title: Complications in blepharoplasty: how to avoid and manage them.
abstract: Complications in blepharoplasty are uncommon and, when they occur, they are usually mild and transient, such as hematomas and chemosis. However, sometimes they can be severe, such as blindness, or they might require surgical correction, such as ectropion.
  
  
  OBJECTIVE
  To evaluate the results and complications of transcutaneous blepharoplasty performed in the same procedure, discussing how to treat and how to avoid them.
  
  
  METHODS
  A retrospective study of 200 medical records of consecutive patients that underwent transcutaneous blepharoplasty from January 2007 to January 2009. The variables analyzed were age, gender, complications, clinical outcome, patient satisfaction, and photographic documentation.
  
  
  RESULTS
  The incidence of complications was 9.5% (19 patients). The complications were 1 hematoma, 12 cases of chemosis and 13 patients who underwent canthoplasty, 6 patients with malposition of the lower eyelid (5 retractions and 1 ectropion). Medical treatment was performed in 12 patients and revision surgery in 7 cases of all the patients who had complications.
  
  
  CONCLUSIONS
  We demonstrated that blepharoplasty is a procedure with a high satisfaction and a low complication rate, and it is an excellent surgical procedure, when properly indicated.
authors: Ocular Plastic Surgery Division, Otorhinolaryngology Department, Medical School, Federal University of Uberlândia. tomaspatrocinio@hotmail.com
authors: Tomas Gomes
authors: TG
authors: Patrocinio
authors: Bruno Alvarenga Silva
authors: BA
authors: Loredo
authors: Carlos Eduardo Arnez
authors: CE
authors: Arevalo
authors: Lucas Gomes
authors: LG
authors: Patrocinio
authors: José Antonio
authors: JA
authors: Patrocinio
mesh_terms: D000328:Adult; D019882:Blepharoplasty / Q000009:adverse effects* / Q000379:methods; D003231:Conjunctivitis / Q000517:prevention & control; D005260:Female; D006406:Hematoma / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies