Can the eye be mishapen during blepharoplasty?

Yes, but should not: Blepharoplasty can change the shape of the eye if it is not done properly. Now in cases that the upper eyelids are drooping or the lower eyelids are loose, obviously the blepharoplasty will change the shape of the eyes but for the better. If eyes are trully misshapen after blepharoplsty, they can be usually corrected with small adjustments.

Unfortunately Yes: Most common deformity is referred to as an a-frame deformity. It comes from having too much skin removed medially along the lid. Bottom line, many people outside of plastic surgeons perform blepharoplasty because they believe it is technically easy to perform. This is true, but there is significant judgement and experience required when it comes to both upper and lower eyelid surgery.

Definitely: An improperly constructed blepharoplasty wound or poor closure can lead to a change in the shape of the eyelid opening. An oculoplastic surgeon is specially trained in eyelid surgery, including attaining the proper shape and contour of the eyelid. They can also perform repair of the drooping eyelid along with blepharoplasty to restore a natural eyelid opening.

Experience counts: This is possible but should not occur in the hands of an experienced surgeon. Ophthalmologists, facial plastic surgeons and plastic surgeons all have alot of experience with eyelid surgery. The fact is that any of these three specialties, if the surgeon has alot of experience, will likely provide a very good blepharoplasty result with very low risk of misshaping the eye.

Uncommon: Yes, it is possible but uncommon. Blepharoplasty is a safe procedure when performed by an experienced plastic surgeon. Risks include bleeding, infection, scarring, asymmetry, dry eye, eye irritation, ectropion, conjunctival or muscle injury, or need for revision.

Misshapen eyelid: The lower eyelid may be pulled down, allowing too much white of the eye showing below the colored part of the eye. This is called lower eyelid malposition and may even lead to severe retraction, called ectropion. If the lower eyelid is shortened, then the corner of the eye may be pulled in, creating a shorter length to the eye. Fortunately, a number of techniques exist to limit these problems.