Upper Blepharoplasty: 4 Devastating Red Flags of Botched Surgery You Can’t Ignore

Surgical Procedures
February 22, 2024
Male Celebrity with feminized eyelids after Botchted upper blepharoplasty

Dr. Earl Stephenson

close up picture of a botched upper blepharoplasty that is red, thick , has wounds and spitting stitches

In the journey toward rejuvenating our appearance, upper blepharoplasty, or eyelid surgery, stands out as a beacon of hope for many seeking to shed years off their gaze. However, the path to perfection is fraught with pitfalls, and not all surgical tales end in triumph. Recognizing the signs of a botched upper blepharoplasty is crucial for corrective action and understanding the importance of choosing the right surgeon. Here are the telltale signs that something went awry with your procedure:

1. Hollowness of the Upper Eyelid Fold

One of the most glaring signs of a botched upper blepharoplasty is an unnerving hollowness in the upper eyelid fold. This condition arises from the removal of too much fat during surgery, resulting in a stark, gaunt appearance far removed from the youthful fullness most patients desire. Excessive fat removal disrupts the natural contour of the eyelid, making the eyes look sunken and aged instead of refreshed and youthful.

According to experts, achieving the ideal upper eyelid contour involves a delicate balance between fat removal and preservation. Removing too little fat may leave puffiness, while removing too much can create a skeletal look that may be challenging to correct. Patients experiencing this unfortunate outcome often seek corrective procedures that aim to restore volume using fat grafting or dermal fillers. However, these are not always perfect solutions, further emphasizing the need for precision during the initial surgery.

2. Drooping of the Upper Eyelid (Ptosis)

Another devastating red flag is drooping of the upper eyelid, medically known as ptosis. Post-surgery ptosis can be distressing, especially when patients expected a more open and youthful eye appearance. This condition may occur due to damage or weakening of the levator muscle—the primary muscle responsible for elevating the eyelid. If the levator muscle is inadvertently injured during the procedure, or if the surgeon fails to address pre-existing muscle weakness, the eyelid may sag rather than lift.

Pre-operative assessments are vital to ensure the levator muscle is in good condition and that there are no underlying issues. Failing to do so can lead to post-surgical complications that require additional corrective surgeries. In some cases, ptosis repair surgery is necessary to restore proper eyelid function, which can be costly and involve a lengthy recovery period. This highlights the importance of choosing a surgeon who not only has technical expertise but also performs thorough pre-surgical evaluations.

3. Misplaced Incision Lines

The aesthetics of upper blepharoplasty are heavily dependent on the placement of incision lines. A perfectly placed incision should be nearly invisible, following the natural crease of the eyelid. However, when incision lines are misplaced—particularly if they ride too high on the upper eyelid—the result is a conspicuous scar that detracts from the intended cosmetic enhancement.

Visible or poorly positioned scars serve as an unwelcome reminder of the surgery, disrupting the natural appearance of the eye area. Corrective measures for misplaced incisions can be complex, often involving scar revision procedures that may or may not achieve the desired results. This complication underscores the importance of working with a surgeon who has a deep understanding of eyelid anatomy and a proven track record of precise surgical outcomes.

4. Webbing Towards the Nose

Webbing, or an unnatural pull of the skin towards the nasal area, is another concerning sign of a botched upper blepharoplasty. This occurs when the surgical incision extends too far toward the inner corner of the eye, resulting in a web-like formation that affects both the visual harmony and functionality of the eyelid. Patients who experience webbing may struggle with eye discomfort or impaired eyelid function, in addition to the obvious cosmetic concerns.

Addressing webbing usually requires a skilled revision surgery, which can involve skin grafting or reconstructive techniques to restore the natural contours of the eyelid. As with other complications, prevention is key: selecting a surgeon with experience in facial aesthetics and precision incision placement is crucial to minimize the risk of this outcome

Why the Right Surgeon Matters

Recognizing these signs early can be pivotal in seeking corrective measures and, more importantly, serves as a cautionary tale for those considering upper blepharoplasty. The choice of surgeon is not just a matter of preference but of paramount importance. Research, referrals, and rigorous consultations are your best allies in selecting a professional who not only understands the technical aspects of the procedure but also respects the artistry and subtlety required to enhance your natural beauty without leaving behind undesirable marks.

Take Control of Your Journey to Rejuvenation

Have you or someone you know faced the challenges of a botched upper blepharoplasty? Remember, it’s not just about correcting a mistake—it’s about reclaiming your confidence and ensuring your vision of beauty becomes a reality. Knowledge is your greatest tool in this journey. Armed with these insights, may your pursuit of a youthful, refreshed gaze be successful and fulfilling.

Why Choose Dr. Stephenson For Your Atlanta Eyelid Surgery?

Certified by the American Board of Plastic Surgery

  • Issued in 2007 and up-to-date
  • Only about 105 certifications issued per year since 1937

Member of The Aesthetic Society

  • Established in 1967
  • Invitation-only membership
  • Reserved for board-certified plastic surgeons with formal training and experience in aesthetic plastic surgery

Transform your look with the expertise and precision of Dr. Stephenson.

Dr. Earl Stephenson