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Can I Combine a Blepharoplasty with Lasik in One Surgery?
The mechanics of the two procedures are in conflict with each other, making them unsafe to perform simulatenously. Blepharoplasty requires manipulation of the eyelids and there can be post-op swelling which would compromise your ability to protect the eye as is critical post-Lasik. Lasik surgery requires holding the eyelids open which would compromise the lid repair performed during blepharoplasty. The risks of combining these procedures significantly increase the chances of blindness - an extremely serious complication. In our practice we would not recommend combining these procedures.
Clinical Context
After LASIK, the eye needs a strong blink and full lid closure to protect the healing corneal surface. Eyelid surgery can cause temporary swelling that makes the eyelids close less completely, especially at night. Combining the two procedures means the eye may not be able to protect itself while it's most vulnerable. Most surgeons recommend doing these procedures separately, allowing enough healing time between them so each eye structure can recover fully before the next procedure is performed.
