There are a number of complications that are generally associated with all surgeries, and some specific to upper blepharoplasty. Some are more common than others.
Swelling — varying degrees; rarely may last several months to a year.
Asymmetry — pre-existing asymmetries may persist after surgery.
Scarring — usually hidden in the crease; rarely hypertrophic/keloid requiring treatment.
Wound dehiscence — in rare cases the wound may open up, requiring restitching.
Infection — antibiotics are routinely administered.
Pain — usually paracetamol is sufficient.
Undesirable cosmetic outcome — some patients may require a revision procedure.
Bruising — usually self-limiting, resolves within 1–2 weeks.
Bleeding (hematoma) — occasional bleeding may occur after discharge and may require return to the clinic.
Chemosis — conjunctival swelling; usually resolves spontaneously.
Allergic reaction — to local anaesthesia, antibiotics or antiseptics.
Numbness — usually temporary and caused by swelling.
Unable to close eyes — usually due to swelling; quite normal in the first week.
Dry eyes — more likely if present before surgery; liquid tears may help for 2–3 weeks.
Death and blindness — extremely rare but reported in the literature; no cases in our practice.
Even when the utmost care is taken, complications can occur. If any of these complications particularly worry you, please bring them to the attention of Dr Kim during the consultation.