Short and long term complications

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 an 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.

Removing too much skin

It causes a lot of problems such as the inability to close the eyes and drying out of the cornea. 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

Low positioning of the scar

The scar should be ideally positioned. Too low, and the skin will still hang over this scar.

Irregular contour of the eyelid

Uneven resection of fat can result in bumps that reveal where fat has not been removed. A secondary procedure can correct this minor problem.

Wavelike scar

Both sides of the wound should be smooth in order to make a straight-line suture. If the line is not straight, corrections can be done quite easily