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What is the Possibility of Scar Tissue Causing Lagopthalmos?

Although I know this is a possibility of eyelid surgery, but I heard it is very rare and almost not possible unless a trauma other than surgery caused it. I know that the most common cause of lagophtalmos is excess skin removal which can be avoided in mot cases, but what are the chances that scar tissue could cause it, and how can it be avoided?

Doctor Answers (6)

Lagophthalmos After Blepharoplasty


Over-resection of upper eyelid skin is the most common cause of permanent post-Blepharoplasty lagophthalmos. It is the Surgeon's responsibility to determine the appropriate amount of skin to resect while accounting for a certain degree of wound contracture that happens as part of the healing process.

Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 31 reviews

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Lagophthalmos happens most commonly with removal of too much skin, but can happen with many other causes including chemosis, trauma, scarring, infection, to name a few.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Scar Tissue Causing Lagopthalmos


I agree with Dr. Steinsapir's statement  but to answer the question as scar tissue causing this complication/condition, I would say very rare to see this as this primary cause. Seek additional opinions. From MIAMI, the "real" Dr. Darryl J. Blinski 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 reviews

Bad thing can happen with even the best surgeries.


It is not accurate to say that it is almost not possible for lagophthalmos to occur from eyelid surgery unless too much skin is removed.  Lagophthalmos means that the eyelids are not able to full close.  Yes excessive skin removal can lead to lagophthalmos.  However, perhaps a more common cause is weakness of the orbicularis oculi muscle in the upper eyelid after blepharoplasty due to damage to the nerves that supply the upper eyelid. While this type of complication is not common, it is common enough that saying it is almost not possible is silly.  Things happen under the best of circumstances.  For this reason it is important to see an eyelid surgeon who can examine the eyes and provide the appropriate care should the eyelid initially have trouble closing after eyelid surgery.  A fellowship trained oculoplastic surgeon will have the most extensive training of any of the core aesthetic subspecialties.  The American Society for Ophthalmic Plastic Surgery ( maintains a geographic directory to help identify a properly credentialed surgeon in your area.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 14 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.