Imagine. You will have eyelid surgery tomorrow morning. How would you feel? Excited? Annoyed? Frightened?

It is by no means strange that some patients eagerly await surgery, while others feel a little anxious. After all, eyes are very important human characteristics and the skin surrounding the eyes is sensitive. A complication that develops can result in quite serious problems that will most likely have social implications.

Here is a discussion of the major concerns of patients with eyelid surgery, as well as the true potential for these problems to occur.

I won’t be able to close my eyes. Scientists, researchers, and surgeons agree that it is rare for a patient to be unable to fully close their eyes after surgery. When this occurs, it is almost always temporary. It is completely natural that the eyes are not completely closed for the first 2-4 weeks after upper blepharoplasty (eyelid aesthetics). As these patients often fear, it is not due to excessive skin removal, but to swelling of the eyelid due to edema, and this swelling restricts eyelid movements. Rarely, it may take longer than 2-4 weeks for the eyelids to not close completely. This is the result of the scar tissue hardening of the valve, which we call scar contracture. Scar contractures will also soften with the maturation of the scar tissue around the 3rd month, and the eyelids will regain their former flexibility. In cases where too much skin is removed from the eyelid, it is possible that the eyes will not close permanently, but it is very, very rare. No trained surgeon would consciously remove this level of skin from the eyelid. Unfortunately, a few cases where the upper or lower eyelids cannot come together completely, with a probability of one in a thousand, caused a great sensation in the public.

My surgeon can hurt my eyes. It is not unheard of for a fully trained, experienced plastic surgeon to surgically damage a patient’s eye, but it is extremely rare. A standard blepharoplasty surgery takes place only on the eyelid and there is little or no eye contact. However, by taking precautions, we cover your eye with a special gel to keep it moist and slippery during the surgery, and we protect the eyeball with special eye shields.

My eyes may appear asymmetrical after surgery. Rarely, the patient may feel that their eyes are not symmetrical after surgery. First of all, the shape of the eyes is almost always different from each other before the surgery, but we do not notice them in daily life because we do not look carefully. The majority of the asymmetries that disturb the patients after the surgery are still there when looking back at the pre-operative photos. It is a good idea to objectively evaluate your own characteristics with your plastic surgeon prior to the procedure. Another issue is that eyelid surgery cannot be performed exactly the same on the right and left. A vein bleeds a little longer on one side, and that side may appear swollen and more purple. Also, lateral cantopexy and muscle suspension maneuvers may cause temporary squints and deformities in the eye. However, these are deliberate over-corrections to prevent complications, and your surgeon will relieve you in this regard.

The shape of my eyes will change after surgery. After the surgery, the shape of your eyes may change depending on various complications. It may sound strange when you first hear it, but in order to preserve the shape of your eyes in the long term and to prevent complications, sometimes the shape of your eyes may look too slanted for a while after the surgery, and there may be temporary skin bumps around the eyes. Taking such protective measures, especially in patients in the risk group, considerably reduces the incidence of complications. Your surgeon will inform you about preventive measures and early results during the pre-operative interview. It will take an average of 3 months after the surgery for your eyes to take their final shape, but in some special cases and risk groups, this period may take up to 1 year.

I will have permanently dry eyes. It is common for your eyes to feel drier than normal after surgery; This is why eye drops are recommended as a means of healing. Dry eyes usually resolve on their own within a few days to a few weeks. If you have dry eye before the operation, you should definitely tell your surgeon about this because some surgical techniques should not be applied to patients with dry eyes.

I will not like my results. The main reason for dissatisfaction after blepharoplasty is the lack of communication. Make sure you have a detailed conversation about the exact surgical plan that is right for you and ask all the questions. Read the informed consent forms carefully and discuss any points you do not understand with your doctor. Have clear goals and make sure your doctor gets them right. Implicit statements about your goals like “I want to look less tired” are not enough. Also, make sure you understand your surgeon’s plan for managing complications and possible revisions. Often all that needs to be done is a little tweaking. Review as many before and after photos as possible before the surgery and choose the service you receive by seeing the results.

When you choose a plastic surgeon who is proficient in performing eyelid surgery, your chances of experiencing complications are also very low. Use your consultation time wisely. To weigh your surgeon’s blepharoplasty experience, ask how many eyelid procedures he performs each year and what measures he or she takes to minimize risks. Investigate whether he has contributed to the medical literature in this area. See the before and after photos. Ask what the complications look like, too. Ask for references from real patients who have previously operated on that surgeon. Don’t be shy, meet and talk to a few. After doing your research and consulting with a qualified plastic surgeon, if you are not completely comfortable, you can go to see another specialist doctor, it will not be a shame for anyone. Consider the time, effort and money you spend on all this as a part of your investment to see well.

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