Blepharoplasty, commonly referred to as eyelid surgery, can be performed to improve vision or for cosmetic reasons. The word is derived from Greek, bleph means eyelid and plasty means to form. Together you get the art of an oculofacial plastic surgeon, forming and molding the eyelids. The procedure is aimed at rejuvenating the eyes and enhancing the overall appearance of the face. In this blog post, we will delve into the fundamental aspects of blepharoplasty, exploring what it entails, how it is performed, the visibility of scars, the likelihood of complications, and the possibility of insurance coverage.

What is Blepharoplasty and What is it Used For?

Blepharoplasty is a surgical procedure designed to improve the appearance of the eyelids, both upper and lower. It is commonly sought after for cosmetic reasons to address signs of aging, such as sagging skin, excess fat deposits, and wrinkles around the eyes. Additionally, blepharoplasty can be performed for functional reasons to correct vision impairment caused by drooping eyelids. Essentially, the procedure aims to create a more youthful, alert, and refreshed look while addressing any functional issues.

How is Blepharoplasty Done?

A blepharoplasty involves the surgical removal or repositioning of excess skin, muscle, and fat from the eyelids. The procedure typically begins with sedation and of local anesthesia to ensure the patient's comfort. For the upper eyelids, an incision is made along the natural crease, allowing the surgeon to access and remove or adjust tissues as needed. In the case of lower eyelids, the incision is often made just below the lash line or inside the lower lid, depending on the specific goals of the surgery. The surgeon then carefully sculpts the eyelids to achieve the desired results before closing the incisions with sutures.

Are Blepharoplasty Scars Visible?

One common concern for individuals considering blepharoplasty is the visibility of scars. Fortunately, oculofacial plastic surgeons take great care to place incisions strategically to minimize visible scarring. For upper eyelid surgery, the incisions are hidden within the natural creases. In lower eyelid blepharoplasty, incisions may be concealed along the lash line or inside the lower lid, further reducing the visibility of scars. Some scarring is inevitable but tends to fade overtime.

How Common are Blepharoplasty Complications?

Like any surgery, blepharoplasty has associated complications. When performed by a an experienced oculofacial surgeon, the likelihood of complications is low. Common side effects include temporary swelling, bruising, and discomfort, which typically resolve within a few weeks. Severe issues, such as infection or excessive bleeding, are rare and are minimized by following post-operative care instructions diligently. It is crucial for patients to communicate openly with their surgeon about any concerns or unexpected symptoms during the recovery period.

Can Blepharoplasty be Covered by Insurance?

Blepharoplasty is often considered a cosmetic procedure, and insurance companies typically do not cover elective cosmetic surgeries. However, there are exceptions when the surgery is deemed medically necessary for functional reasons, such as correcting vision impairment caused by drooping eyelids. In such cases, insurance coverage may be possible. For insurance services, we require a referral from your eye doctor or PCP. Even if you have a referral, it does not guarantee that surgery will be covered by insurance – it is up to the surgeon to determine if you qualify.

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