Cost of a Blepharoplasty
$3,800 - $4,200 for upper lids
$4,200 - $4,800 for lower lids
The cost is less if you do local anesthesia or both the upper and lower lids at the same time. Insurance sometimes covers the cost of surgery.
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. Insurance can sometimes cover an upper lid blepharoplasty if the excess skin obstructs vision to a certain degree. Patients who want to pursue insurance coverage for surgery will need to visit an ophthalmologist and have a taped and un-taped visual field test done. The report from the visual field exam will need to be submitted to the patient's insurance company with the prior authorization request.
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.
Frequently Asked Questions
Is a blepharoplasty covered under insurance?
An upper lid blepharoplasty can be covered under insurance in cases where the drooping eyelids are blocking a person's vision. A visual field exam by an ophthalmologist is required in order to pursue insurance coverage for an upper lid blepharoplasty.
What is a blepharoplasty?
A blepharoplasty is a procedure that removes excess skin and fat from the upper or lower eyelids.
What type of anesthesia is used for a blepharoplasty?
The type of anesthesia used for a blepharoplasty is based on the patient's preferences as well as the length and complexity of the procedure. A blepharoplasty can be done under local anesthetic, sedation or general anesthesia.
Where are the incisions for a blepharoplasty?
The upper lid incision is hidden in the upper lid crease and the lower lid incision is just below the lower lash line.
How long is a blepharoplasty procedure?
An upper or lower lid blepharoplasty alone will take 45 minutes. Both upper and lower lids will take 1½ hours.
What is the recovery time after a blepharoplasty?
The patient will be bruised and swollen for about 2 weeks after surgery but may return to normal activity after 2-3 weeks.
What is the cost of a blepharoplasty?
$3,800-$4,200 for upper eyelids
What should be expected 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. There may be residual swelling for up to 3 months, and the scars will take up to 1 year to completely fade.