Does having multiple sclerosis increase risk of Blepharoplasty surgery?

Hi BD,MS is not a contra-indication for upper blepharoplasty.  You should consult with a few blepharoplasty surgeons, have a complete eye examination, and then your physician should be able to suggest the best plan to take care of you.  Make sure that you choose your blepharoplasty surgeon most carefully.  Good luck and be well.Dr. P

MS by itself would not make you unable to have upper eyelid surgery.  But if the lids have been getting lower, you may also have ptosis.  You should see an oculoplastic surgeon to evaluate your eyelid muscle function and decide what type of surgery would be best for you.  If you already have a dry eye, it may get more dry after any eyelid surgery so you would need to use lubricant drops more often.   

The simple answer is yes.The biggest concern is to assess for the presence of myasthenia gravis(MG) with the multiple sclerosis.  Ptosis is a common presenting feature with MG.  It is critical to know if you have ptosis or just excessive skin. Based on your description, I am concerned that what you have is ptosis.  Blepharoplasty does not resolve ptosis.  The dilemma is that ptosis in MG is progressive.  Ptosis surgery may not be effective.  For this reason, you want to know what is going on this the ptosis and if you have MG.  It is essential that you see a neuro-ophthalmologist or a fellowship trained oculoplastic surgeon.  They will be able to work you up and determine if ptosis surgery is appropriate or not.  The other concern with MS is an increased incidence of dry eye.  That can also be a factor in deciding if eyelid surgery is right for you.