Complications after blepharoplasty: a review of the literature

• Authors: Mikołaj Guzikowski , Sabina Kowalczyk , Maciej Kokoszka , Sebastian Sirek , Dorota Wyględowska-Promieńska

Title variants

PL

Powikłania po blefaroplastyce: przegląd piśmiennictwa

• Languages of publication: EN PL

Abstracts

EN

WPROWADZENIE: Blefaroplastyka to zabieg chirurgiczny polegający na korekcie lub rekonstrukcji powiek górnych lub dolnych. Głównym celem wykonywania tych procedur jest zniwelowanie oznak starzenia się występujących w okolicy okołooczodołowej oraz poprawienie wyglądu nieestetycznych powiek. Plastyka powiek znajduje również zastosowanie w korekcji schorzeń o podłożu okulistyczno-funkcjonalnym. Celem niniejszego przeglądu jest opisanie najczęstszych powikłań po blefaroplastyce powiek górnych lub dolnych, analiza przyczyn powikłań oraz zaproponowanie metod zapobiegania im oraz ich korekcji. PRZEGLĄD: Ważne jest zrozumienie, w jaki sposób i dlaczego dochodzi do powikłań po plastyce powiek. Większość powikłań pooperacyjnych należy do jednej z czterech kategorii: (1) niedokładna ocena przedoperacyjna, (2) niewłaściwa technika chirurgiczna, (3) zła ocena sytuacji śródoperacyjnej, (4) powikłania idiopatyczne. Do powikłań towarzyszących tego typu zabiegom należą: krwawienie, infekcje, urazy rogówki, podwójne widzenie, niedomykanie powiek (lagophthalmos), opadanie powieki (ptosis), uszkodzenie gruczołu łzowego, zespół suchego oka, asymetryczna linia załamania powieki, pozostały nadmiar skóry i tkanki podskórnej, deformacje bruzdy powiekowej, canthal webbing oraz oparzenia. WNIOSKI: Blefaroplastyka, mimo że jest jednym z najczęściej wykonywanych zabiegów chirurgii plastycznej na świecie, nie należy do najłatwiejszych procedur. Wiąże się z licznymi powikłaniami, które mogą znacząco wpłynąć na ostateczny wynik operacji, a nawet na jakość życia pacjenta. Znajomość wszystkich możliwych powikłań oraz metod zapobiegania im jest kluczowa dla każdego chirurga, który chce osiągać dobre wyniki pooperacyjne.

PL

INTRODUCTION: Blepharoplasty is a surgical procedure to correct or reconstruct the upper or lower eyelids. The main purpose of performing these surgeries is to correct the signs of aging that occur in the periorbital region and to improve the appearance of unsightly eyelids. Eyelid surgery is also used in the correction of ophthalmic conditions. The purpose of this review is to describe the most common complications after blepharoplasty of the upper or lower eyelids, to analyze the cause of the complications, and to propose methods of prevention and correction. REVIEW: It is important to understand how and why complications occur after eyelid surgery. Most postoperative complications fall into one of four categories: (1) inaccurate preoperative evaluation, (2) improper surgical technique, (3) poor intraoperative assessment, and (4) idiopathic complications. Complications associated with this type of surgery include bleeding, infection, corneal injury, double vision, eyelid regurgitation (lagophthalmos), eyelid drooping (ptosis), lacrimal gland damage, dry eye syndrome, an asymmetric eyelid crease line, residual excess skin and subcutaneous tissue, eyelid furrow deformities, canthal webbing, and burns. CONCLUSIONS: Blepharoplasty, despite being one of the most commonly performed plastic surgery procedures in the world, is not the easiest of procedures to perform. It is associated with a number of complications, which can have a major impact on the end result of the operation or even on the patient’s quality of life. Knowledge of all the complications and how to prevent them is crucial for any surgeon who wants to achieve good postoperative results.

Keywords

EN

blepharoplasty; complications; eyelid surgery; plastic surgery

Discipline

• MEDICINE: MEDICINE

• Publisher: Śląski Uniwersytet Medyczny w Katowicach
• Journal: Annales Academiae Medicae Silesiensis
• Year: 2025
• Volume: 79
• Pages: 133-138

Dates

published

2025

Contributors

author

Mikołaj Guzikowski

• Students’ Scientific Club, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

author

Sabina Kowalczyk

• Students’ Scientific Club, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

author

Maciej Kokoszka

• Students’ Scientific Club, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

author

Sebastian Sirek

• Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

author

Dorota Wyględowska-Promieńska

• Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

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• Document Type: article

Identifiers

DOI

10.18794/aams/200909

Biblioteka Nauki

60705849