DRAFT: This module has unpublished changes.

Risk of Complications for Double Eyelid Surgery

Below is a list of complications associated with double eyelid surgery as stated on various plastic surgeons' websites.


One of these surgeons is Dr. Richard Pasquale, a specialist in cosmetic facial surgery who operates out of Hawaii. There is a wealth of information on his website about blepharoplasty, dealing specifically with Asian eyelids (even subdivided by nationality) and the risks/complications associated with the procedure. It is interesting to note how he frames the surgery as not a matter of "westernizing" one's face, but of enhancing existing, "natural" features. www.nerve.org...


Dr. Meronk is a physician based out of Southern California whose practice is fully devoted to cosmetic eyelid surgery. His website is the first to come up in most search engines with the entry of "double eyelid surgery"; it houses very detailed information on Asian blepharoplasty in particular. www.drmeronk.com

From Dr. Pasquale's website:

"The purpose of the double eyelid surgery is to create a prominent crease in the eyelid where none appears or where there is a weak crease in the eyelid. The double eyelid surgery is able to provide a better look for the eyes by framing it well in the eyelids...Dr. Pasquale makes certain that his patients who are interested in the double eyelid surgery know that the surgery intends to only sharpen their natural features and in no way change it to westernize it."

Complications associated with double eyelid surgery

(I've highlighted ones that are particularly interesting; each "complication" is taken directly from one of the two surgeons' websites)


  • Infection
  • Bleeding
  • Wound separation
  • Suture cysts
  • Asymmetrical eyelids
  • Higher eyelid crease than desired
  • Multiple creasing
  • Insufficient/Excessive skin removal: Excessive skim removal may interfere with closing of eyelid
  • Insufficient/Excessive fat removal: Removal of too much fat from the eyelid may give it a hollow and unhealthy look
  • Westernization of the eyelid
  • Excessive internal/external scarring
  • Excess bleeding
  • Eyelid ptosis may result if the levator aponeurosis is injured or excessively tightened resulting in a droopy eyelid which may require re-operation.
  • Inappropriate crease
  • Rounding at the lateral commissure
  • Drooping upper eyelid
  • Swelling of eyeball surface
  • Injury to lacrimal system (tear-producing system)
  • Double vision
  • Loss of vision
  • Complications of anesthesia
  • Unrealistic expectations
  • Patient indecision
  • Poor aesthetic choice
  • Late complications

DRAFT: This module has unpublished changes.