioner, who can provide a referral for a specialist surgeon consultation. For more information, contact us at (03) 9000 3800.