It's unusual for patients to have difficulty closing their eyes following blepharoplasty surgery. When patients are unable to close their eyes immediately following this procedure, it's usually always related to swelling. Eye opening tends to improve with time as swelling resolves.Although it's unusual, patients may have persistent difficulty closing their eyes. This may be related to over resection of skin, damage to the levater mechanism and excess scarring. Under these circumstances, secondary surgery may be necessary.Fortunately, this complication is extremely rare. When patients are unable to close their eyes following eyelid surgery, it's essential that they contact their plastic surgeon as soon as possible. Under these circumstances, it's important to use lubricants and ointments to moisturize the eyes to avoid drying and corneal damage.