Blepharoplasty

What are the risks of eyelid surgery?

The decision to have plastic surgery is extremely personal and you will have to weigh the potential benefits in achieving your goals with the risks and potential complications of eyelid surgery. Only you can make that decision for yourself.

You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

Possible eyelid surgery risks include:

  • Anesthesia risks
  • Swelling and bruising
  • Bleeding from the incision lines
  • Dryness to the eyes
  • Sensitivity to sun or other bright light
  • Difficulty closing your eyes
  • Ectropion, an outward rolling of the lower eyelid
  • Infection
  • Lid lag, a pulling down of the lower eyelid, may occur and is often temporary
  • Temporary or even permanent change in vision, and very rare chance of blindness
  • Changes in skin sensation or numbness of the eyelashes
  • Pain, which may persist
  • Possible need for revision surgery
  • Unfavorable scarring

These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

Good candidates for eyelid surgery include:

  • Healthy individuals with no medical conditions that can impair healing
  • Nonsmokers
  • Individuals with a positive outlook and realistic goals
  • Individuals without serious eye conditions

Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes stretching out of the upper eyelid muscle may cause a drooping eyelid. This is called eyelid ptosis and requires a different surgical treatment.

Your plastic surgeon will evaluate your facial anatomy thoroughly and will discuss what procedures might best remedy your concerns.

The average cost of cosmetic eyelid surgery is $3,026, according to 2017 statistics from the American Society of Plastic Surgeons.

Blepharoplasty costs can vary widely. The average fee referenced above does not include anesthesia, operating room facilities or other related expenses.

A surgeon's cost for eyelid surgery may vary based on his or her experience, the type of procedure used, as well as geographic office location.

Many plastic surgeons offer patient financing plans to help cover blepharoplasty costs, so be sure to ask.

Eyelid surgery costs may include:

  • Surgeon's fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication
  • Medical tests

When choosing a board-certified plastic surgeon in your area for eyelid surgery, remember that the surgeon's experience and your comfort with him or her are just as important as the final cost of the surgery.

Eyelid Surgery and Health Insurance

Most health insurance does not cover cosmetic surgery or its complications.

When eyelid surgery is performed to eliminate the redundant skin covering the eyelashes, it may be covered by insurance. Carefully review your policy.


Case Study

In preparing for eyelid surgery, you may be asked to:

  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding and bruising

Eyelid surgery should be performed in an accredited office-based surgical facility, a licensed ambulatory surgical center, or a hospital. Be sure to arrange for a friend or family member to drive you to and from surgery, and to stay with you the first night following surgery.

Specialist

During your eyelid surgery consultation be prepared to discuss:

  • Your surgical goals
  • Medical conditions, drug allergies, previous medical treatments and specifically any problems you have had with your eyes
  • Current prescription medications, including vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous surgeries

Your plastic surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Take photographs
  • Discuss your eyelid surgery options
  • Recommend a course of treatment
  • Discuss likely outcomes of eyelid surgery and any potential risks
  • Discuss the type of anesthesia that will be used

The consultation is the time to ask your plastic surgeon questions. To help, we have prepared a checklist of questions to ask your plastic surgeon that you can take with you to your eyelid surgery consultation.

It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon.

Disclaimer

The decision to have plastic surgery is extremely personal and you will have to weigh the potential benefits in achieving your goals with the risks and potential complications of eyelid surgery. Only you can make that decision for yourself.

You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

Possible eyelid surgery risks include:

  • Anesthesia risks
  • Swelling and bruising
  • Bleeding from the incision lines
  • Dryness to the eyes
  • Sensitivity to sun or other bright light
  • Difficulty closing your eyes
  • Ectropion, an outward rolling of the lower eyelid
  • Infection
  • Lid lag, a pulling down of the lower eyelid, may occur and is often temporary
  • Temporary or even permanent change in vision, and very rare chance of blindness
  • Changes in skin sensation or numbness of the eyelashes
  • Pain, which may persist
  • Possible need for revision surgery
  • Unfavorable scarring

These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

Frequently Asked Questions About This Procedure

 

 

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