People who have dry eyes before surgery have a greater chance of this problem after surgery. For this reason we recommend an eye evaluation by an ophthalmologist before the surgery is performed. Very rarely there may be other problems after surgery such as persistent drooping of the lower lids and darkening of the eyelids because of permanent retention of blood pigment in the skin. The persistent drooping of the eyelids may require additional surgery. Although temporary visual changes may occur after surgery, these usually return to the preoperative state after time.
Blindness can occur, but is extremely rare.
Generally, the eyes look and feel more rested and youthful following surgery. The wrinkles are not completely erased, but they are much improved. Lower lid blepharoplasty can be done without external scars on some patients who have primary fat bags that do not need skin excision. Using this technique, incisions can be made inside the lower eyelid, fat can be removed, and the wrinkles on the skin can then be removed using laser skin resurfacing or chemical peel techniques. The postoperative course is the same as a standard lower lid blepharoplasty.