It sounds as though from the description, that when the eyelid skin is touching the eyelashes and irritating the eye that indeed, there is an indication to perform upper blepharoplasty. Sometimes on certain ethnic eyelids there is excess fat in the upper lid that herniates over the eyelid, which can be removed. There is probably only a minimal amount of skin that needs to be removed at age 18. Indeed, 18 years of age is a bit young to have upper blepharoplasty; however, when it is interfering with vision or creating an irritation on the upper eyelid skin, there may be a medical indication for it. There are no other complications in this age group for this type of surgery other than to be very conservative with the excess skin removal.


