Thankfully, severe complications after upper blepharoplasty are rare. However, there are potential risks and complications as with any surgery: infection, bleeding, and poor wound healing. Some eyelid-specific risks include worsening of dry eye, eyelid tightness, numbness of the lash area (this improves with time). In an experienced and conservative surgeon’s hands, complications such as inability to close the eyes or vision impairment are extremely unlikely.