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Minor Complications after Blepharoplasty: Dry Eyes, Chemosis, Granulomas, Ptosis, and Scleral Show

Pacella, Salvatore J. M.D., M.B.A.; Codner, Mark A. M.D.

Plastic and Reconstructive Surgery: February 2010 - Volume 125 - Issue 2 - p 709-718
doi: 10.1097/PRS.0b013e3181c830c7
Cosmetic: Special Topics

Summary: Blepharoplasty remains one of the most popular operations in facial aesthetic surgery. Serious complications, which include blindness, retrobulbar hematoma, and ectropion, although relatively rare, are well reported in the literature. As techniques evolve in aesthetic eyelid surgery, minor complications continue to be very common. Nonetheless, management of these complications can be challenging and may require extended management or surgical revision. The authors discuss several of the most common minor complications, including hematoma, dry-eye syndrome, infections, atypical lesions, lid malposition, and scarring. In addition, preoperative assessment of risk factors, treatment, and management of these minor complications are presented.

La Jolla, Calif.; and Atlanta, Ga.

From the Division of Plastic Surgery, Scripps Clinic and Research Institute, and Paces Plastic Surgery.

Received for publication March 31, 2008; accepted July 23, 2009.

Disclosures: Neither of the authors has any commercial associations, financial interests, or conflicts of interest to disclose. Mark A. Codner, M.D., receives finances for research and consulting from Mentor Corporation and receives royalties for books published by Quality Medical Publishing and Elsevier.

Mark A. Codner, M.D., Paces Plastic Surgery, 3200 Downwood Circle, Suite 640, Atlanta, Ga. 30327,

©2010American Society of Plastic Surgeons