Global Courant
Eyelid plastic surgery, also known as blepharoplasty, is normally a very safe and rewarding procedure that will make you look and feel your best. It is of utmost importance that you choose a surgeon who specializes in cosmetic eyelid surgery to ensure you receive the best possible treatment. However, there is always a small chance that something will go wrong with surgery and you should know what to do if you experience complications.
This is a rare problem, but a very serious one if it really bothers you. Temporary swelling is a normal reaction to surgery and this may mean that closing your eyes takes a little extra effort and that your eyes are drier than usual. If you have dry eyes after eyelid surgery, make sure to use eye drops as directed by your doctor to help ease your eye irritation. Since swelling is temporary, such a problem should resolve itself quickly and your lid will soon return to normal function.
After about six weeks, post-surgery swelling should have subsided and dry eye symptoms should subside. However, sometimes too aggressive surgery can cause long-term damage that can actually exacerbate existing dry eye symptoms. This can happen when too much skin and/or muscle has been removed from the upper eyelid, meaning your eyes may not close completely at night if you are relaxed and not thinking about it. Fortunately, this is a concern that can be addressed as long as you are sure to see a doctor about this problem. If you are unable to close your eyelids all the way, whether awake or asleep, it is recommended that you be evaluated by an ophthalmologist or a fellowship-trained eyelid plastic surgeon, a board-certified ophthalmologist specially trained in eyelid plastic surgery.
What kind of treatment do I need?
This depends on the exact nature of your problem and unique individual circumstances. It’s possible for surgery to damage the same nerves that supply the muscle you use to close your eye, weakening your blink reflex. This can happen when skin and muscles are removed at the time of eyelid surgery. As a result, you may not blink with enough speed or force to completely close the eye. This means that your eyelids can’t move tears around your eye surface properly to keep it moist.
The first course of treatment here is to increase the frequency of eye drops and perhaps use an eye ointment, depending on what your doctor prescribes. Your surgeon may recommend that you temporarily use a plug to close off the tear duct to keep your eyes moist. When these measures are not enough to restore eye comfort, it is time to consider reconstructive blepharoplasty. Your original surgeon will likely be eager to resolve your concerns. If possible, we recommend that you seek help from your original surgeon. However, if you no longer feel comfortable with your eye plastic surgeon or are concerned that your need is beyond his or her abilities, it’s a good idea to seek multiple opinions.
This is especially important if your surgeon is not an eye plastic surgeon, but has received training in another surgical specialty. The first task of the second opinion consultation is to determine the basis of the problem and whether all appropriate medical steps have been taken to improve eye comfort. Depending on the severity of your problem, you probably have a range of options. In some cases, eyelid reconstruction may be necessary to correct an eyelid surgery. The goal of any solution is to ensure that the eyelids meet easily and have enough closing force to help spread tears across your corneal surface.
You need an experienced oculofacial plastic surgeon
Your surgeon should always proceed with caution and operate conservatively to minimize the risks of surgical complications and to ensure natural results. It’s true that prevention is the best treatment, but if you’re already dealing with the effects of a previous over-aggressive blepharoplasty, you need a solution to reverse the damage you’ve already done. Now is the time to find a doctor with a specialty, background, education, and experience in eyelid surgery repair.
If for any reason your relationship with your surgeon has deteriorated or you are concerned about your doctor’s abilities in this particular area of specialty, we encourage you to use your best judgment and seek a second or third opinion. This is a good idea, even if you have been told in the past that nothing is wrong or that nothing can be done. There are times when it makes sense to go to a doctor who devotes much of his practice to reconstructive blepharoplasty to correct previous treatments.
I Can’t Close My Eyes After Eyelid Surgery – Help!
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