Ptosis correction surgery, also known as blepharoptosis repair, is a highly effective procedure for lifting droopy eyelids and restoring both function and facial balance. While generally safe and performed by oculoplastic or eyelid specialists, every surgical procedure carries some degree of risk. Being fully informed about the possible side effects and complications can help you make a confident, well-prepared decision.
In this article, we’ll break down the most common side effects, potential risks, and how they’re managed, so you know what to expect before undergoing ptosis surgery.
🔍 Common Side Effects After Ptosis Surgery
Most patients experience mild and temporary side effects, which are a normal part of the healing process.
1. Swelling
- Why it happens: Inflammation is the body’s natural response to surgery.
- What to expect: Swelling is usually worst during the first 2–3 days and gradually improves over 1–2 weeks.
- Management: Use cold compresses and keep your head elevated while resting.
2. Bruising
- Appearance: Bruising around the upper eyelid, often extending to the cheek or under-eye area.
- Duration: Typically fades within 10–14 days.
- Tip: Arnica gel or bromelain supplements (if approved by your doctor) may help reduce bruising.
3. Mild Discomfort or Pain
- Most patients describe this as tightness, soreness, or a stinging sensation.
- Pain is usually mild and manageable with over-the-counter pain medication.
4. Dry Eyes or Tearing
- Occurs due to reduced blinking or temporary difficulty in full eyelid closure (lagophthalmos).
- May also cause a gritty or irritated feeling.
- Use lubricating eye drops or ointments as prescribed to keep the eyes moist.
5. Temporary Blurred Vision
- May be caused by:
- Ointment used after surgery
- Swelling around the eye
- Mild dryness
- Should resolve within a few days to a week.
6. Eyelid Asymmetry
- Eyelids may look slightly uneven during the initial healing phase due to swelling.
- Most minor asymmetries improve as healing progresses.
- Persistent or significant asymmetry may require revision surgery, but this is rare.
⚠️ Less Common but Possible Risks and Complications
Though uncommon, some patients may experience more serious complications. Choosing an experienced oculoplastic surgeon can greatly reduce these risks.
1. Overcorrection or Undercorrection
- Overcorrection: The eyelid is lifted too high, possibly causing dryness or poor eyelid closure.
- Undercorrection: The eyelid remains too low, failing to resolve the vision obstruction.
- In both cases, revision surgery may be considered once healing is complete (after ~3–6 months).
2. Lagophthalmos (Incomplete Eyelid Closure)
- Can lead to dry eye, irritation, or corneal exposure.
- Often temporary and improves as swelling decreases.
- Nighttime use of ointments or taping the eyelid shut may be recommended.
3. Double Vision (Diplopia)
- Caused by temporary misalignment of the eye muscles or changes in eyelid tension.
- Usually resolves on its own within days to weeks.
- Persistent cases may need further evaluation.
4. Infection
- Very rare due to the rich blood supply in the eyelid.
- Signs include:
- Increased redness
- Warmth
- Pus-like discharge
- Fever
- Treated promptly with oral or topical antibiotics.
5. Scarring
- Incisions are typically hidden in the natural eyelid crease, making visible scars unlikely.
- In rare cases, thick or raised scars (hypertrophic or keloid) may form.
6. Bleeding or Hematoma
- A hematoma is a collection of blood under the skin that may cause pressure or discomfort.
- Most resolve without intervention; significant cases may require drainage.
7. Allergic Reaction to Sutures or Medications
- Redness, irritation, or rash around the incision site may indicate sensitivity.
- Managed by changing medication or removing reactive materials.
🩺 Who Is at Higher Risk of Complications?
Certain factors can increase the likelihood of side effects:
- Older age
- Pre-existing dry eye syndrome
- Bleeding disorders or blood-thinning medications
- Diabetes or autoimmune conditions
- History of poor healing or keloid formation
- Neuromuscular disorders (e.g., myasthenia gravis)
Discuss your full medical history with your surgeon during the consultation to evaluate your specific risks.
✅ How to Minimize Side Effects and Ensure a Smooth Recovery
- Choose a Board-Certified Oculoplastic Surgeon
- Specialized training ensures safer, more precise results.
- Follow All Post-Operative Instructions
- Proper wound care, medication use, and activity limitations are crucial.
- Attend All Follow-Up Appointments
- Your surgeon will monitor healing and catch any complications early.
- Avoid Smoking and Alcohol
- These can delay healing and increase risk of infection.
- Protect Your Eyes
- Wear sunglasses outdoors, avoid dusty environments, and refrain from rubbing your eyes.
📝 Final Thoughts
While ptosis correction surgery is generally safe and effective, it’s important to understand the potential side effects and risks involved. Most side effects are temporary and manageable, especially when the procedure is performed by a skilled specialist and followed by proper post-operative care.
Being aware of what’s normal versus what’s concerning can help you feel more confident and proactive during your recovery.
