My primary concern is always safety. I think that is the most important thing as a doctor. So, there are a couple of risk factors for problems after eyelid surgery. Dry Eye - If you just have a little dry or sandy sensation in your eye occasionally, then I would have to examine you and have a personal conversation with you to determine if it is safe to have a blepharoplasty. But people who have a lot of irritation and discomfort and need to use several drops a day would need to have the dryness fully managed before undergoing surgery.  Patients recently diagnosed with a Thyroid condition - Believe it or not, the thyroid can have strange effects on the eyelids, so if you were recently diagnosed with any thyroid condition (in the past 18 months), I have to make sure things are stable before proceeding with surgery. Patients on blood thinners like Plavix, Clopidigrel, Baby Aspirin, Warfarin, or Pradaxa AND can’t stop it before surgery - If you can’t stop your blood thinner before surgery, I don’t recommend surgery. If the doctor who prescribed the medication allows you to hold it for a few days, then it’s worth having a discussion about how that will affect your risks. People with unreasonable expectations, uncontrolled depression, or PTSD - Depression is very common, and as long as it is well controlled and you have a support system and therapist or provider (psychiatrist/psychologist/primary care doc) taking care of you, it should be OK. Patients who recently went through a traumatic life event (death in the family, divorce, lost job) should wait a few months to make sure everything is stable. Prior Eyelid surgery & Trauma -These are two risk factors for having difficulty closing the eyelids after surgery. So, while I commonly perform Revisional Eyelid Surgery, these need to be evaluated in person.