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Upper Blepharoplasty Eyelid Lift Questions?
Is there a bigger chance of having dry eyes with agressive (large amount of) skin and muscle removal as opposed to a smaller, more conservative amount of just removing only skin? If so, what is the reason why larger amounts risk greater chances for dry eyes? Thank you again.
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13 Doctor Answers |
Asked by
779296anon
in Florida
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Upper blepharoplasty and dry eyes.
There is a direct correlation of worsening dry eyes after an aggressive amount of skin and muscle are removed from the upper lids. We do not recommend this for people who have dry eyes. A conservative amount of skin with no muscle removal from the upper eyelids is all that is required to give a conservative cosmetic improvement.
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Larger Amounts of Skin Removal Can Lead to Dry Eyes
Larger amounts of skin removal can lead to dry eyes if the eyes cannot be completely closed. However, conservative resection leads to excess skin and the possible need for revision. This is a balancing act.
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Dry eyes with upper blepharoplasty?
Dry eyes are a risk with this surgery, regardless of how aggressive the approach. Those with dry eye symptoms that are present before surgery are at greater risk. The use of lubricants and other agents may help relieve the symptoms.
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Dry eyes are an occasional, although usually temporary, post-operative symptom following a blepharoplasty. Certainly people who have dry eyes before surgery are at higher risk for this problem, and should either consider not having the surgery or using appropriate lubricants aggressively after surgery. If dissection into the deep fat pockets is aggressive and/or there is removal of a large amount of stretchy skin, then swelling after surgery can result in overexposure of...
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There are many unwanted side effects associated with overly-aggressive blepharoplasty surgery.
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Upper Blepharoplasty Eyelid Lift Questions?
Yes, the more upper eyelid skin that is removed, the greater the amount of eye exposure that results. If you have a history of "dry eye", you may want to have conservative upper lid skin removal.
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Upper eyelid surgery and dry eye.
I have never heard of dry eye with upper eyelid surgery, regardless of the amount of skin removed, unless you already have a serious dry eye problem. Most issues with dry eye relate to lower lid surgery only.
Talmage Raine MD FACS
drraine.com
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Risk of dry eyes after upper bleph.
To directly answer your question, Yes. It is more likely to have dry eye symptoms with too much skin removal, but this is not common with an experienced surgeon. It is always better to be a little more conservative initially as a touch up to remove any residual skin is very easily done under local anesthetic. If you have confidence in your surgeon, trust his judgment and let him/her know your concerns.
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Dry Eyes after Upper Eyelid Surgery Ask Dr Ellen
Hello 779296anon,
The tears lubricate the eyes and the lid movement assists in distributing the tears around the eye. Eyelid closure protects the eye from the environment and also from becoming excessively dry.
If the eyelids are very short they will not be able to meet when closed, causing the eye to remain exposed to air which can cause drying of the eye surface and irritation. Also, if the lid is short, it is less able to distribute the tears over the surface of the...
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Dry eye and upper lid blepharoplasty
Yes, you are correct. With larger skin removal in the upper lid you run the risk of not being able to close your eyes completely especially at night and this increases your risk of dry eye.
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