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Will Blepharoplasty Affect my Previous Lasik Surgery?

I just have my Lasik done in Jan 09, currently planning for the upper blepharoplasty in May 09? It is around 4 months interval. What are the risks that I should be aware of? What is the worst complication?

Doctor Answers 11

No major risks but a few things to be aware of

In general, there are no major problems with blepharoplasty after lasik. However, dry eye syndrome is beleived to be more common, particularly after lower eyelid bleph following lasik. The usual recommendation is to wait 6 months.


Seattle Plastic Surgeon
5.0 out of 5 stars 32 reviews

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Usually there is no problem with blepharoplasty after Lasik

There is a very small chance that your prescription can change ever so slightly after blepharoplasty and this is due to a change in tear film. If your eyes are dry, you want to be cautious after LASIK, because blepharoplasty too soon after can have this effect. If your eyes are well lubricated, then there shouldn't be a problem.

Andrew Miller, MD
Edison Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

Proceed when Lasik surgeon assesses it's safe

A question more commonly asked nowadays, but there are few scientific papers that address when it safe to proceed and what complications may be more prevalent if blepharoplasty is done too soon. If your eyes are "not dry" and your lasik surgeon gives you the go ahead, it is most likely safe to proceed. The actual blepharoplasty surgery will not affect the lasik surgery but the timing of such is important to avoid eye complications or side effects.

Richard Gentile, MD
Youngstown Facial Plastic Surgeon
4.5 out of 5 stars 27 reviews

Few precautions for Blepharoplasty

Lasik surgery could increase your chances of having dry eye syndrome if you undergo lower lid surgery. If you have no symptoms of dryness now you should be fine with an upper bleph. Make sure you inform your plastic surgeon regarding the lasik surgery.More conservative skin removal is always safer in this case.

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 11 reviews

Beware of dry eye syndrome

Lasik surgery will cause your cornea to dry somewhat. It takes several months to heal and return to your normal tear film. Follow up with your Lasik surgeon for a clearance to proceed with blepharoplasty. Good luck!

You should be fine

You should be fine. You just need to make sure that the surgeon and the anesthesiologist are both aware that you have had LASIK surgery, so they can take extra precaution to keep your eyes lubricated and protected.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 63 reviews

No Problem

Dry eye syndrome is a common problem that can occur. It is more common in women who are in their 40's or 50's, pleople who have a negative vector (ask your surgeon what that means), and after lower lid bleph.

So go ahead but get all of your questions answered by your surgeon.

Both Blepharoplasty and Lasik cause dry eye

Dear Tingmm,

Lasik causes dry eye by cutting the sensory nerves to the corneal surface when the flap is lifted. It takes time for this to resolve.

The eyelid surgery can also exacerbate dry eye. A properly done eyelid surgery will have a minimum impact on the dry eye situation. Having said that, you need a proper assessment of the condition of the eyes prior to eyelid surgery. If your cosmetic surgeon is not prepared to assess and manage the dry eye condition, you will need assessment by a general ophthalmologist which could be your refractive surgeon. The timing of the eyelid surgery should be deferred to whoever will be responsible for managing the eyes.

What it the worst that could happen is the closure of the eyelids could be compromised by the eyelid surgery in a setting where there is reduced corneal sensitivity following Lasik. This could lead to corneal break down after eyelid surgery. This can initiate a melting syndrome of the cornea, or a frank corneal ulcer which is a baterial infection. For these reasons, it is worth your while to take your time, and heal from the lasik prior to undertaking eyelid surgery and not proceed with eyelid surgery until cleared by your ophthalmologist.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 19 reviews

Will Blepharoplasty Affect my Previous Lasik Surgery?

Blepharoplasty, helps improve the shape of the eyelids by rejuvenating their appearance. Immediately after blepharoplasty surgery the eyes may feel dry as a consequence of swelling and reduced blinking.
Laser refractive surgery improves the refractive properties of the eyes, and involves making a flap in the front window (termed cornea) in the eye, followed by laser treatment, the surgery often results in some dryness immediately after the surgery and contact lenses are often placed over the eyes to aid recovery in the short-term period.
Although blepharoplasty is surgery on the eyelid only and there is no surgery on the eye itself, both the different techniques can lead to dryness immediately after the procedure. I recommend that they are completed a minimum of 6 weeks to 3 months interval between the different procedures.

OK to have Blepharoplasty after Lasik.

Hi.

In New York City, we have done a number of  blepharoplasty in patients who had previous Lasik surgery, and we have not had any problems.  But check with your ophthalmologist.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.