Cost of a Blepharoplasty
$4,400 - $4,800 for upper lids
$4,600 - $5,000 for lower lids
The cost is less if you do local anesthesia or both the upper and lower lids at the same time.
Who is a good candidate for a blepharoplasty?
An upper eyelid blepharoplasty is often considered among those with hooded eyes or with excess skin of the upper eyelid. Those with large bags or fat pockets along their lower lids are good candidates for a lower lid blepharoplasty.
What is a blepharoplasty?
Blepharoplasty, or eyelid lift, is the term used to describe the removal of excess skin and fat from the upper or lower eyelids. As we age, the skin of the eyelids descends, causing wrinkling or hooding of the eyelids. This can cause you to look tired, as well as contribute to difficulty in keeping makeup in place. In severe cases the excess skin can block a person's vision.
The Procedure for a Blepharoplasty
Blepharoplasty can be done under local, sedation, or general anesthesia, depending on patient preference as well as anticipated length and complexity of the procedure. A general guideline is that upper lids can be done comfortably under local anesthesia, but if the lower lids or both upper and lower lids are being done, most patients prefer to be completely asleep for surgery. The surgery takes about 45 minutes for upper or lower lids only, and 1½ hours for both and is usually performed at an ambulatory surgery center. Incisions for upper lids are placed and hidden in the upper lid crease. This can sometimes extend past the most lateral portion of the eye if there is a lot of excess skin but does end up hiding quite well. For lower lids, the incision is made just under the lash line and heals quickly without much visibility after 3-4 weeks. Fat is removed from the upper and lower eyelids judiciously if there is excess.
Recovery After a Blepharoplasty
In the first 24-48 hours, ice and head elevation is critical, as less swelling and bruising will lead to a faster recovery overall. The patient may be somewhat unpresentable and bruised/swollen for 1½-2 weeks after surgery. Eye makeup can be applied after 2-3 weeks and the patient will be back to normal activities around then as well. For upper eyelids alone, final results may be apparent as soon as 4-6 weeks after surgery, and with lower eyelids, the final result may take up to 3 months. There may be residual swelling for up to 3 months, and the scars will take up to 1 year to completely fade.