Upper Blepharoplasty despite severe dry eyes?

I'm a 32 year-old male suffering from severe dry eyes, but I want to get upper Blepharoplasty done to correct very droopy lids. Is there any way this could be done, if approached carefully enough, to ensure completely that my dry eye problem will not worsen after the procedure (of course, accepting that for the first weeks it will be worse inevitably)? Any answer would be greatly appreciated.

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10 answers to “Upper Blepharoplasty despite severe...”

A: upper blepharoplasty despite severe dry eye

Harrison C. Putman III, MD

If you are going to have this procedure you must consult with your opthalmologist to determine the actual severity of the problem and whether anything else might be done to improve the condition, in my opinion. Punctal plugs, Restasis, Omega 3s, and other measures are often helpful for dry eye problems... more

A: Dry eyes can be aggravated by upper blepharoplasty surgery

Richard Gentile, MD

It is common for plastic surgeons to ask about dry eyes when contemplating doing upper blepharoplasty surgery on patients.  I do agree that it is a relative contraindication and you need to balance your desire to have the surgery with the knowledge that it may make your condition worse.  A... more

A: No gurantee but...

Christopher L. Hess, MD

Dry eyes is a common problem mostly in women in their late 40's and 50's.  Blepharoplasty,particularly lower, can worsen the problem, especially if the have a negative vector.  Upper lid bleph holds less risk as long as no lacrimal gland manipulation is done. So no 100% guarantee but it can be... more

A: Not possible to "ensure completely" that you won't be worse

Richard P. Rand, MD

It should be possible to perform an upper blepharoplasty without worsening your symptoms as long as lid closure isn't compromised at all.  But this cannot be guaranteed unfortunately. 

A: Dry eye syndrome and upper eyelid surgery

Brent Moelleken, MD

Patients should be carefully evaluated for the cause of their dry eye syndrome. Often this is done inconjunction with an opthalmologist and a plastic surgeon, particularly one who specializes in surgery of the face and midface. If postsurgical changes from a lower eyelid surgery are to blame for a dry eye... more

A: Dry eye is only a relative contraindication to eyelid surgery.

Kenneth D. Steinsapir, MD

 Dear Christopher Dry eye syndrome is very common.  It is not a reason to avoid eyelid surgery unless there is an exceptional circumstance.  Among eyelid surgeons, only fellowship trained eye plastic surgeons are prepared to manage a dry eye and design eyelid surgery for you that is appropriate... more

A: Be careful with blepharoplasty and dry eyes

Edward D. Buckingham, MD

As mentioned in the previous answers it is difficult to tell whether you are to undergo a blepharoplasty or a ptosis repair.  If your description of "droopy eyes" is that you have redundant skin then a blepharoplasty will help.  If you have low eyelid margins ie. the whole lid is droopy... more

A: A canthoplasty to tighten the lower eyelid may help dry eyes prior to upper blepharoplasty

Brooke R. Seckel, MD

The standard accepted policy is that upper blepharoplasty should not be done in patients who have dry eyes. If your lower eyelids are lax and expose an excessive area of your eyes and is contributing to the dry eye, then a canthoplasty to tighten the lower eyelid may lessen the dry eyes and make a minor upper... more

A: No Guarantees!

Scott E. Kasden, MD

It can be safely done, however, no one can completely assure that your dry eyes won't be exacerbated.  You may want to go to an opthomologist and discuss putting in silicone plugs into the tear ducts to maximize your tears at the same time.  The dry eyes are more of a problem with the lower lids, and... more

A: Dry eyes and blepharoplasty

John Pak, MD, PhD

If your physician recommends a blepharoplasty and not a ptosis repair, your dry eyes should not be affected as long as you are able to close your eyelids after the surgery. However, you mentioned that you have "droopy" eyelids, which suggests that you might be undergoing a ptosis repair.

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