Many techniques for prevention and correction of complication after blepharoplasty have been
developed, however, satisfactory method has not yet been documented. The purpose of this article
is to review common unfavorable complications after Asian cosmetic eyelid surgery, and to propose
several methods of treatment for effective correction. From 1988 to 2008, authors reviewed 364
cases (480 eyes) of complications after cosmetic eyelid surgery. Follow-up period ranged from 6
months to 16 years. The results of treatments were classified into excellent, good, fair and unsatisfactory
by operating surgeons, other surgeons, and by patients. About 40% of complications
requiring revisional surgeries were treated early within 2 weeks after first operation. Other 60% of
complications were treated by late reoperations, at least 6 months after first surgery. Majority of
patients were satisfied with the results. However, a few patients reported unsatisfactory outcomes
which required additional revisional procedures. The correction of complications following cosmetic
eyelid surgery remains a difficult task. The strategies for successful Asian upper blepharoplasty
include not only careful preoperative evaluation and delicate operative technique, but also, proper
postoperative interventions such as early secondary blepharoplasty.
(J Korean Soc Aesthetic Plast Surg 16: 72, 2010)