The Eyes Have It: Blepharoplasty FAQs

In last month’s article, Beauty and the Brows, we discussed the options available for brow rejuvenation. This month, we will explore the topic of upper eyelid surgery by answering some frequently asked questions about blepharoplasty (eyelid lift), a simple and low-risk in-office procedure with minimal downtime but impactful results. As they say, “The eyes are the window to the soul.” So why not make them look their best?

What happens to the eyelids as we age?

In short: loss of collagen and elastin in the eyelid skin. (Fun Fact: upper eyelid skin is the thinnest skin on the human body). The loss of structural integrity creates a redundant, heavy upper eyelid which contributes to a sad or tired look. NOTE: Heavy upper lid skin not only affects the attractiveness of the eyes, but also can cause vision impairment. Keep in mind, a droopy eyebrow may contribute to a heavy upper lid appearance and may also require attention. In addition to upper lid heaviness, mispositioned upper lid fat pads may create aesthetically displeasing contour irregularities which can also be addressed at the time of surgery.

What exactly does an eyelid lift (blepharoplasty) entail?

In the most basic sense, upper lid blepharoplasty involves the precise removal of redundant upper lid skin. More advanced techniques address removal or repositioning of eye fat. To many patients’ surprise, an upper lid blepharoplasty can be easily performed in-office under local anesthesia with minimal discomfort. The procedure takes no longer than 1 hour to perform and has very little downtime with low risks of serious complications. Of course, some mild but temporary bruising and swelling is expected for the first 1-2 weeks. A word of caution: Do not let the straightforward nature of the procedure fool you, as a successful blepharoplasty requires precise measurements and meticulous surgical technique to ensure a satisfactory functional and aesthetic result.

At what age is upper blepharoplasty usually required? There is really no age requirement for upper blepharoplasty. For instance, some patients in their early 30’s and 40’s who suffer from congenitally redundant upper eyelid skin may benefit from a modest skin excision performed in the office setting. On the other hand, patients in their 50’s, 60’s, and 70’s with heavy upper lids and droopy brows often benefit from a combined upper lid blepharoplasty and a surgical browlift.

Does Insurance pay for upper lid blepharoplasty?

Insurance often covers the procedure, but only if the upper lid redundancy contributes to a problem with your vision. This visual deficit can be easily confirmed with a visual field test done by your local ophthalmologist (eye doctor) or optometrist. If the procedure is done for purely cosmetic reasons, you can expect to pay around $4000 out-of-pocket (varies depending on your surgeon’s associated anesthesia fees and facility costs). Just remember, when it comes to Facial Plastic Surgery, you certainly “get what you pay for.” It is your face, after all.

How can I learn more about blepharoplasty surgery?

If you are interested in learning more about upper eyelid surgery to correct a functional or aesthetic issue with your eyes, I suggest consulting with a surgeon experienced in a wide variety of both surgical and non-surgical facial plastic surgeryrelated procedures. This will ensure that you receive a thorough evaluation and comprehensive treatment plan.

As always, choose a surgeon whom you trust. There are few things more important than the relationship you have with your doctor.

In Good Health,

Dr. Blake Raggio Facial Plastic & Reconstructive Surgeon www.RaggioMD.com info@raggiomd.com