Advertisement

Complications of Lower Eyelid Blepharoplasty

  • Daniel J. Oh
  • Pete Setabutr
Chapter

Abstract

Lower blepharoplasty is one of the most common cosmetic procedures performed. It is considered safe, minimally invasive, and effective with regard to functional and cosmetic changes to the eyelid [1, 2]. While blepharoplasty has a high probability of success, even skilled surgeons will encounter complications [3]. Lower blepharoplasty was once focused on the removal of the excess skin and fat although presently the emphasis has been on repositioning and transfer techniques allowing for tissue preservation [2]. This allows for the restoration of volume loss that is associated with aging. While careful physical examination taking into account ocular health, lower eyelid position, and cheek projection is included in the preoperative assessment of a patient [4], complications can still arise.

References

  1. 1.
    Whipple KM, Korn BS, Kikkawa DO. Recognizing and managing complications in blepharoplasty. Facial Plast Surg Clin North Am. 2013;21(4):625–37.CrossRefGoogle Scholar
  2. 2.
    Rizk SS, Matarasso A. Lower eyelid blepharoplasty: analysis of indications and the treatment of 100 patients. Plast Reconstr Surg. 2003;111(3):1299–306.CrossRefGoogle Scholar
  3. 3.
    Klapper SR, Patrinely JR. Management of cosmetic eyelid surgery complications. Semin Plast Surg. 2007;21(1):80–93.CrossRefGoogle Scholar
  4. 4.
    Naik MN, Honavar SG, Das S, Desai S, Dhepe N. Blepharoplasty: an overview. J Cutan Aesthet Surg. 2009;2(1):6–11.CrossRefGoogle Scholar
  5. 5.
    Oestreicher J, Mehta S. Complications of blepharoplasty: prevention and management. Plast Surg Int. 2012;2012:1–10.CrossRefGoogle Scholar
  6. 6.
    Bartley GB, Warndahl RA. Surgical bleeding associated with aspirin and nonsteroidal anti-inflammatory agents. Mayo Clin Proc. 1992;67(4):402–3.CrossRefGoogle Scholar
  7. 7.
    Holck DE, Dutton JJ, Wehrly SR. Changes in astigmatism after ptosis surgery measured by corneal topography. Ophthalmic Plast Reconstr Surg. 1998;14(3):151–8.CrossRefGoogle Scholar
  8. 8.
    Chen WP, Khan JA. Color atlas of cosmetic oculofacial surgery. Philadelphia: Saunders Elsevier; 2010. Print.Google Scholar
  9. 9.
    Lelli GJ, Lisman RD. Blepharoplasty complications. Plast Reconstr Surg. 2010;125(3):1007–17.CrossRefGoogle Scholar
  10. 10.
    Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthalmic Plast Reconstr Surg. 2004;20(6):426–32.CrossRefGoogle Scholar
  11. 11.
    Kelly PW, May DR. Central retinal artery occlusion following cosmetic blepharoplasty. Br J Ophthalmol. 1980;64:918–22.CrossRefGoogle Scholar
  12. 12.
    Anderson RL, Edwards JJ. Bilateral visual loss after blepharoplasty. Ann Plast Surg. 1980;5:288–92.CrossRefGoogle Scholar
  13. 13.
    Carter SR, Stewart JM, Khan J, et al. Infection after blepharoplasty with and without carbon dioxide laser resurfacing. Ophthalmology. 2003;110(7):1430–2.CrossRefGoogle Scholar
  14. 14.
    Jordan DR, Mawn L, Marshall DH. Necrotizing fasciitis caused by group A streptococcus infection after laser blepharoplasty. Am J Ophthalmol. 1998;125(2):265–6.CrossRefGoogle Scholar
  15. 15.
    Goldberg RA, Li TG. Postoperative infection with group A beta-hemolytic Streptococcus after blepharoplasty. Am J Ophthalmol. 2002;134:908–10.CrossRefGoogle Scholar
  16. 16.
    Mauriello JA Jr, Atypical Mycobacterial Study Group. Atypical mycobacterial infection of the periocular region after periocular and facial surgery. Ophthal Plast Reconstr Surg. 2003;19:182–8.CrossRefGoogle Scholar
  17. 17.
    Schwarcz RM, Kotlus B. Complications of lower blepharoplasty and midface lifting. Clin Plast Surg. 2014;42(1):63–71.CrossRefGoogle Scholar
  18. 18.
    Hayworth RS, Lisman RD, Muchnick RS, Smith B. Diplopia following blepharoplasty. Ann Ophthalmol. 1984;16:448–51.PubMedGoogle Scholar
  19. 19.
    Alfonso E, Levada AJ, Flynn JT. Inferior rectus paresis after secondary blepharoplasty. Br J Ophthalmol. 1984;68:535–7.CrossRefGoogle Scholar
  20. 20.
    Harley RD, Nelson LB, Flanagan JC, Calhoun JH. Ocular motility disturbances following cosmetic blepharoplasty. Arch Ophthalmol. 1986;104:542–4.CrossRefGoogle Scholar
  21. 21.
    Baylis HI, Long JA, Groth MJ. Transconjunctival lower eyelid blepharoplasty: technique and complications. Ophthalmology. 1989;96:1027–32.CrossRefGoogle Scholar
  22. 22.
    Syniuta LA, Goldberg RA, Thacker NM, Rosenbaum AL. Acquired strabismus following cosmetic blepharoplasty. Plast Reconstr Surg. 2003;111:2053–9.CrossRefGoogle Scholar
  23. 23.
    Schwarcz R, Fezza JP, Jacono A, Massry GG. Stop blaming the septum. Ophthalmic Plast Reconstr Surg. 2016;32(1):49–52.CrossRefGoogle Scholar
  24. 24.
    McCord CD Jr, Ellis DS. The correction of lower lid malposition following lower lid blepharoplasty. Plast Reconstr Surg. 1993;92:1068–72.CrossRefGoogle Scholar
  25. 25.
    Patel BCK, Patipa M, Anderson RL, McLeish W. Management of postblepharoplasty lower eyelid retraction with hard palate grafts and lateral tarsal strip. Plast Reconstr Surg. 1997;99:1251–60.CrossRefGoogle Scholar
  26. 26.
    Segal KL, Patel P, Levine B, Lisman RD, Lelli GJ. The effect of Transconjunctival blepharoplasty on margin reflex distance 2. Aesthet Plast Surg. 2016;40(1):13–8.CrossRefGoogle Scholar
  27. 27.
    Korchia D, Braccini F, Paris J, Thomassin J. Transconjunctival approach in lower eyelid blepharoplasty. Can J Plast Surg. 2003;11(3):166–70.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Daniel J. Oh
    • 1
  • Pete Setabutr
    • 1
  1. 1.Illinois Eye and Ear InfirmaryUniversity of Illinois at ChicagoChicagoUSA

Personalised recommendations