Complications of Lower Eyelid Blepharoplasty

Abstract

Lower eyelid blepharoplasty surgery has undergone a dramatic evolution over the last decade. As more patients have requested cosmetic lower eyelid surgery, this has been accompanied by a greater number of surgeons performing the surgery and a greater number of patients with complications of a varied nature. Ophthalmologists, the surgeons most familiar with the anatomy of the eyelids, orbit, ocular structures, and adjacent face, have been called on more and more regularly to evaluate patients before their having cosmetic surgery, performed by other specialists, and then to manage complications ranging from minor ocular irritation to severe visually threatening ocular and periocular problems after surgery. In addition, more ophthalmologists are performing cosmetic eyelid surgery today than ever. Lower eyelid surgery has always instilled fear in the hearts of cosmetic surgeons because of the unacceptably high frequency of lower eyelid malpositions after surgery and the difficulty of correcting these problems...