What is Blepharoplasty?
Blepharoplasty is a surgical procedure to correct drooping upper eyelids. It does not remove crow’s feet. This procedure is not purely cosmetic because drooping eyelids often interfere with peripheral vision. They may also cause “tired” eyes and aggravate dry eye symptoms.
Is it covered by insurance?
If a significant decrease in the superior field of vision is felt to be due to the drooping eyelids, insurance companies will consider coverage of this procedure. Documentation via photography and peripheral vision testing must be performed preoperatively. This testing is done in our office following a doctor’s recommendation.
Who should have this surgery?
Patients who are experiencing eye irritation and decreased peripheral vision should let their eye doctor know of these symptoms. If an examination points to the drooping eyelids as a cause, the doctor will recommend the appropriate tests and subsequent surgery. Medical conditions such as hypo and hyperthyroidism, high blood pressure, and diabetes may affect this condition. Patients on blood-thinners including medications such as coumadin, plavix, aspirin, and ibuprofen should discuss this with their doctor preoperatively.
What does the surgery involve?
Blepharoplasty is done as an outpatient procedure with local anesthesia and sedation keeping the patient very comfortable. An incision will be made in the natural crease of the eyelid, excess tissue removed, and the incision will be closed with tiny absorbable sutures. Post-operative medication is typically limited to an antibiotic ointment. There is not typically post-operative pain, but bruising and swelling around the eyes may occur. As the eyelids heal, the incisions gradually fade with changes occurring for a full year after surgery.