What are the risks of undergoing external approach blepharoplasty for under-eye bags?

Risks associated with external incision blepharoplasty for under-eye bags include lower eyelid eversion and impaired vision. If excessive tissue is removed or the sutures are too tight during surgery, eyelid eversion may occur, leading to adverse reactions such as photophobia, tearing, and eye discomfort. Inadequate hemostasis can result in bleeding within the orbital septum, which may compress the eyeball and consequently affect vision. Therefore, prior to surgery, it is essential to have thorough communication with the patient, assessing factors such as the degree of skin laxity, muscle laxity, and fat protrusion to ensure appropriate surgical planning.