Possible complications short and long term


Bruising of the skin (Ecchymosis)


When blood migrates into the skin, the skin first turns blue after a day or two. Over a period of 10 days it further turns into green and finally yellow before disappearing completely. No ointments should be used to speed up this resorption of blood. They could only add a rash. In blefaroplasties, bruising is not common, as I coagulate every small vessel before closing the skin

Blood collections (Hematoma)


When even more blood accumulates in the virtual spaces, this is called a hematoma.

They disappear very rapidly, over the course of one to two weeks.


Milia are small fat deposits in the scar. They are visible as small white dots on the scar. They can easily be removed with a small needle.

Temporary outward tilting of the eyelid

This is a rare condition. The edge of the eyelid can tilt outwards for a brief period of time. This is caused by a combination of laxity of the eyelid (age) with the effects of wound healing (contraction).

This results in an eyelid somewhat drier the for a while. The situation will get back to normal within a week or two. In the meantime, teardrops can help keeping the eye and eyelid moist.

Removing too much skin

It causes a lot of problems such as the inability to close the eyes and drying out of the cornea.This condition is called an ectropion. It should be avoided at all cases. I never encountered it because I prefer to err on the safe side.

Treatment : grafting of full thickness skin.

This condition is called lagophtalmia

Inadequate removal of fat

At times it is difficult to find the fat, in particular on the inner side of the eyelid.

Treatment : reapportion with partial incision with removal of the fat.

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