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Fortunately, when performed by a competent surgeon, complications are infrequent and minor. All patients will experience some bruising and swelling for a few days after the surgery. In addition, a temporary problem with closure of the eyelids is usually seen.

The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days, temporary swelling at the corner of the eyelids and temporary numbness of the eyelid skin. Differences in healing between the eyes may cause some unevenness after surgery. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle.

A very rare complication is ectropion, a pulling down of the lower lids. If this does not resolve on its own, further surgery may be necessary. The theoretical complications of any surgical procedure, such as bleeding, infection, reaction to the anesthetics, wound disruption and heavy scarring are also possible, but rare.

Talk to your doctor about how these risks apply to you. Understanding what's involved in blepharoplasty and weighing the benefits and risks can help you decide if this procedure is a good option.

A few medical conditions make blepharoplasty more risky. They include thyroid problems such as hypothyroidism and Graves' disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease and diabetes. A detached retina or glaucoma is also reason for caution; check with your ophthalmologist before you have surgery.

You can reduce your risks by closely following your surgeon's instructions both before and after surgery.