What Are the Common Problems with Surgery on the Lower Eyelids?

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lower eyelids complication post-op problem results risk side effects

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While lower eyelid surgery is basically very safe, it needs to be performed expertly.

Lower eyelid cosmetic surgery continues to be the area where surgeons can create significant complications despite performing a standard surgery. A big reason for this is that for the most part, the paradigm for lower eyelid surgery is fundamentally flawed. The general plastic surgery literature oversimplifies the anatomic approach to the lower eyelid and the key papers in my opinion incorrectly present the anatomy. Plastic surgeons continue to use the trancutaneous lower... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Lower eyelid malposition

Lower eyelid malposition is the most common problem seen in lower eyelid surgery. Though there are many other possible, yet less common, complications that can occur from dry eyes and asymmetry to scary things such as vision loss [very rare]. I'm sure that with the help of google you can find enough references to scare you away. If you are serious however, I recommend a consultation with an experience ASOPRS trained oculoplastics surgeon.

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Problems after Lower Eyelid Blepharoplasty

Significant problems after a lower eyelid blepharoplasty are uncommon. Some of the problems seen after lower eyelid blepharoplasty include: Chemosis-fluid collection under the lining of eye. Generally treated with steroid eye drops. Lower lid malposition/scleral show-prevented by avoiding resection of too much skin. Ectropion-rolling out of the lower lid. Prevented by avoiding aggressive skin resection and supporting the tendon at the corner of the... more

More important than the surgery...is the surgeon

You phrased the question very well..."problems" rather than "complications." Postoperatively, you can expect some bruising and swelling. At least initially, there may be some ectropion, which is the eyelid is turned down. This almost always resolves if the treatment is performed by a board certified plastic surgeon.

Lower eyelid surgery

Some of the complications of lower lid surgery include ectropion ( pulling down of the lower lid), chemosis (swollen conjunctiva) which may lead to persistent swelling and eye irritation, unfavorable scarring, infection, and hematoma or bruising.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Lower eyelid surgery problems

The lower eyelids are a very complex area to operate on. Especially when they become looser with age, they are prone to drift down from surgery causing a rounding out and an increased showing of the white part of the eye. Even worse, they can pull down enough to be called an ectropion. Other common problems are cosmetic dissatisfaction as patients frequently expect tighter smoother results than the lower lid will allow for. Aggressive surgery here can cause disasters. more

Lower lid complications

The most common problems with lower eye lid surgery include : ectropion,lower lid rounding,excessive fat removal,inadequate fat removal,prolonged swelling,bleeding,and scarring. The majority of these compications could be prevented by proper surgical planning and proper surgical technique.

Lower eyelid anti-aging procedure

Usually, all goes well, and results very beautiful, youthful, and gratifying. Possible problems: asymmetry between right and left sides, dissatisfaction with result, internal scarring with lower eyelid malposition, cysts, chronic or transient discomfort and /or visual difficulties, need for surgical revision, visible scar(s), suface contour irregularity, dry eyes, tearing of eyes, a feeling of irritation of the eyes, inability to completely close the eyes, prolonged swelling, and others. more