Blepharoplasty (Eyelid Surgery) Risks and Safety

Blepharoplasty (Eyelid Surgery) Risks and SafetyBlepharoplasty, commonly known as eyelid cosmetic surgery, is a relatively minor procedure with a low rate of complications. However, the procedure assumes significance because it involves the eyes, which are the most sensitive external organ in the body. The skin and tissue in the eyelid area are thin and delicate, requiring careful surgical manipulation.

During the initial consultation, the surgeon will explain the potential risks and safety aspects of eyelid surgery to the patient so that they can make a well-considered decision. Patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding locations have an opportunity to receive eyelid surgery from board certified plastic surgeon Dr. Bram Kaufman.


Major Complications

Severe complications in eyelid surgery may only occur in exceptional cases. Hematoma, ectropian and retinal detachment are considered among the major complications in this procedure. Hematoma involves accumulation of fluid under the skin in the incision areas. The risk increases when both upper and lower eyelid surgeries are performed together along with another major procedure such as facelift or brow lift.  

The surgeon may place temporary drain tubes after the surgery to minimize the risk of hematoma. Ectropian refers to a kind of droopy effect that will result in the inversion of the lower eyelid. If this side effect occurs following the eyelid cosmetic surgery, a corrective revision procedure may have to be performed.

Retinal detachment is an exceptional event, which may only occur in extremely rare circumstances. The condition will cause the retina to be separated from the outer layers of the eye. Holes or tears in the retina may lead to this occurrence. Additional surgery will be required to correct retinal detached.


Other Risks

Some of the less intensive complications that may occur following eyelid surgery can include:

  • Infection
  • Excessive tearing
  • Poor reaction to anesthesia
  • Dry eyes
  • Stinging sensation in the eyes
  • Unfavorable scarring
  • Appearance of whiteheads
  • Inability to keep the eyes closed during sleep
  • Blurry or double vision

These side effects often clear up without requiring any special treatment. However, in a few cases, the complication may not resolve on its own, or may become permanent. Successful and judicious plastic surgeon Dr. Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other areas across the landscape for eyelid surgery and various other procedures.


Minor Side Effects

Post-Surgical Discomfort

Soreness, irritation and mild pain in the incision sites may be experienced in the first few days. The patient will feel some tightness and soreness in the eyelids as the anesthesia effect wears off. Prescription pain medications in the first week can help to keep the patient comfortable during recovery.



Minor swelling and redness will usually occur around the incision sites following eyelid surgery. As per the surgeon’s advice, the patient should use ice therapy or cold compresses in the first one or two days to mitigate swelling.



Scarring is unavoidable in any surgical procedure, but in eyelid surgery, the scars can be concealed to some extent. Scars will progressively fade in most cases.

To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us at 1-216-778-2245 or click here.

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