Is it safe to have a Blepharoplasty if I have glaucoma?

Usually glaucoma is not a contraindication to have blepharoplasty. Evaluation in consultation is necessary. Most important is technique of the eyelid surgery to preserve eyelid function.

Once you have cleared the surgery with your corneal surgeon, an upper blepharoplasty may be done conservatively, but it is important that no orbicularis oculi muscle is removed. Orbicularis oculi muscle is  responsible for closure and blinking of the eyelids and during surgery, most surgeons remove a strip of muscle because it is technically easier than trying to meticulously dissect the skin away alone. Most patients can spare removal of a small strip of muscle so it is usually not a concern.However, patients with dry eye can be susceptible to even the slightest weakening of eyelid closure. You should be aware, that sometimes, despite the most delicate and meticulous surgery, dry eye can become worse. Clearance with your corneal surgeon is of the utmost importance. 

Before proceeding with surgery, I would have a thorough discussion with your glaucoma and corneal specialist to get their view.  If you proceed, do so with caution and conservatism.  Good luck!

Upper blepharoplasty, even the most uneventful blepharoplasty will have an effect on the force of eyelid closure. For most this is a  non issue. However, for some patients the weaken orbicularis function makes them have a dry eye. In more extreme cases the eye surface can be subject to corneal breakdown. That is a terrible thing for a grafted cornea. Because innervation to the grafted cornea, these eyes are prone to increased problems. For these reasons, I recommend profound caution in considering cosmetic blepharoplasty. Don't get sweet talked by someone who is not first and foremost concerned about the health of your eyes.

If the upper blephs are done in a conservative fashion, it can be done even in the presence of corneal issues and glaucoma. The key is to be conservative and the eyelid closure is complete after surgery. The risks increase with lower blepharoplasty. RegardsDr. J

any blepharoplasty surgery may cause temporary dryness of eyes in susceptible patient. Majority of patients this can be dealt with artificial tear drops. However it can be of concern if you have cornea issues. So a thorough check up, especially assessment of  tearing function, by your ophthalmologist will be the first step. Only after clearance from the eye doctor can you consider upper blepharoplasty.