does the eyelid surgery leave the lids pulled open more so, causing difficulty to close them?
Will I Be Able to Close my Eyes After Eyelid Surgery?
Doctor Answers (78)
Closing Eyelids After Surgery
Care is taken to remove the right amount of skin to avoid problems with closing the eyelids after surgery.
Still, it is common to have incomplete eyelid closure in the first week or so due to swelling of the eyelids. During that time, it is important to use drops to prevent excessive dryness of the eyes (especially at night!).
Eye closure after blepharoplasty
Typically, a small amount of gap is normal after Blepharoplasty. This is temporary and related to swelling. If it does exist it resolves between 1-3 weeks. During that period of time, make sure your eye is well moisturized with lubricating drops and ointment to protect your cornea.
Inability to fully close upper eyelids after surgery is expected
inability to fully close upper eyelid after surgery, or lagopthalmous, is very common and is usually caused by swelling. During this period it is very important to protect your eyes by keeping your cornea from getting dry during the day, and at sleep. I encourage my patients to use oientments and patches during sleep, and to moisterize their eyes during the day with over the counter drops.
close follow-up is necessary to make sure that patient is not getting dry eye or corneal irritation.
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Close your eyes after surgery
You should be able to close your eyes after surgery with no effort. In some cases the swelling will prevent you from closing your eyes adequately for a couple of days, this should subside as soon as the swelling decreases.
One of the major concerns after eyelid surgery is always...
One of the major concerns after eyelid surgery is always can I close my eyes? Generally immediately after eyelid surgery and for several days afterward there may be some difficulty closing the eyes which will generally resolve. This is usually due to disturbance of the muscle that usually closes the eye which resolves with natural healing.
With upper eyelid surgery, permanent inability to close the eye is usually due to removal of too much upper eyelid skin. This is easily avoided by pinching the skin of the upper eyelid before surgery and before any anesthesia is injected to be sure that the correct amount of skin is to be removed. If too much skin is removed, repair is difficult and often requires a skin graft to allow for closure of the eyelid.
With lower eyelid surgery, permanent inability to close the eye can be due to several causes, some out of the control of the surgeon. The most common is pull down of the lower eyelid, sometimes due to laxity of the lid and sometimes due to scarring during healing. If the patient has lax lower eyelids before surgery, a tightening procedure should be performed with lower eyelid blepharoplasty to prevent pull down of the lower lid. Approaches which go from the outside of the eyelid run a small, but slightly high risk of eyelid pull down than approaches which go on the inside of the lower eyelid.
As always, a thorough evaluation by an experienced facial plastic, plastic, or oculoplastic surgeon is necessary before undertaking any cosmetic procedure.
One of the other concerns that some patients have...
One of the other concerns that some patients have expressed is they want to make sure they can close their eyelids after the surgery and I reassure them that that does happen.
Some patients who have dry eyes are also concerned about how that will affect their surgery, and a blepharoplasty surgery can make dry eyes even drier than they currently are, and we are not quite sure of the mechanism of how that happens.
Will I Be Able to Close my Eyes After Eyelid Surgery?
With an upper eyelid lift, the short answer is yes. However, immediately after surgery there is swelling and sutures which may make it more difficult to close the eyes. Once the sutures are out at 4-5 days much of the swelling will have diminished. There still may be some tightness at this time, but this should go away and you will have no difficulty closing your eyes. It is important to use lubricant drops in your eyes during this time, which your plastic surgeon will suggest.
If you have also had a lower lid lift and you cannot close your eyes, this may be another problem, and you should ask your surgeon about it. Some lower lids have lost elasticity requiring an additional tightening procedure.
Difficulty closing eyelids after blepharoplasty
It isn't all that unusual to have some slight difficulty in completely closing the eyes during the initial phase of healing because the eyelids are swollen. Gradually, this should settle down and you should be able to close them completely. This is why it is important to have surgery performed by a skilled plastic surgeon or oculoplastic surgeon who can appreciate the right amount of skin to resect during the operation. You may want to try a soft sleep mask to cover your eyelids if you are sensitive to any ambient light in your room.
Closing eyes all the way after surgery
Can I close my eyes after eyelid surgery?
Immediately after surgery it is very common that the eyes do not close completely as there is swelling, the eyelids are impaired by local anaesthesia and this impairs closure of the eyes.
Over the first 6-weeks, it is common that the eyes may be slightly open as they will not be blinking 100% as a consequence of swelling and the surgery. After this the blinking and closure of the eyes will return resulting in normal eyelid closure. If the eyes are not closing your surgeon may advise the use of tear lubricants to avoid symptoms of dryness and exposure. The front surface of the eye is very sensitive and dryness can be uncomfortable.
Surgical technique with upper blepharoplasty is important to avoid too much soft tissue being removed, this can result in difficulty closing the eyelids long-term and can be difficult to correct. Dr. De Silva takes great care with measurements of the eyelids prior to surgery to prevent this occurrence.
With lower blepharoplasty surgery, a rare complication of the surgery termed eyelid retraction can result in the lower eyelid being pulled downwards towards the orbital rim by scarring. This can result in inability to close the eye and increased symptoms of irritation and dryness. The position of the eyelid may require further surgery to reposition the lower eyelid.
Generally speaking, difficult closing the eye is common soon after the surgery and with normal healing this returns over a period of week, tear lubricant drops may be required during this period.