Sometimes after the correction, the eyelids will be more bruised and swollen than normal. This will eventually completely resolve itself, but it may take a little longer than normal. After the correction the eyes may be dry for a while. Eye drops may be used until the tear production has normalized. Sometimes a swelling on the white of the eye can develop (chemosis) for which eye drops need to be taken.
This swelling may take weeks to settle. When too much skin has been excised or the tension of weak lower eyelids has not been corrected, an ectropion can develop. The eyelid loses contact with the eye and this will cause irritation and tearing and to correct this another operation is necessary.
The eyelids may not always be completely symmetric, but, if the difference is significant and if eye fat has not been removed sufficiently another correction may be necessary. In rare instances, an inclusion cyst can develop in the scar which needs to be removed surgically. An extremely rare complication is a large bleeding behind the eye (retro bulbar hematoma), which can lead to blindness if not immediately treated aggressively.