All plastic and cosmetic surgeries carry some uncertainty and risk. When a blepharoplasty is performed by a qualified Plastic Surgeon, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable. Complications that can occur include: Haematoma (a collection of blood under the skin that sometimes must be drained by the plastic surgeon), minor infections, scar lumpiness and distortion (usually temporary). With lower eyelid surgery, lowering or irregularity of the lower eyelid (depending on the degree, termed scleral show or ectropion) can sometimes occur as a result of the pulling effects of scar tissue in some people. This is unpredictable and sometimes occurs only in one eye. As a result, slight changes of the shape and size of the eye may be noticed. If this is very noticeable, then for some people this can be a little distressing. Massaging, as will be instructed, early on diminishes the chance of this happening. If it does occur however then more intense massaging to the lid, and even application of some taping will help alleviate this problem. You will be instructed accordingly in the follow-up clinic. In these circumstances it may take up to two to three months to correct. Very rarely however, if conservative treatment is unsuccessful then aesthetic surgical correction is required. Transient watering of the eyes to varying degrees can also occur. Conversely, dryness of the eyes has also been reported. Although this is usually temporary and diminishes with time it can very occasionally be long lasting or very rarely permanent. You will be instructed as to what measures will be needed if this does occur. Although every effort is made to preserve eyelash hair, rarely hair loss may occur in the lower eyelash area adjacent to the incision which is made to elevate the skin. This occurrence is not predictable. Hair loss may be temporary or permanent. Loss of vision, although extremely rare (approximately 1:100,000 incidence) is possible. Mr. Solomos has never encountered this complication. Tiny whiteheads may occasionally appear under the skin at the site of the sutures, after your stitches are taken out. These usually settle on their own, however if they don’t they can be removed easily with a very fine needle in the outpatients department. You can reduce your risks by closely following Mr. Solomos’s advice both before and after cosmetic surgery.