Download PDF
Facial Plast Surg 2013; 29(01): 064-070
DOI: 10.1055/s-0033-1333838
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Complications in Periorbital Surgery

Adam M. Terella
1   Department of Otolaryngology, Head and Neck Surgery, University of Colorado, Denver, Aurora, Colorado
,
Tom D. Wang
2   Department of Otolaryngology, Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon
,
Michael M. Kim
2   Department of Otolaryngology, Head and Neck Surgery, Oregon Health & Science University, Portland, Oregon
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2013 (online)

Also available at
    Permissions and Reprints

Abstract

Comprehensive rejuvenation of the periorbital region commonly involves management of the brow, as well as the upper and lower eyelids. Browlifting, upper and lower blepharoplasty, fat transfer, and neuromodulators are frequently utilized with excellent results. However, surgery in this region can be fraught with potential complications ranging from a poor cosmetic outcome to orbital hematoma and vision loss. Although avoidance of complications is preferred, it is incumbent on the surgeon to have a detailed understanding of the pathophysiology, prevention, and management of these complications. The authors examine the more common complications of periorbital surgery.

Keywords

blepharoplasty complications - eyelid malposition - dry eye syndrome - endoscopic browlift complications
 

  • References

  • 1 American Society for Aesthetic Plastic Surgery. Statistics 2011. Available at: http://www.surgery.org/media/statistics . Accessed April 18, 2012
    PubMedGoogle Scholar
  • 2 Morax S, Touitou V. Complications of blepharoplasty. Orbit 2006; 25: 303-318
    CrossrefPubMedGoogle Scholar
  • 3 Capone RB, Sykes JM. Complications in Facial Plastic Surgery: Prevention and Management. New York, NY: Thieme; 2012
    Google Scholar
  • 4 Czyz N, Craig DO, Lam VB, Foster JA. Management of complications of upper eyelid blepharoplasty. In: Massry GG, Murphy MR, Azizzadeh BA, , eds. Master Techniques in Blepharoplasty and Periorbital Rejuvenation. New York, NY: Springer; 2011: 109-123
    CrossrefGoogle Scholar
  • 5 Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg 2004; 20: 426-432 ; Erratum in: Ophthal Plast Reconstr Surg 2005;21:169
    CrossrefPubMedGoogle Scholar
  • 6 Mejia JD, Egro FM, Nahai F. Visual loss after blepharoplasty: incidence, management, and preventive measures. Aesthet Surg J 2011; 31: 21-29 ; Erratum in: Aesthet Surg J 2011;31:362
    CrossrefPubMedGoogle Scholar
  • 7 Ramakrishnan VR, Palmer JN. Prevention and management of orbital hematoma. Otolaryngol Clin North Am 2010; 43: 789-800
    CrossrefPubMedGoogle Scholar
  • 8 Turner A, Rabiu M. Patching for corneal abrasion. Cochrane Database Syst Rev 2006; (2) CD004764
    PubMedGoogle Scholar
  • 9 Pacella SJ, Codner MA. Minor complications after blepharoplasty: dry eyes, chemosis, granulomas, ptosis, and scleral show. Plast Reconstr Surg 2010; 125: 709-718
    CrossrefPubMedGoogle Scholar
  • 10 Hamawy AH, Farkas JP, Fagien S, Rohrich RJ. Preventing and managing dry eyes after periorbital surgery: a retrospective review. Plast Reconstr Surg 2009; 123: 353-359
    CrossrefPubMedGoogle Scholar
  • 11 McKinney P, Byun M. The value of tear film breakup and Schirmer's tests in preoperative blepharoplasty evaluation. Plast Reconstr Surg 1999; 104: 566-569 , discussion 570–573
    CrossrefPubMedGoogle Scholar
  • 12 Fagien S. Reducing the incidence of dry eye symptoms after blepharoplasty. Aesthet Surg J 2004; 24: 464-468
    CrossrefPubMedGoogle Scholar
  • 13 Korn BS, Kikkawa DO, Schanzlin DJ. Blepharoplasty in the post-laser in situ keratomileusis patient: preoperative considerations to avoid dry eye syndrome. Plast Reconstr Surg 2007; 119: 2232-2239
    CrossrefPubMedGoogle Scholar
  • 14 Syniuta LA, Goldberg RA, Thacker NM, Rosenbaum AL. Acquired strabismus following cosmetic blepharoplasty. Plast Reconstr Surg 2003; 111: 2053-2059
    CrossrefPubMedGoogle Scholar
  • 15 Harley RD, Nelson LB, Flanagan JC, Calhoun JH. Ocular motility disturbances following cosmetic blepharoplasty. Arch Ophthalmol 1986; 104: 542-544
    CrossrefPubMedGoogle Scholar
  • 16 Brown MS, Siegel IM, Lisman RD. Prospective analysis of changes in corneal topography after upper eyelid surgery. Ophthal Plast Reconstr Surg 1999; 15: 378-383
    CrossrefPubMedGoogle Scholar
  • 17 Georgescu D, Belsare G, McCann JD, Anderson RL. Management of the post-lower eyelid blepharoplasty retracted eyelid. In: Massry GG, Murphy MR, Azizzadeh B, , eds. Master Techniques in Blepharoplasty and Periorbital Rejuvenation. New York, NY: Springer; 2011
    CrossrefGoogle Scholar
  • 18 Patipa M. The evaluation and management of lower eyelid retraction following cosmetic surgery. Plast Reconstr Surg 2000; 106: 438-453 , discussion 454–459
    CrossrefPubMedGoogle Scholar
  • 19 Jones BM, Grover R. Endoscopic brow lift: a personal review of 538 patients and comparison of fixation techniques. Plast Reconstr Surg 2004; 113: 1242-1250 , discussion 1251–1252
    CrossrefPubMedGoogle Scholar
  • 20 Terella AM, Wang TD. Technical considerations in endoscopic brow lift. brow and upper eyelid surgery: multidisciplinary insights. Clin Plast Surg 2013; 40 (1) 105-115
    CrossrefPubMedGoogle Scholar
  • 21 Holds JB. Management of the prominent eye. In: Massry GG, Murphy MR, Azizzadeh B, , eds. Master Techniques in Blepharoplasty and Periorbital Rejuvenation. New York, NY: Springer; 2011
    CrossrefGoogle Scholar