Blepharoplasty and Other Types of Eyelid Surgery

Blepharoplasty can be done for both functional and cosmetic reasons. Most often it is performed as cosmetic eye surgery to reshape the upper and lower eyelids by removing excess skin and fat to revitalize the area and create a younger appearance.

Occasionally, when the skin of the upper eyelid is very loose, it hangs down over the eyelashes and causes a loss of peripheral vision. This may in turn create difficulties with reading, driving, and other activities. Upper eyelid blepharoplasty can correct this situation and restore unfettered vision. If the patient meets the criteria required by their health insurance provider, the cost of the procedure is covered. In cases where excess skin causing the droopy eyelid is removed for strictly cosmetic reasons, the patient must pay out of pocket.

On the other hand, lower eyelid surgery is almost always done for cosmetic reasons to remove lower eyelid fat thats seen as puffy bags under the eyes and to reduce the wrinkling of the skin.

Another cosmetic application is the so-called Asian blepharoplasty, or double eyelid surgery. This is upper eyelid surgery on a person of Asian descent who was born without a supratarsal eyelid crease, creating what are known as single-lidded eyes that do not look like they have a crease. Not all people of Asian descent have such eyes. The surgery creates a crease above the eye that is more Western in appearance.   

There is also a 10-minute technique known as the nonsurgical blepharoplasty that involves the use of injectable fillers (hyaluronic acid, collagen, or other products) to restore volume in the tear troughs (between the lower eyelid and cheek) where dark circles often develop.

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