$3800-$4200 for upper lids
$4200-$4800 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?
Blepharoplasty is the term used to describe the removal 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
smudging eyeshadow and mascara. In severe cases the excess skin can block your vision. Insurance can sometimes cover the surgery if 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 untaped visual field test done. The report from the visual field exam will need to be submitted to your insurance company with the prior authorization request.
Blepharoplasty can be done under local, sedation or general anesthesia, depending on your 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 you are having lower lids or both upper and lower lids done, most patients prefer to be completely asleep for surgery. The surgery takes about 45 minutes for upper or lower lids only, and 1 1/2 hours for both, and is usually performed at an outpatient procedure 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 you have a lot of excess skin here to remove, 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 or lower eyelids judiciously if there are discreet pockets.
In the first 24-48 hours, ice and head elevation is critical, as less swelling and bruising will lead to a faster recovery overall. You may be somewhat unpresentable and bruised/swollen for 1 1/2-2 weeks after surgery. You can wear eye makeup after 2-3 weeks and be back to normal activities around then as well. For upper eyelids alone, your final results will be apparent as soon as 3-4 weeks, and with lower eyelids, the final results take up to 3 months. You may have residual swelling for up to 3 months, and the scars will take up to 1 year to completely fade.