Postoperative changes to eyelid position is a common complication of lower lid blepharoplasty. Most of these cases resolved spontaneously, however, some cases can be permanent resulting in lower lid retraction and rounding of the lower eyelid contour. In addition to the poor cosmetic appearace, these patients can suffer from watering eyes and poor eyelid closure.
These complications occur in transcutaneous (in which the skin below the eyelashes is incised) lower blepharoplasty often performed by inexperienced surgeons with removal of too much lower lid skin. Patients at risk are those with lower eyelid laxity when even lesser amount of skin removal can cause lid retraction.
The pictures below show different severities of these complications in patients seeking revisional lower blepharoplasty:
Mild lower lid retraction with moderate rounding
of the lower lid. The operation was done in a
beautician saloon by unlicensed foreing doctor.
Moderate lower lid retraction with
significant rounding of the lower lid. The operation
was done in a beauty saloon by unlicensed doctor.
Severe retraction of the lower eyelids with the lower
lids turning out. More severe on the right.
Severe retraction of the right lid after transcutaneous