Blepharoplasty is the most common aesthetic procedure involving the face and the fourth most common cosmetic procedure overall. This procedure involves removing redundant skin from the eyelids with or without removal of orbital fat to improve the contour of the eyelid surface. Complications from blepharoplasties are relative rare. However, it is essential for all medical personnel involved in the peri-operative care of these patients to recognize the most serious as well as the most common complications of this procedure in order to provide appropriate care to these patients. This article reviews the major complications of blepharoplasties and highlights recognition of these complications and initial management options. Complications reviewed in this article include; eyelid malposition, retrobulbar hemorrhage, eyelid hematoma and ecchymosis, diplopia and acquired strabismus, scar abnormalities and wound dehiscence.