Has anyone performed an upper blepharoplasty on someone who is highly nearsighted?

Question

I have a high prescription that runs a risk of retinal detachment eventually. Have you performed an Upper Blepharoplasty on patients with a high prescription (myopic)? Are there any safe guards for this type of patient?

Mehryar (Ray) Taban, MD, FACS · Answer

In general, eyelid surgery can be performed without any effect on inside the eyeball including retinal disorders. Important to use minimally invasive technique so normal eye closure is maintained.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. There should be no problem have Blepharoplasty performed on a high myope. Make an appointment for comprehensive evaluation and discussion of treatment options with an experienced Oculoplastic Surgeon. Good luck,

Kenneth D. Steinsapir, MD · Answer

Myopic eyes are big eyes.  You need a thoughtful upper blepharoplasty that enhances your appearance but also conserves tissue to help camouflage the big eye.  Between the need to protect the eye from dryness and not skeletonize the contour of the eye, upper blepharoplasty on large eyes, should be approached conservatively.

Chaneve Jeanniton, MD · Answer

There is no increased risk associated with blepharoplasty in a high myope. All blepharoplasty should be performed with special care taken to ensure the health of the eyes during and after surgery. An oculoplastic surgeon is especially qualified to address your concerns about eyelid surgery.

Jeffrey Jumaily, MD · Answer

Your prescription should not matter much when it comes to blepharoplasty. The blepharoplasty procedure needs to be done well to preserve the appropriate amount of fat and skin to keep it looking natural. Schedule a consultation for a detailed exam and specific information.

Lily Lee, MD · Answer

I personally am a -14 High myope as well. My husband happens to be a retinal surgeon and states that his average patient who has a retinal detachment is a -3. Regardless, I have done countless blepharoplasties on patients with everything from normal visual acuity to extremely impaired so I get this question a lot. The simple answer is no, it will have zero affect on your vision in the hands of a plastic surgeon adept at dealing with eyelids. I always use the analogy that blepharoplasty is like “drawing the drapes on a window”. There is no need to hurt or move the furniture around inside the house when simply drawing the drapes.

Robert Singer, MD · Answer

Myopia is neither a contraindication for a blapharoplasty nor is there an increased risk of complications.Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
 
 Robert Singer, MD FACS
 
 La Jolla, California

Benjamin Caughlin, MD, FACS - Account Suspended · Answer

Thank you for your question. We would always recommend getting clearance by your ophthalmogist with any sort of serious eye condition but yet I have performed this surgery on many people with myopia.  We are not actually touching the eye itself so there should be no risks to worsen this.
  Of more importance is a history of dry or or any previous eye surgeries because blepharoplasty can worsen these symptoms which can then lead to issues. Hope this helps.Best of luck,DrC

Jon A. Perlman, MD (retired) · Answer

Reminding your selected surgeon of your high myopia status is a good idea since the heightened risk of detachment makes it more urgent than usual to avoid any compression or trauma to the eye.  Otherwise, a conservatively performed blepharoplasty should be reasonably safe. Our office routine is to have patients examined by an M.D. ophthalmologist for clearance prior to any blepharoplasty procedure.  Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)Beverly Hills, California

Ronald V. DeMars, MD (Retired) · Answer

Thanks for the question and I can appreciate your concern, but you can rest easy on this one. The upper blepharoplasty poses no risk to the deep eyeball structures.

Has anyone performed an upper blepharoplasty on someone who is highly nearsighted?

Answers (12)

More Eyelid Surgery Questions

I have under eye bag under one eye. How Can I fix it? (photos)

Blepharoplasty, maybe brow lift on one side? (Photo)

Can I get rid of under eye and cheek dents? (Photos)

How much down time is there for lower eye bag surgery and when can you go back to work?

Which treatment is best for my sagging eyelids? (Photo)

Eyelid surgery with Plasmage? (Photo)

WE SEND PRETTY
EMAILS