Eyelid Surgery (Blepharoplasty) in NYC

What blepharoplasty is

Blepharoplasty is surgery on the eyelids. Upper eyelid surgery removes extra skin, and sometimes fat, that makes the lids look heavy or hooded. Lower eyelid surgery treats under eye bags by removing or repositioning fat, sometimes through an incision inside the lid so there is no visible scar.

A droopy upper lid can also come from ptosis, a weakness of the muscle that lifts the lid, which is repaired differently. A good surgeon checks for it at your consultation.

Who performs eyelid surgery

• Plastic surgeons certified by the American Board of Plastic Surgery.
• Facial plastic surgeons certified by the American Board of Facial Plastic and Reconstructive Surgery.
• Oculoplastic surgeons: ophthalmologists with extra fellowship training in eyelid and orbit surgery.
• Whoever you choose, ask how many eyelid surgeries they perform and look at close up before and after photos.

When insurance may help

Cosmetic eyelid surgery is not covered. Upper eyelid surgery may be covered when heavy skin or ptosis blocks your vision. Insurers usually ask for photos and a visual field test showing the blockage. Ask the practice to request preauthorization before you book.

Recovery

Most people plan one to two weeks of downtime for bruising and swelling, and use cold compresses for the first days. Ask when you can wear contact lenses and eye makeup, and bring sunglasses for the ride home.

Nonsurgical options

Some under eye hollowness can be softened with filler by an experienced injector, and skin texture around the eyes can be treated with laser resurfacing. Neither removes extra skin or fat.