What are the risks of having lower blepharoplasty and what can I do to reduce those risks? And in answering this question, we’ll talk about the common factors that are involved with healing. We’ll talk about on uncommon risks, we’ll talk about the most serious and important risks. We’ll talk about the factors that you need to consider in order to reduce the risks, ensure that you have a straight forward and fast recovery. And we’ll talk through these in enough detail that you’ll be able to make an informed decision about having a lower blepharoplasty.
What we’re talking about today are factors that I discuss with my patients on a daily basis. So, in terms of the risks of undergoing lower blepharoplasty, common factors that are found in, in the recovery period are swelling and occasionally bruising. And swelling is a normal part of healing and the majority of swelling will go within the first 2 weeks of lower blepharoplasty surgery. And generally 80% to 90% of the swelling will go in the first 2 weeks.
However, not all of it and more rarely swelling can last for 6 weeks and very rarely it can last for even 6 months. And there’re measures that can be taken to reduce the swelling after surgery. Bruising, well, most patients don’t have so much bruising after lower blepharoplasty. However, bruising is a factor with any kind of surgery, and out of the recovery period, most bruising will go within the first 2 weeks of surgery, but sometimes bruising can last for even 6 weeks. And again, there’re measures that can be taken before and after surgery in order to reduce that chance further.
Other factors that can affect the initial period after surgery are irritation and grittiness, and these are common in, in the recovery period. But in most people these settle relatively quickly within one or two weeks after the surgery. Now more, more uncommon risks associated with surgery can be factors such as, discomfort and discomfort or pain after, after lower blepharoplasty. In most patients it’s relatively mild and resolves of the first 24 or 48 hours, and more than half of my patients do not need to take any pain relief medicine or analgesia after surgery.
However, everyone is a little different and sometimes discomfort can happen. But it tends to be soon after the surgery and generally settles down relatively quickly. Other factors that are less common are changes such as dryness or grittiness and dryness after lower blepharoplasty is relatively uncommon. It’s more associated with upper blepharoplasty. However, it can occur in most patients that resolve within a period of weeks. The lower eyelid can sometimes feel tight, but again, this is a normal part of healing and will improve soon after the surgery, generally within 2 to 3 weeks.
The most serious risks with lower blepharoplasty include damage the vision or lower eyelid retraction. Damage the vision is a very rare but serious event after lower blepharoplasty. And it’s extremely rare and measures can be taken before, during and after surgery in order to reduce this risk further. But its, it’s a factor that would happen very soon after the surgery and if treated quickly, it’s quite treatable. And if you were to have severe pain or a serious drop in vision after surgery.
This would be very rare and can be improved as long as it’s treated soon after the surgery, and that your surgeon is able to see you quickly and, and treat you. More, a further serious risk after lower blepharoplasty is lower eyelid retraction. And this is a risk that is more associated with the older technique of doing lower eyelid surgery where an incision or scar is made in the skin. More contemporary technique which I prefer is doing the surgery on the inside of the eyelid called trans-conjuctival blepharoplasty in medical jargon.
This avoids a scar but also it’s a lot less traumatic to the lower eyelid and so, lower eyelid retraction, when that risk is nearly, is, is substantially reduced by the surgical technique and approach. So, lower lid retraction, well, it’s very serious if it does occur because the eyelid will have a tendency to pull down and distort the shape of the eyelid and often this can require further surgery in order to correct. However, taking measures to prevent this in terms of surgical technique, can make this risk relatively low.
Other factors with lower eyelids surgery such as scarring, well, doing the surgery on the inside of the eyelid can really reduce this risk further. However, surgical technique is also important in terms of the risk of scarring from lower blepharoplasty. So, let’s move on and talk about what you can do to reduce the risks of having complication or issue after surgery. And perhaps the most important is the surgical technique that is used in lower blepharoplasty. And so, choosing your surgeon is a substantial importance in making this relative risks as small as possible. And so, we talked about lower eyelid retraction a very serious but nevertheless important risk with lower eyelid surgery. And we talked about scarring, but the surgical technique can very much influence that. And it’s important when having lower blepharoplasty to discuss with your surgeon, what technique would be used. And what measures will, can be taken in order to reduce the risks of these events occurring.
In addition to that, in terms of your general health and medical history, there’re important factors that are very relevant in order to reduce these risks further. Factors such as raised blood pressure or borderline high pretension. It’s significantly importance that your blood pressure is controlled before having eyelids surgery ensure that your surgery is successful and you have a fast recovery.
There are also certain medicines and herbal medicines that contain agents that thin the blood. And I give all my patients detailed instructions over what medicines and herbal medicines to avoid, both before and after surgery in order to reduce the risks that we’ve discussed. Other factors that are relevant are factors with your eyes, factors such as having previous laser eyelid surgery, medical factors and such as glaucoma.
It’s important that your surgeon takes a relatively detailed history of both your general health. And also your eyes in order to identify these issues and take measures in order to reduce the relative risks. Also of important is following your doctor’s instructions, both before and after surgery. And this is very important in terms of both ensuring that you have a fast recovery. But also to in terms of reducing these risks. And I’ve certainly seen in my patients, patients who follow the advice or follow instructions, have a significantly faster recovery. And things like avoiding exercise and exertion immediately have surgery.
Well, patients who don’t follow that advice, tend to have more swelling and more bruising, and tend to have a longer recovery. And so, I think it’s very important that if you want the best possible result and to avoid risks from surgery that you follow your doctor’s instructions. Also of importance is expectations from surgery, and all of us have a degree of asymmetry between their right side and the left side. And it’s important to consider these when having surgery and often these asymmetries can be reduced with having surgery.
Having no surgery can make the two the sides of your face perfectly symmetrical. And key to this is an appreciation of expectations and that the lower blepharoplasty will improve the appearance of your eyes but won’t make the eyelids perfectly symmetrical. And the lower eyelids are delicate are intricate part of the anatomy. It moves when you blink, it has a function in lubricating the surface of the eye. And so, the anatomy is relatively delicate and they’re always limitations in terms of surgery. So, in summary we’ve talked about the common things that occur after lower blepharoplasty.
We’ve talked about uncommon risks, we’ve talked about quite serious risks and, and how those risks can be reduced. And certain measures with that are the importance of choosing your surgeon, discussing with your surgeon the techniques and what precautions the surgeon can take against those potential risks. And we’ve also talked about the other important factors such as your medical history, factors that you can do, both before and after surgery in order to ensure that you have a fast and successful surgery and have reduced those potential risks as far as possible.