Post operative care for lower blepharoplasty ?

Question

I’m (35f) seeking information regarding the risks and treatment for transconjunctival blepharoplasty. I’ve been advised risks are much lower, however, if entropian or malposition occurs in early recovery (3 weeks), can they be mitigated with massage and exercises? Would that be advised? Is it possible that these things would only occur temporarily due to lid tightness? How likely is it is that a complication of this type would be permanent? Thank you!

Ryan Endress, MD · Answer

Hello! Great series of questions. Statistically speaking the risk of retraction is lower via this approach, but it really depends on what specifically the surgeon is trying to accomplish. If the incision is low in the eyelid well below the tarsus and the septum is not violated, then there is very little chance of having any issues. If the surgeon does a preseptal approach and then divides the septum to either remove or reposition fat, then the risk increases. Early massage can help alleviate some early retraction, which is usually due to swelling and soft tissue contraction. If allowed to persist, scar generates and can make the malposition permanent.

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