Making the wrong diagnosis and doing the wrong surgery

Lavinia Chong, MD answers: What are the risks of upper eyelid surgery?

What are the risks of upper eyelid surgery?


Lavinia Chong, MD
2 months ago

Dr. Steinsapir's comments are germane.  If you and your surgeon don't agree on the right diagnosis, you may get the wrong operation and be dissatisfied with the result.  The eyebrow and upper lid are "neighbors" and so aging or sagging of one can be interpreted as dysfunction of the other.  There are at least three procedures which can be offered, depending on what the anatomy provides:

a) Upper eyelid lift: a small amount of skin is removed and the scar hidden in a natural fold; b) Transbleph browpexy: the "tail" of the brow is lifted and suspended on a biodegradable clip, which is fixed to the eyesocket "roof".  A variable amount of upper eyelid skin may also be resected; c) Endoscopic browlift: The brow complex is elevated and suspended on biodegradable clips, which are fixed to the skull. 

Be candid with your expectations and bring in old photos to your consultant.  Good luck.

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A: Upper Eyelid Surgery

Farbod Esmailian, MD
2 months ago

There are always risks which included bleeding, infection, dry eye, death.  Anesthesia risks ofcoarse.  This is a straight forward procedure and is also pretty simple, but there are always risks involved when you undergo any surgical procedure.

Good luck.

A: General and local complications of upper eyelid surgery

Hisham Seify, MD, PhD
2 months ago

Risks of upper blepharoplasty are divided in general and location specific risks:

1. General: bleeding, infection, injury to the area

2. Local: Asymmetry, post procedure ptosis (droopy eyes), scars. These are very rare complications and most are prevented by good surgical techniques.

Hope that helps!

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