The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

What Are Cons Of Eyelid Surgery?

Eyelid surgery, also known as blepharoplasty, is a popular procedure used to improve the appearance of the upper and lower eyelids. It involves removing excess skin, fat, and muscle in order to create a more youthful look. Although the results can be aesthetically pleasing, there are potential risks and complications associated with this type of surgical procedure that should be considered before undergoing treatment. This article will discuss some of the potential cons of eyelid surgery including cost, scarring, and the possibility of vision loss or damage.

The cost of eyelid surgery can vary depending on factors such as geographic location and complexity of the procedure. Additionally, many insurance companies do not cover this type of procedure as it is considered cosmetic in nature. As such, patients must be prepared to pay out-of-pocket for their treatment. Furthermore, although rare, there is a risk of scarring following surgery which can affect both aesthetic appeal and vision. Finally, due to its proximity to delicate structures in the eye area such as nerves and muscles controlling vision, there is a slight chance that the procedure could lead to vision loss or damage if performed incorrectly by an inexperienced provider.

In conclusion, although eyelid surgery can provide aesthetically pleasing results for patients looking to reduce signs of aging or enhance their appearance overall, it is important for them to understand that there are potential risks associated with this type of surgical procedure including cost considerations and possible scarring or vision loss/damage complications.


Eyelid surgery, also known as blepharoplasty, is a surgical procedure designed to improve the appearance of the eyelids. It can be used to remove excess skin and fat from the upper and lower eyelids, as well as address droopiness in the lower lids. The surgery can be performed on both the upper and lower lids at the same time or separately, depending on the patient’s needs. The goal of eyelid surgery is to create a more rejuvenated and youthful appearance to the eyes while providing improved vision.

The procedure is often performed under local anesthesia or intravenous sedation with a post-operative recovery period of approximately two weeks. During this time it is important for patients to follow all post-operative instructions given by their surgeon carefully in order to ensure optimal healing and results. Potential risks associated with this procedure include bruising, swelling, infection, dry eyes, asymmetry, double vision, and difficulty closing the eyes.

In rare cases there may be complications such as permanent damage or loss of vision or scarring that requires revisional surgery. As with any surgical procedure it is important to discuss potential risks and benefits with your surgeon prior to proceeding with treatment.

Potential Complications

Eyelid surgery is generally considered a safe and effective procedure, but like any surgery, there are potential risks and complications. The most common potential issues are dry eyes, infection, excessive bleeding, and poor wound healing. In rare cases, double vision or difficulty closing the eyelid can occur.

The risk of infection is higher for those with diabetes or an immune disorder, as well as smokers. There is also a risk of altered visual acuity due to corneal irritation, swelling or hematoma of the eyelids. In some cases, scarring or asymmetry can occur after this procedure.

Patients should be aware of these risks before undergoing eyelid surgery and discuss them with their surgeon to ensure they are making an informed decision.

Risks Of Anesthesia

Anesthesia is an integral part of eyelid surgery and carries its own set of risks. As with any medical procedure involving anesthesia, there are potential side effects, such as nausea, vomiting, headache, dizziness or confusion. In rare cases, more serious complications can occur including a reaction to the anesthesia that can cause difficulty breathing or even heart problems.

In addition to the side effects of general anesthesia, there are potential risks associated with local anesthesia as well. Local anesthesia carries less risk than general anesthesia but still has potential side effects. These can include bleeding, infection, and nerve damage due to improper placement of the injection.

It is important for patients considering eyelid surgery to be aware of the risks associated with both general and local anesthesia when making their decision about undergoing the procedure. Having a full understanding of these potential complications will allow patients to make an informed decision about whether or not eyelid surgery is right for them.


Scarring after eyelid surgery is a potential concern for patients. Scarring occurs as part of the healing process and can be visible, depending on the size and type of incision made. For example, external incisions may be made at the lash line to perform a blepharoplasty, which has the potential to leave a visible scar at the lash line. Furthermore, if too much tissue is removed or if there is an infection during healing, hypertrophic or keloid scarring may occur. Despite these possibilities, most scars heal well and are not noticeable over time.

In addition to external incisions, internal incisions may also be made during eyelid surgery in order to access deeper tissues. Internal incisions have less chance of leaving visible scarring but can still cause some problems with healing such as delayed wound closure or infection. In order to minimize scarring risk during internal procedures, sutures used should be absorbable so that they do not need to be removed later on.

The risk of post-operative scarring can be reduced by following instructions provided by your oculoplastic surgeon or ophthalmologist regarding pre-operative preparation, post-operative care, and any follow up visits necessary for monitoring healing progress. Additionally, medications prescribed after surgery should be taken as directed in order to ensure proper wound healing and reduce the chance of infection.

Unsatisfactory Results

While eyelid surgery can be a beneficial procedure for many people, it does come with some potential risks and complications. One of the most concerning risks is that of unsatisfactory results. In some cases, patients may not be pleased with the outcome of their surgery and could experience issues such as asymmetry or lopsidedness in their eyes, an unnatural look to their eyes, or loss of vision due to too much skin being removed. Additionally, they may also have difficulty closing the eye and blinking properly due to the changes made during surgery.

Another issue that can arise after eyelid surgery is the creation of ectropion, which is when the lower lid turns outwards instead of inwards. This can result in dry eyes, redness and irritation, pain, watery eyes, blurred vision, excessive tearing or discharge from the eye. In addition to these physical symptoms, ectropion can also cause psychological distress as it often gives an unnatural appearance to the eyes.

Finally, another risk associated with eyelid surgery is scarring. While scarring is generally minimal when performed correctly by a skilled surgeon who uses appropriate techniques and suturing methods, some patients may still experience visible scarring after their procedure which can negatively impact their self-confidence. It is important for patients considering eyelid surgery to discuss these risks thoroughly with their doctor beforehand so they are fully aware of what to expect following the procedure.

Infection Or Bleeding Risk

Infection or bleeding risk is a potential concern of eyelid surgery. Bleeding during the procedure can occur if there is damage to the conjunctiva, which may require additional treatment. The risk of infection post-operatively is present and can be decreased by ensuring proper wound care, such as avoiding contact with water for several days after the procedure. Additionally, antibiotics may be prescribed to reduce the risk of infection.

It is also important to note that eyelid surgery can cause long-term vision problems in some cases. This can include ptosis (drooping) of the eyelid and dry eye syndrome. To avoid these complications, patients should have a thorough preoperative evaluation with a oculoplastic surgeon or ophthalmologist who has experience in eyelid surgery.

The patient should also follow all postoperative instructions carefully to ensure that any risks are minimized and healing occurs without complications.

Damage To Vision Or Eye Structures

Eyelid surgery can lead to a number of serious complications which may damage vision or eye structures. The most significant risk is that of an infection, which can occur at any time after the procedure and may require additional treatment. Additionally, the eyelid skin may become too tight, resulting in entropion (inward turning of the eyelid) or ectropion (outward turning of the eyelid). If this occurs, it can cause discomfort and irritation to the eye, as well as impairing vision. Finally, some patients may experience reduced blink reflex or tearing due to nerve damage during surgery. This can also lead to dry eyes and corneal abrasions if not managed appropriately. In severe cases, scarring may occur on the surface of the eye, leading to decreased vision.

It is important for patients considering eyelid surgery to be aware of all potential risks before undergoing the procedure. Patients should discuss with their surgeon any concerns they have and ask whether they would be suitable candidates for this type of surgery. Furthermore, it is recommended that all patients follow their ophthalmologist’s post-operative instructions closely in order to reduce their risk of complications and ensure successful recovery following surgery.

Cost And Insurance Coverage

The cost of eyelid surgery can range from $2,500 to $6,000 per eye. The price varies depending on the complexity of the procedure and the type of anesthesia used. It is important to be aware that insurance typically does not cover cosmetic procedures such as eyelid surgery. However, if an individual has functional issues with their eyes due to droopy or sagging eyelids, then insurance may cover some of the costs associated with this procedure. In some cases, it may even be covered in full if medically necessary. Additionally, some plastic surgeons offer financing plans to help patients manage the expense of this type of surgery.

In order to determine whether a patient is eligible for any financial assistance through their insurance provider, they should contact their insurer directly and discuss coverage options with them. If a patient opts for financing plans from the plastic surgeon’s office, they should make sure to get all the details about payment terms and interest rates before agreeing to any plan. Furthermore, it is wise for potential patients to research different surgeons and compare prices so that they can find one that fits within their budget.

Patients considering eyelid surgery should understand its cost implications prior to undergoing the procedure and consider different options for managing its financial aspects.

Long-Term Maintenance

Following the discussion of cost and insurance coverage for eyelid surgery, it is important to discuss long-term maintenance. Eyelid surgery does not always guarantee a permanent solution to the condition being treated. For instance, in cases of ptosis, or drooping of the upper eyelids, the surgery can help improve vision; however, there is a risk that ptosis may recur due to age-related weakening of the levator muscle. Additionally, patients who have undergone blepharoplasty may need additional procedures if they are unhappy with their results or if their skin continues to sag with age.

The risks associated with eyelid surgery include dry eyes, infection, scarring and ectropion (a condition in which the lower lid turns outwards). Patients should be aware that these risks are possible and should take proper precautionary measures such as properly caring for their incision sites after surgery and using artificial tears to keep their eyes lubricated. In addition, patients should also consult regularly with their oculoplastic surgeon or ophthalmologist post-surgery in order to monitor any changes that may occur in the area operated on.

Eyelid surgery can be an effective way to reduce signs of aging around the eyes or treat certain conditions; however, it is important for patients to understand that long-term maintenance is necessary for successful outcomes. It is incumbent upon patients to take proper precautions post-surgery and follow up regularly with their doctor in order to ensure that complications do not arise and that treatment results remain satisfactory over time.

Emotional Impact

Eyelid surgery, also known as blepharoplasty, can have potential emotional implications. Despite the potential physical benefits of the procedure, many patients report feeling unsatisfied with their results. The dissatisfaction may stem from not achieving the desired aesthetic result or from having an uncomfortable recovery process. Additionally, some patients may experience depression due to a lack of control over their appearance before and after the surgery. Finally, psychological distress can be compounded by feelings of regret for undergoing such a permanent procedure with potentially irreversible results. Therefore, it is important that any patient considering eyelid surgery be aware of these potential emotional impacts prior to making a decision about undergoing the procedure.


The decision to receive eyelid surgery is an important one that requires careful consideration of the potential risks and benefits. This article has outlined some of the cons associated with eyelid surgery, including potential complications, risks related to anesthesia, scarring, unsatisfactory results, damage to vision or eye structures, cost and insurance coverage issues, long-term maintenance requirements, and emotional impacts.

Patients should be aware of the risks in order to make an informed decision about whether eyelid surgery is right for them. It is recommended that patients consult with a board-certified oculoplastic surgeon or ophthalmologist before undergoing any procedure involving the eyes. During this consultation, it is important to discuss all concerns so that a personalized treatment plan can be created that best meets each patient’s individual needs.

Though there are cons associated with eyelid surgery, it can have very positive outcomes when performed by a skilled and experienced medical professional. Patients should take time researching their provider and consider all options available before making any decisions regarding elective facial plastic surgery procedures.

The Seattle

Plastic Surgery Center


Award Winning Highly Rated & Reviewed plastic surgeon Dr & medical clinic serving Seattle Wa 98104, King County, Bellevue, Kirkland, and Surrounding Areas. We offer a variety of surgical procedures and non surgical treatments for enhancement and rejuvenation.

Reach Us.

Copyright © 2022. The Seattle Plastic Surgery Center. All rights reserved.