Eyelid Surgery - Blepharoplasty

Blepharoplasty (BLEF-uh-roe-plas-tee) is a type of surgery that repairs droopy eyelids and may involve removing excess skin, muscle and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes.

Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.

To help decide if blepharoplasty is right for you, find out what you can realistically expect and explore the benefits and risks of blepharoplasty.

Why it's done

You might consider blepharoplasty if droopy or sagging eyelids keep your eyes from opening completely or pull down your lower eyelids. Removing excess tissue from your upper eyelids can improve your vision. Upper and lower lid blepharoplasty can make your eyes appear younger and more alert.

Blepharoplasty may be an option if you have:

  • Baggy or droopy upper eyelids
  • Excess skin of the upper eyelids that interferes with your peripheral vision
  • Excess skin on the lower eyelids
  • Bags under your eyes

You may undergo blepharoplasty at the same time as another procedure, such as a brow lift, face-lift or skin resurfacing.

Insurance coverage may depend on whether the surgery repairs a condition that impairs vision. If you have the surgery only to improve your appearance, the cost probably won't be covered by insurance. Lower lid blepharoplasty is almost always done just for cosmetic reasons.

Result 

Many people express satisfaction with the results of blepharoplasty, such as a more rested and youthful appearance and more self-confidence. For some people, results of surgery may last a lifetime. For others, droopy eyelids may recur.

Bruising and swelling generally subside in 10 to 14 days, which may be when you feel comfortable going out in public again. Scars from the surgical cuts may take months to fade. Take care to protect your delicate eyelid skin from too much sun exposure.

How you prepare

Before scheduling blepharoplasty, you will meet with a plastic surgeon and an eye specialist (ophthalmologist) or a plastic surgeon who specializes in eye surgeries (oculoplastic surgeon) to discuss:

  • Your medical history. Your surgeon will ask questions about previous surgeries and past or current conditions, such as dry eyes, glaucoma, allergies, circulatory problems, thyroid problems and diabetes. Your doctor will also ask about your use of medications, vitamins, herbal supplements, alcohol, tobacco and drugs.
  • Your expectations. An honest discussion of your hopes and motivation for surgery will help set the stage for a satisfactory outcome. Your surgeon will discuss with you whether the procedure is likely to work well for you.

Before your eyelid surgery, you'll undergo:

  • A physical examination. Your surgeon will conduct a physical examination, which may include testing your tear production and measuring parts of your eyelids.
  • A vision examination. Your eye doctor will examine your eyes and test your vision, including your peripheral vision. This is needed to support an insurance claim.
  • Eyelid photography. Your eyes will be photographed from different angles. These photos help with planning the surgery, assessing its immediate and long-term effects, and supporting an insurance claim.

And you'll be asked to:

  • Stop taking warfarin (Coumadin, Jantoven), aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve, others), naproxen (Naprosyn), and any other medication or herbal supplement associated with increased bleeding. Ask your doctor how long before surgery you need to stop taking these medicines. Take only medications approved by your surgeon.
  • Quit smoking several weeks before your surgery. Smoking can reduce your ability to heal after surgery.
  • Arrange for someone to drive you to and from surgery if you're having outpatient surgery. Plan to have someone stay with you for the first night after returning home from surgery.

Risks

Possible risks of eyelid surgery include:

  • Infection and bleeding
  • Dry, irritated eyes
    • Difficulty closing your eyes or other eyelid problems
  • Noticeable scarring
  • Injury to eye muscles
  • Skin discoloration
  • The need for a follow-up surgery
  • Temporarily blurred vision or, rarely, loss of eyesight
  • Risks associated with surgery in general, including reaction to anesthesia and blood clots

Talk to your doctor about how surgical risks apply to you. Understanding what's involved in blepharoplasty and weighing the benefits and risks can help you decide if this procedure is a good option.

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During the surgery

If you have surgery on your upper and lower eyelids, the surgeon generally works on your upper lids first. He or she cuts along the fold of the eyelid, removes some excess skin, muscle and possibly fat, and closes the cut.

On the lower lid, the surgeon makes a cut just below the lashes in your eye's natural crease or inside the lower lid. He or she removes or redistributes excess fat, muscle and sagging skin, and closes the cut.

If your upper eyelid droops close to your pupil, your surgeon may do blepharoplasty with a procedure called ptosis (TOE-sis) that provides additional support to the eyebrow muscle.

After the surgery

After surgery you spend time in a recovery room, where you are monitored for complications. You can leave later that day to recuperate at home.

After surgery you may temporarily experience:

  • Blurred vision from the lubricating ointment applied to your eyes
  • Watering eyes
  • Light sensitivity
  • Double vision
  • Puffy, numb eyelids
  • Swelling and bruising similar to having black eyes
  • Pain or discomfort

Your doctor will likely suggest you take the following steps after surgery:

  • Use ice packs on your eyes for 10 minutes every hour the night after surgery. The following day, use ice packs on your eyes four to five times throughout the day.
  • Gently clean your eyelids and use prescribed eyedrops or ointments.
  • Avoid straining, heavy lifting and swimming for a week.
  • Avoid strenuous activities, such as aerobics and jogging, for a week.
  • Avoid smoking.
  • Avoid rubbing your eyes.
  • If you use contact lenses, don't put them in for about two weeks after surgery.
  • Wear darkly tinted sunglasses to protect the skin of your eyelids from sun and wind.
  • Sleep with your head raised higher than your chest for a few days.
  • Apply cool compresses to reduce swelling.
  • After a few days, return to the doctor's office to have stitches removed, if needed.
  • For about a week, avoid aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve, others), naproxen (Naprosyn), and other medications or herbal supplements that may increase bleeding. If needed, use acetaminophen (Tylenol, others) to control pain.

Seek medical attention immediately if you experience any of the following:

  • Shortness of breath
  • Chest pain
  • An unusual heart rate
  • Severe new eye pain
  • Bleeding
  • Vision problems

Before - After 

 

Frequently Asked Questions 

What Blepharoplasty Question to Ask?

First, you should know whether your surgeon is experienced and can handle complications. After establishing qualifications, you should ask:

  1. – Am I a candidate for this procedure and why?
  2. – Can you explain to me how you foresee my procedure would go specifically? (how am I different than other  cases?
  3. – How many Blepharoplasty Procedures do you do on a weekly basis?
  4. – May I see before and after photos of your patients?
  5. – How will I be sedated? – What is the recovery time needed?
  6. – What are the potential side effects?
  7. – Will there be visible incisions?
  8. – Where is the procedure done and is that facility certified?

Can you get surgery to change your eye shape?

If you’re a good candidate, you can change your eye shape. One of the most popular procedures in our practice we call “Almond eyes,” or “exotic eyes”. The goal is to create a natural and attractive lift to the outer corners. This shape is often described as attractive and alluring. Almond eyes can appear youthful, boost one’s confidence. Many men and women are blessed with natural almond eyes, but for those who are not, can undergo almond eyelid surgery.

How long is the recovery from eyelid surgery?

In general, 5-10 days depending on the extent of the procedure. In our practice, most patients return to work in less than 1 week. Recovery time varies from patient to patient. Some of your recovery time is in your control, while other factors are not. Many of our patients go back to work as early as 3 days, but if the goal of the patient is to be discreet, 7 days is better to be away from work.

It’s important to refrain from strenuous activity during recovery . Light activity is fine In general,
Smokers beware. Healing time is significantly longer for those who smoke regularly and risk a higher rate of complications.

What to avoid before eyelid surgery?

Prior to surgery, it’s important to avoid blood thinners such as aspirin, motrin, advil, ibuprofen, and Vitamin E.

How to treat under eye wrinkles after blepharoplasty?

Under eye wrinkles can be treated in many ways from using topical creams to using lasers or radio frequency skin tightening (Pelleve).

Eyelid surgery may help the skin look better if there is redundant or excess skin. In my practice in New York, I often perform blepharoplasty to remove or reposition fat as well as excess skin and combine this surgery with the use of the Mixto SX microfractional CO2 laser to improve skin texture and wrinkles.

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Frequently asked questions (FAQ) or Questions and Answers (Q&A), are listed questions and answers, all supposed to be commonly asked in some context, and pertaining to a particular topic.

What can be done? I am unhappy with my blepharoplasty results

Revision Eyelid Surgery. There are several factors which contribute to the changed appearance of your eyes. I perform revision eyelid surgery in New York routinely for patients who are unhappy with results from other doctors.

Specializing in occulofacial eyelid surgery in NYC, I can share with you the importance of properly performed primary surgery. When revision work is necessary the “golden rule” is to restore the anatomy so that the eyelids look good and function well to protect the eye.

You may have exposure of your eyes at night from lower eyelid retraction. You should be comfortable and confident in who you choose for your procedure. Besides eyelid surgery, your options for fillers include hyaluronic acid fillers and platelet rich plasma (PRP).

How to get rid of hollow eyes?

Tear trough volume correction with hyaluronic acid and prp (platelet rich plasma). Genetics and aging can result in volume loss in the area of the tear trough and the eyelid-cheek junction. I have had a lot of success with combining hyaluronic acid filler such as restylane with PRP (platelet rich plasma).

Platelet rich plasma has helped our patients improve the appearance of fine lines, wrinkles and under eye dark circles. As opposed to using hyaluronic acid alone, I have found that combining hyaluronic acid with PRP to create better looking results.

How to get brow lift without surgery? I'm 40 and my brows make me look angry.

A Botox eyebrow lift can help improve the position of the brows so you look more relaxed. In my practice, I help my patients with this procedure and find that they look natural and many notice that they even feel better.

I'm a 30 year old African-American Male - am I a candidate for transconjunctival blepharoplasty with CO2 Fraxel?

I have performed a lot of eye bag surgery on ethnic skin. In my experience, I don’t recommend laser or skin removal for someone your age.

The risks of discoloration from laser and a line of incision which can be seen below the eyelashes make the choices you’re considering less desirable. I have performed radio frequency skin tightening under the eyes using Pelleve Skin Tightening which is safe for all skin types.

I would suggest you consider having the transconjunctival blepharoplasty alone and making the decision to tighten your skin after the surgery, in which you will probably not need to have a skin tightening procedure. This transconjunctival procedure which I perform routinely in my practice in New York and Long Island allows my patients to avoid any external scar and enjoy a natural appearance.

Eye Shape Surgery To Make My Eyes More Masculine?

Male Eye Lift Surgery for “More Masculine” Look. When choosing an eye plastic surgeon for male blepharoplasty, it is important this specialist knows how to differentiate the techniques used in male blepharoplasty from those meant for female blepharoplasty. It is important that men retain their masculine image rather than the more stereotypical feminine result.

A man’s eyes may be characterized as feminine if they appear round or doll-like. Typically, a man’s upper eyelid crease is lower than a woman’s and the eyebrow is more level (as you probably achieve a more masculine look by squinting and lowering your brow.)

These features should be preserved during blepharoplasty for men in order to retain the masculine appearance of the face. Another important factor is not to over-correct a man’s eyelid during male blepharoplasty. As men age, their eyelids will differ from those of their youth, and blepharoplasty for men should appreciate this subtle difference.

For Blepharoplasty, Which Would Be More Competent...an Oculoplastic Surgeon or a Regular Plastic Surgeon?

Oculoplastic Surgeon vs General Plastic Surgeon for Eyelid Surgery Great question! Eye plastic surgery (Oculoplastic) training is specialized compared to general plastic surgery. This extra focused training as a specialist serves as the foundation for expertise in Cosmetic Eyelid Surgery.

As an Oculofacial Plastic & Reconstructive Surgeon in New York, super-specializing in the eyes, I have spent much more time than a general plastic surgeon on advanced eye plastic surgery and have spent many years instructing other eye surgeons on the topic.

A second level of expertise is based upon types of experience (training pursued after residency, the number of years spent during and after formal training on specific types of procedures, teaching others his craft, before and after photos to show). Hope this helps!

Eye Injury Caused Eye to Be Bigger, Can Plastic Surgery Fix It?

Eyelid Surgery for Bigger Eye Eyelid plastic surgery or cosmetic eyelid surgery may be an option for you. A qualified doctor can examine your eyes to help determine if your asymmetrical eyes can be fixed surgically.

An experienced surgeon who specializes in Oculofacial plastic and reconstructive surgery would be able to perform corrective surgery on your eyes that best suits you. Do your research before having eye surgery.

What is the average age for eyelid surgery? I Am 20 years old and thinking about upper eyelid surgery

20 years old is young to elect for cosmetic surgery, so I recommend consulting with a qualified Oculofacial cosmetic surgeon who will understand what it is you want and to help determine the best approach for you.

Recently, I performed upper lid eye lift surgery on a young woman who had a similar problem – although hers was not asymmetry to the eyes (as it seems to be slightly in your case judging from the photos). She had excess skin that caused slight hooding to her upper eyelids.

People always thought she was tired and she couldn’t correctly apply her eye makeup to the upper lids. By removing the excess skin in an artistic way, she healed with natural appearing results so that no one knows she’s had any surgery, and is now happy with her bright-eyed appearance.

Being young, you do not want to appear as if you’ve had surgery to correct a perceived problem.

Sore and Tender Upper and Lower Eyelids 8 Weeks Post Op?

Swelling after eyelid surgery could last up to 6 months to a year to complete the healing process after blepharoplasty. You had combination procedures (Ptosis surgery, lower eyelid surgery) which makes your case unique. If you are concerned, you should seek your doctor’s advice.

Am I A Candidate For Blepharoplasty For Bags and Hollowness?

Fixing the problem with the puffiness below your eyes by “masking” with Restylane filler is a temporary solution and you seem to be looking for a more permanent fix.

You may be a candidate for lower eyelid surgery should you elect to have the fat removed surgically. Because hollowness is also an issue, you may want to do a comprehensive procedure in repositioning fat. As an oculofacial cosmetic surgeon in New York for over 15 years, I strongly recommend you consult with a qualifies doctor who understands your goals and can give you natural-looking results from blepharoplasty.

Are there any exercises for droopy eyelids that can improve upper eyelid muscle tone and result in lifting them?

With over 15 years experience as an Oculofacial plastic and reconstructive surgeon, I can tell you there aren’t any exercises that will tone the muscles in your upper eyelid. Droopy eyelids can be corrected with eye lift surgery, in some cases eyelid ptosis surgery. However, a proper consultation with a qualified cosmetic surgeon will help you determine what is the appropriate treatment for lifting your eyes.

Had upper/lower blepharoplasty 3 weeks ago, can I dye my lashes?

Although the normal healing time for upper/lower blepharoplasty about 1-2 weeks has passed, I suggest asking your cosmetic eyelid surgeon as you don’t want to risk complications.

How long does it take for blepharoplasty incision to heal?

Incision will fade after eyelid surgery. It is still very early and the incision marks from eyelid surgery should heal fine and fade in 6 months up to 1 year. You may want to follow up with your doctor for advice during the healing process for your blepharoplasty.

I recommend using sunscreen or keeping out of the sun while the area is still healing to prevent scarring from getting darker.

How long stitches stay in after eyelid surgery?

About 1 week is normal for removing sutures after blepharoplasty. Waiting 2 weeks after a blepharoplasty follow-up with your doctor is a bit overdue, and you don’t want to risk an infection.

How long does a lower blepharoplasty last?

Eye lift surgery results are long-lasting. That is great that you are happy with your blepharoplasty results. That being said, you shouldn’t have to re-do your surgery as long as you have a proper diet, sleep, exercise and skin care.

Properly done eye lift surgery can reverse the aging clock by up to 15 years. If you are still looking to improve your facial appearance, you may consider non-surgical enhancements, such as Pelleve treatment for eye area, etc. At my practice, I see many patients who come to my practice in New York for revisional eyelid surgery after having had one or two attempts by their original surgeon and wish for us to correct problems.

How to get rid of puffy upper eyelids?

If the excess skin or fat, causing the puffiness on the upper eyelid, is bothersome, then a cosmetic upper eyelid blepharoplasty is the best choice for you. See upper eye lift surgery before and after photos.

How to get rid of cheek festoons?

These festoons could be caused by fluid in this area can be caused by several factors such as sinus and allergy. It may be beneficial to check if sinus or allergy problems are contributing to the swelling in your upper cheek area below the eyes.

In our practice we have had success with treatment of some cases of malar swelling with nonsurgical treatment such as Pelleve Skin tightening for the eyes and face and Fractional CO2 laser skin resurfacing for the eye area and face.

It may also be best to just wait for a few weeks more and see the progress. As a Cosmetic Oculofacial Plastic surgeon operating in New York City, I might also recommend (with a proper evaluation of festoons) a lower eyelid surgery. Lower lid blepharoplasty address the bags (buggy eyes) or festoons that appear under the eyes that give a person an angry or exhausted expression.

How long does swelling last after lower blepharoplasty? Eye bags still there after blepharoplasty

Swelling can last for months after eyelid surgery. At my practice in New York, if a patient is concerned about a fat pocket remaining after blepharoplasty, I recommend to wait at least a month before considering additional surgery for bags beneath the eyes. After the proper recovery period, consult with your cosmetic surgeon.

Had Lower Skin Pinch Lower Blepharoplasty 5 Days Ago. Eyes Still Very Puffy. What should I do?

Swelling under the eyes after blepharoplasty is something I deal with on a daily basis with eye lift surgery patients. Swelling after eyelid surgery can be variable and can last from a week to a month.

Even with minimal trauma after lower lid skin pinch blepharoplasty, you can still get obvious swelling and puffiness under the eyes during the recovery period.After having the lower eyelid pinch bleph, you may notice the first 2 days that swelling is at its maximum. Usually at 5 days, you can use warm compresses for your puffy eyes or and carry on with normal activity (moving, blinking, talking, smiling).

Compared to standard blepharoplasty, a limited amount of skin removal during a skin pinch eyelid surgery is less traumatic than removing fat or other surgery. However, in my 16 years of practice, I’ve witnessed a wide variation in recovery after eyelid surgery, a lot of swelling for a little procedure and virtually no swelling for a lot of surgery.

If you’ve ever had particles or debris go into your eyes or rubbed your eye due to allergies, you can remember your eyes are very sensitive to any kind of trauma. I recommend following the instructions given to you by your eyelid surgeon for aftercare following eyelid surgery. As long as your doctor sees no immediate concerns, you should be optimistic that the swelling will do down after eyelift surgery.

What is more invasive, a brow lift or upper blephroplasty?

As a Cosmetic Oculofacial plastic and reconstructive surgeon in New York, eye lift surgery and brow lift surgery is my specialty. As I consult with my clients, one must determine if a brow lift or upper blepharoplasty is needed.

Depending on the results that one is looking to get from cosmetic surgery of the eyes or face, sometimes a combination of a brow lift surgery and upper eye lift surgery (or blepharoplasty) may be needed. One must be cautious when getting a brow lifting surgery (or performing the surgery) that the brows aren’t overdone because it could result in a “perpetually surprised” look or expression if the brows become too arched.

If a brow lift and eye lift are performed in combination: after the brow lift, it can then be determined how much excess skin is to be removed from the lids. Both a brow lift and blepharoplasty are invasive surgical procedures, however they are invasive for different cosmetic goals.

How to get rid of multiple eyelid creases?

Your perception is understandable but there are many factors that need to be taken into consideration before you choose to undergo blepharoplasty or upper eyelid surgery. It’s best you see a specialist with experience with prominent eyes before you make any decisions.

Swelling after blepharoplasty - will I ever be able to look up normally again?

If swelling due to the eye lift surgery (or blepharoplasty) is what’s causing the limitation in eye movement, there should be improvement with resolution of the swelling.

Can't close eyes after blepharoplasty?

Properly lubricate eyes at night after blepharoplasty. In my practice, I tell my patients that they should have no problem closing their eyes after blepharoplasty. It’s important you properly lubricate your eyes with artificial tears and ointment (at night). Seeing an eye doctor can help you avoid problems related to eye exposure.

Eye bags still there after lower blepharoplasty?

After eyelift, wait until healed and swelling goes down. Swelling can last for months after surgery. In my practice, if a patient is concerned about a fat pocket remaining, I recommend to wait at least a month before considering additional surgery.

Wrinkles under eyes after lower blepharoplasty?

Eliminate wrinkles under eyes with Fractional CO2 Laser or Skin Tightening. Puffiness under the eyes can mask wrinkles which were already present. In my practice I offer options such as the Mixto SX microfractional CO2 laser and Pelleve’ for people with darker skin. Permanence is relative however you can expect results from these treatments to last for years depending on your health and lifestyle.

How to minimize scarring after blepharoplasty?

Socially visible scars are a common problem and a common reason patients are referred to my practice. I stress to my prospective patients that there is an art to performing blepharoplasty so the eyes appear natural and not have obvious signs of being operated on.

There may be some options such as revising the scar so it isn’t wide however, the fact that it is wide may mean there is a relative lack of skin. Seeking additional opinions if your surgeon has nothing more to offer may be the appropriate next step for you.

What can go wrong with blepharoplasty and CO2 laser?

It’s important to work closely with your doctor to prevent the lower eyelids from pulling downwards. The CO2 laser is effective in reducing wrinkles (I routinely use a MixtoSX Microfractional CO2 laser in my practice) however the heat from the laser can cause the skin to contract significantly. It’s difficult to provide a complete diagnosis without an examination

How long does it take for stitches to dissolve after blepharoplasty?

If the dissolving stitches are 6-0 fast absorbing plain gut sutures, they should be well dissolved by 9 days after having your eye lift and facelift. In my practice, I usually see my patients in 5-7 days to clear off any dissolving stitches which haven’t completely dissolved.

Corrective Measures for Eyelid Closure Problems After Blepharoplasty?

I see patients with this problem from all over the world who seek help for eye lift revision or corrective surgery due to an eyelift they previously had with another surgeon. Usually this problem is caused by lower eyelid retraction (the lower eyelid is not at the same level as the border of the iris or colored part of the eye).

Proper examination and performing the right eyelift procedure or corrective procedures can probably provide you with some improvement of your problem with closing your eyes after having had blepharoplasty surgery to your eyes.

Does eyelid surgery leave scars?

Depending on the type of eyelid surgery you will have, the incision lines can be very effectively placed so they are not obvious and barely noticeable.

In the upper eyelids, I place the incision within the natural crease of the upper eyelids. In the lower eyelids, if an external incision is necessary (often I do the procedure from behind the lower eyelids), it can be placed strategically below the eyelashes to minimize the visibility of scarring.

How long does it take for stitches to dissolve?

Stitches dissolve approximately 1 week after surgery. If the dissolving stitches are 6-0 fast absorbing plain gut sutures, they should be well dissolved. In my practice, I usually see my patients in 5-7 days to clear off any dissolving stitches which haven’t completely dissolved.

What is the best procedure for droopy eyelids?

Surgery might be the solution for drooping eyelids. It is natural to want to avoid surgery. It is self evident that with all the miracle creams and “non-invasive” procedures that a practice such as mine sees so many people who require surgery. In my practice, we have been successful in minimizing the stress and difficulties associated with having surgery such that I feel that we’ve made it less stressful than most dental procedures. It’s important to spend your time and resources intelligently.

I see too many people who bought into the hype of non-invasive procedures only to be disappointed and still require properly performed surgery.

Do I need a brow lift or blepharoplasty?

Deciding between Browlift or Blephaphorplasty , the answer to this questions depends on whether or not you have noticed your eyebrows have drooped or are lower than they have been in the past.

It is common to perform a brow lift to reduce the excess tissue over the eyes and do the blepharoplasty (upper eyelids) after 3-6 months to allow for any settling of the eyebrows (depneding on the technique used to lift the eyebrows). If the upper eyelid skin excess is primarily what is bothersome, then a cosmetic upper eyelid blepharoplasty is the best choice for you.

Can you have eyelid surgery twice?

Depending on anatomic changes such as skin excess and the development of eyelid drooping (called “ptosis”), you can safely have more than one eyelid procedure in your lifetime. 

After upper eyelid surgery, woke up with asymmetry, and droopiness. Options

You should followup with your eyelid surgeon to make sure that everything is healing okay and to address any concerns you have as it heals. It is still early, so the asymmetry might be due to swelling and swelling can last up to several weeks.

How to get rid of sunken eyes?

I would recommend a hyaluronic acid injectable filler or a Vampire Facelift to add volume in that area. For my patients with tear trough deformity, I sometimes perform tear-trough implant surgery.

Tear trough implants are made of silicone – a soft rubber-like material that is inserted through a small incision and placed over the bone mass under the eyelid to augment its shape and create a more youthful appearance. A proper consultation is necessary for treatment advice.

Dark circles under eyes after lower blepharoplasty, can they be fixed?

After eyelid surgery, there can be some temporary darkening of the skin particularly in people who tan easily. In my practice in New York, I advise my patients after blepharoplasty to wear an under eye cream with sunblock and typically the skin color returns to it’s normal pigmentation. I even developed a medical-grade skin care line dedicated to helping my patients maintain their skin after surgery.

Does insurance pay for blepharoplasty?

Not very often will insurance pay for blepharoplasty. In most cases, the simple answer is no. In the case of vision blockage due to ptosis or excess skin, there are very specific vision tests that insurance companies will demand as well as photo documentation before approving such a surgery. There are times a procedure can be approved because of medical necessity.

That said, if it is approved, the insurance company will have an amount that they deem normal for the procedure and the area it is performed in. Oftentimes, in a private cosmetic practice, that covered amount is a fraction of the actual cost of surgery.

Insurance companies rarely account for the specialty involved in these surgeries. My advice would be to deal with your insurance company first. Get approval from them. Submit it all your is dotted and t’s crossed and then knock on wood and cross your fingers that the claim will process.