Plastic Surgery

Blepharoplasty - Eyelid Surgery

The surgical procedure to correct saggy eyelids is called a blepharoplasty.  This operation is known for giving people a more youthful and rested look by removing the excess skin and fat around the eyes.  This procedure may be performed on the upper eyelids and lower eyelids separately, at the same time, or in conjunction with another procedure (facelift or brow lift).  Patients need to realize it is impossible to repair every wrinkle and remove every line around the eye, but this surgery can be one of the most gratifying procedures.


The Procedure

Blepharoplasty can be performed as an outpatient basis under general anesthesia or using local anesthesia.  This procedure usually takes one or two hours to perform unless accompanying another procedure.


The incisions for blepharoplasty are made after an anesthetic is injected into the eyelid area.  The incisions are placed in the natural crease of the eye for upper blepharoplasty and just below the lower lashes for a lower blepharoplasty. 


In certain cases a lower blepharoplasty may be performed without a skin incision called a Transconjunctival Blepharoplasty.  In those people with normal skin (no significant skin sagging) and only fat bags requiring removal, an incision is made inside the lower eyelid in the conjunctiva to gain access to the fat bags only. 


Blepharoplasty Cost

In general, blepharoplasty is considered a cosmetic procedure and insurance typically does not pay.  However, in cases of severe hooding (the skin of the upper eyelid interferes with vision) insurance coverage may be possible.  Patients should refer to their health insurance benefits package for more information regarding coverage of this procedure.  If your insurance doesn’t specifically state blepharoplasty as an uncovered benefit then coverage may be possible, a pre-authorization certification is usually required prior to surgery scheduling.  Your insurance may require certain documentation for this certification such as a visual field test indicating vision obstruction, photos, and a letter from your plastic surgeon. 


When eyelid surgery is not indicated as medically necessary for insurance coverage, then it is considered to be cosmetic surgery.  The cost for blepharoplasty usually begins at $2000 plus additional expenses such as operating room and anesthesia costs. 






















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