Can a 74-year-old with High Blood Pressure Have Eyelid Surgery?

Upper eyelid surgery for the people of age 74 and with high blood pressure is possible? My dad has got right eyelid drooping problem since he was suffered from terrible headache due to high blood pressure and he still has high pressure and has been taking tablet his right eye is completly closed and can't blink so I am thinking to have a surgery

Doctor Answers 8


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The first step in the UK is to have him referred by his primary care physician to an oculoplastic consultant or a general ophthalmologist who will refer him on to an oculoplastic surgeon.  There are one or two fellowship trained oculoplastic surgeons in every major city.  They will assess your dad and determine what type of surgery he will need.  The next step is that surgeon will get your dad ready for surgery by making sure that his blood pressure is adequately controlled.  This type of coordination is routine.  Care in the UK is somewhat rationed so making this type of elective surgery happen can take some work to get going.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

High blood pressure and hypertensio in a patient of "a certain age"

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The incedence of hypertension (htn.) in the U.S. population is high and getting higer each year. There is a big difference between controlled and uncontrolled htn. In my hands, and in other boarded  Plastic  Surgeons, individuals of your age who are managed and cleared for surgery by their internest have done very well.

Additionally ther are several drugs that can control htn. if it should occur intraoperativly

Barry H. Dolich, MD (Retired)
Bronx Plastic Surgeon

Can a 74-year-old with high blood pressure have eyelid surgery?

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Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Hypertension is one that is known to have an increased risk during a procedure. There are a number of both systemic and local host factors that can contribute to high blood pressure. Hypertension itself is not a true contraindication to having any surgical procedure, but it should always be controlled. Risks that coincide with high blood pressure, such as coronary artery disease, pulmonary issues, varicosities, etc. can certainly be worrisome as the risk for other issues including MI, stroke, etc. can be severe. Complications such as bleeding and postoperative hematomas may be increased and hemostasis obtained well.

That being said, well-controlled high blood pressure should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate blood pressure control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a baseline level prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely.  Consideration for having this done under local anesthesia only is reasonable as well. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Eyelid Surgery and Hypertension

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Thank you for the question.

Yes it is possible to have eyelid  surgery with a history of hypertension as long as the hypertension is well controlled. Usually, I asked patients to see their medical doctor for “clearance” prior to surgery. The family practitioner/internist may have suggestions for peri-operative  management.

One of the concerns with hypertension and facial surgery is the increase potential for bleeding  around the time of surgery. Limiting activity/stress and keeping the head elevated maybe helpful postoperatively in avoiding complications. 

I hope this helps.

A 74 year-old patient with high blood pressure can have surgery

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A 74 year-old patient with high blood pressure can have surgery. The important thing is to make sure their high blood pressure is being controlled. Patients with high blood pressure generally want to take their appropriate medications the morning of the surgery. But, each surgeon will tell the patient what they should or shouldn’t do.

Joseph A. Eviatar, MD, FACS
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Blood presure and eyelid surgery

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The most important step is to have your blood pressure under control by optimizing your medication with your primary physician. Once the blood pressure is stabilized the most that you can, then the procedure should have less incidence of problems.

Gustavo A. Diaz, MD
Charlotte Facial Plastic Surgeon

Upper eyelid surgery and hypertension

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It is possible that upper eyelid surgery can be performed on someone with high blood pressure. The procedure is less risky and I would recommend having it done under local anesthesia to avoid further blood pressure elevations. Also, to minimize the risks of bleeding and bruising, I would make sure that the blood pressure is under control first on the appropriate medications. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
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Eyelid surgery with High Blood Pressure

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For any kind of surgery, especially elective surgery, you really need to be medially maximized.  This includes having controlled blood pressure.  You should work with your doctor to maximize your blood pressure medications prior to considering surgery.  One risk with with uncontrolled blood pressure and surgery is bleeding.  This would be an unfortunate complication for an elective operation.  Good luck.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.