Understanding Blepharoplasty

Blepharoplasty is eyelid surgery. Blepharoplasty can be both a functional and a cosmetic surgery. It is most commonly used for repairing droopy upper eyelids or puffy lower eyelids that tend to happen with aging. Besides making you look older, severely sagging skin around the eyes can also impair vision. Removal of this excess tissue can make your eyes appear younger and more alert, as well as reduce impaired vision. In the case of upper eyelids, the excess skin can begin to hang over the eyelashes and cause loss of peripheral vision. Lower eyelid blepharoplasty is most often done for cosmetic reasons, to improve puffy lower eyelid “bags” and reduce wrinkling of the skin.

During Blepharoplasty, the eyelids are reshaped by removing and repositioning excess tissue, and surrounding muscles and tendons are reinforced. It is typically performed on an outpatient basis by ophthalmic plastic surgeon (oculoplastic surgeon). The surgeon makes tiny cuts into the natural creases or folds of the eyelids, and then removes any loose skin and extra fat tissue. After tightening the eyelid muscles, the surgeon places stitches very close to the incisions where they are invisible to the eye. It is normal to have some bruising and swelling for several weeks after surgery. You should expect to stay home and limit your activities for several days to provide your eyelids a chance to heal.

Many insurances do not cover Blepharoplasty as it is generally considered cosmetic. Some will agree to cover, if vision tests confirm eyelid drooping is impairing vision.