Is It Safe to Do a Lower Bleph on a Sjogren's Patient?

 A very conservative lower blepharoplasty with a trans-conjunctival approach to the lower lid fat removal and a very conservative  pinch of skin on the outside of the lower lids  in someone who has mild Sjogren's disease would probably be acceptable. Severe dry  eyes are not candidate for lower blepharoplasty. Best to document the degree of dryness prior to proceeding with a lower blepharoplasty.

       I am just not sure that any cosmetic improvement would be worth the risk.                                                                                                                                                       Kenneth Hughes, MD                                                                                                                                        Los Angeles, CA

Dry eye can definitely be exacerbated by eyelid surgery particularly the lower. Blepharoplasty can be performed but only with the advise and consent of your ophthalmologist.