Middle-age surgery guide

Lower blepharoplasty side effects and precautions

Possible side effects and risks after lower blepharoplasty, precautions during recovery, and the symptoms that mean you should contact the clinic straight away.

Written by
Cejong Plastic Surgery content team
Updated
2026-10-25

Like any surgery, lower blepharoplasty carries risk. It is important to know the possible side effects, follow recovery precautions and notice unusual symptoms early.

Common during recovery

Swelling, bruising, a foreign-body sensation, watery eyes, temporary dryness or blurred vision and under-eye tightness can appear early in recovery and mostly lessen over time.

Possible side effects and risks

  • Lower lid sagging or turning out (ectropion) — if too much skin is removed or tightening occurs during healing, the lower lid can sag or turn outwards
  • Hollowing or unevenness — fat may be over-removed or settle unevenly
  • Asymmetry — a difference between the two sides may remain
  • Scarring — the skin incision may stay red or noticeable for a long time
  • Infection or haematoma — rarely, inflammation or a collection of blood
  • Dry eye — usually temporary, rarely longer-lasting

Severity and likelihood depend on the under-eye area and the method, so it is important to have them explained individually at the consultation.

Precautions during recovery

  • Don't rub your eyes or pull the lower lid down
  • Resume washing, make-up, contact lenses and exercise when advised
  • Avoid smoking and alcohol, which can slow healing

Contact the clinic straight away if

  • one under-eye area suddenly swells a lot and pain worsens
  • your vision suddenly worsens or the eye is very painful
  • there is warmth or pus-like discharge
  • the lower lid seems to be sagging more or turning out