Michael J. Hawes, M. D., F.A.C.S.     |   home Laser Resurfacing   |   Eyebrow and Forehead Lift   |   Upper blepharoplasty   |   Asian blepharoplasty   |   Lower blepharoplasty   |   Blepharoptosis or droopy eyelid   |   Mid Face Lift   |   Secondary Repairs after Previous Blepharoplasty   |   Botox for Wrinkles and Worry Lines Secondary Repairs after Previous Blepharoplasty Blepharoplasty is a very common operation, and the vast majority of patients have a good result. However, the outcome is not always perfect, even when the original surgeon did the best job he or she could. Dr. Hawes has seen hundreds of patients in referral from other doctors (general plastic surgeons, facial plastic surgeons, other oculoplastic surgeons) with complications from blepharoplasty surgery, and he has also encountered some of these problems in his own patients. Complications may include: asymmetry difficulty closing the lids dry eye syndrome loss of vision or blurry vision double vision ectropion or lid turned outward lid retraction or lid pulled downward chemosis or swelling of the eye surface scarring webbing or folds of skin (usually at the inner corner of the upper lid) lid crease problems droopy lid lacrimal gland prolapse (causes fullness of the upper lid laterally) hemorrhage dissatisfaction excessive/inadequate fat removal excessive/inadequate skin removal One such patient who had lower lid retraction and persistent swelling of the surface of the eye after a blepharoplasty done by a general plastic surgeon is seen in the first photo below and then following surgical correction as performed by Dr. Hawes in the second photo below. The swelling is still not completely resolved in the right eye in the postoperative photo. A more subtle problem is seen in the patient pictured below. She is a patient referred to Dr. Hawes for treatment of a sagging left lower lid following a previous blepharoplasty surgery by a facial plastic surgeon. She has chronic soreness and dryness of her left eye months after waiting for the lids to heal. The second or lower photo is following revision by Dr. Hawes to raise the lower lid and cheek.  The surgery was done on the inside of the lid to avoid a visible scar. Complications from blepharoplasty do not always require surgery and often tend to improve with time. Services Menu 850 East Harvard Avenue #345 Denver, Colorado 80210 303-698-2424 303-698-2430 FAX staff@drhawes.com