Temporary dry eye is the most common complaint and usually resolves within weeks. Less common issues include asymmetry between the two sides, visible scarring in patients prone to it, and in lower-lid surgery, a pulled-down appearance to the lid margin called ectropion, which is uncommon in experienced hands but is the main reason lower blepharoplasty rewards surgeon selection. Serious complications affecting vision are rare. Discuss your specific risk factors, including dry eye history and thyroid conditions, at consultation.