Shepherd Pryor, MD

The lacrimal gland is tucked up under the rim of the orbital vault laterally and is difficult to access through a standard upper blepharoplasty incision. This complication is rare at best. Only in very elderly patients is ptosis (or drooping ) of the lacrimal gland common. In that scenario an experienced surgeon would need to be aware of the possibility of its anatomic location only, and still this would be an unlikely complication.