Complications of Blepharoplasty: Prevention and Management

Abstract

<jats:p>Blepharoplasty is an operation to modify the contour and configuration of the eyelids in order to restore a more youthful appearance. The surgery involves removing redundant skin, fat, and muscle. In addition, supporting structures such as canthal tendons are tightened. Other conditions such as ptosis, brow ptosis, entropion, ectropion, or eyelid retraction may also need to be corrected at the time a blepharoplasty is performed to ensure the best functional and aesthetic result. Due to the complexity and intricate nature of eyelid anatomy, complications do exist. In addition to a thorough pre operative assessment and meticulous surgical planning, understanding the etiology of complications is key to prevention. Finally, management of complications is just as important as surgical technique.</jats:p>

Subclinical Ptosis Correction: Incision, Partial Incision, and Nonincision: The Formation of the Double Fold

“…Because of exposure of the thread toward the conjunctiva during fixation to the tarsal plate, a long duration of dryness during surgery, or irregularity in the conjunctiva after levator aponeurosis-Müller muscle complex advancement, the eyes feel uncomfortable and injury is possible. 22,23 If thread exposure is found when the eyelid is turned inside out, it is removed or corrected, artificial tears and an antibiotic eye drop are prescribed, and a contact lens is prescribed to protect the cornea from further pain, conjunctival swelling is reduced, and the patient becomes comfortable. 22,23…”

“…22,23 If thread exposure is found when the eyelid is turned inside out, it is removed or corrected, artificial tears and an antibiotic eye drop are prescribed, and a contact lens is prescribed to protect the cornea from further pain, conjunctival swelling is reduced, and the patient becomes comfortable. 22,23…”

Unfavourable results in facial rejuvenation surgery: How to avoid them

“…[2] The lower eyelid incision should be taken flush below the eyelash line, any lower and it is visible as a scar under the eyelashes [Figure 2]. …”

Upper blepharoplasty: A comparative study between wound closure strips and subcuticular closure

“…Although scaring is one of the frequent issues encountered following operation, literature data lacks details about the materials and methods applied during the suturing of the incision and this step is essentially depends on the general techniques applied by the surgeon setting and practice [3,4]. The healing pace of the skin in the eyelid is faster than any other part of the body though, it does require precise closure of the wound to prevent such complications as scaring and asymmetries and the scar area could appear raised and pigmented especially in those patients who are keloid formers [5].…”