At Kopelman Aesthetic Surgery in New York City, Dr. Joel Kopelman helps patients decide if they are a blepharoplasty candidate.
With over 35 years of experience, Dr. Kopelman provides expert evaluations to guide you through the process of determining if eyelid surgery is the right option for you.
Key Takeaways for Patients
- Good candidates are healthy, have realistic expectations, and have no serious eye conditions.
- Upper and lower blepharoplasty target different issues: vision-blocking skin and under-eye puffiness.
- Surgery enhances both appearance and function, offering patients a more youthful look and, in some cases, better vision.
- Insurance may cover blepharoplasty if the skin blocks vision, provided proper documentation is submitted.
- Recovery involves swelling and bruising for the first week, with normal activities resumed in 10–14 days.
What Qualifies You for Blepharoplasty
Health and Medical Conditions
A good candidate for eyelid surgery is generally in good health and free from conditions that affect healing.
Patients should not have uncontrolled diabetes, severe thyroid issues, or untreated glaucoma. Dry eye and high blood pressure need to be managed before surgery. A full medical history review ensures a safe and successful outcome.
Age, Lifestyle, and Expectations
Most good candidates for blepharoplasty are over 30 and notice signs of aging around the eyes. Lifestyle factors like smoking or poor sleep can affect healing.
Patients must have realistic expectations – blepharoplasty improves appearance and vision, but it does not stop the aging process.
How to Tell If You Need Surgery
You may be a candidate for eyelid surgery if you experience:
- Drooping upper lid skin that affects your field of vision
- Puffy upper and lower eyelids
- Loose eyelid skin from aging
- Removing excess skin can restore comfort and vision, making surgery both a cosmetic and functional procedure.
What Happens During the Blepharoplasty Procedure
The blepharoplasty procedure is a safe cosmetic procedure performed by a board-certified plastic surgeon.
It usually takes 1–2 hours, depending on whether both upper and lower eyelids are treated. Anesthesia may be local or general, depending on the patient’s needs.
The surgeon makes small cuts along natural eyelid creases. This allows the surgeon to remove excess skin, adjust fat, or tighten muscles. The careful placement of incisions helps scars remain hidden after healing.
Upper vs. Lower Blepharoplasty Candidates
Upper Eyelid Concerns and Costs
Upper blepharoplasty removes excess skin that droops over the eye, improving both vision and appearance. The cost for upper eyelid surgery is around $8,500. Insurance may help if the skin obstructs your field of vision.
Lower Eyelid Issues and Recovery
A lower blepharoplasty candidate often has puffiness, bags, or fine lines under the eyes. The surgical procedure may involve removing excess skin or repositioning fat. Recovery typically takes 1–2 weeks, with bruising and swelling decreasing daily.
Comparing Upper and Lower Surgery
Upper blepharoplasty restores function, while lower surgery focuses on cosmetic improvements.
Many patients opt for both procedures to achieve a youthful, balanced appearance. The cost of double eyelid surgery ranges from $8,500 to $10,000, depending on the extent of the surgery and other factors.
When Blepharoplasty May Not Be the Right Choice
Not all droopy eyelids are caused by excess skin. Sometimes ptosis affects the eyelid muscle, or a brow lift may be needed. A skilled plastic surgeon can help identify whether blepharoplasty is the right option.
Who Is Not a Candidate for Blepharoplasty
Patients with certain medical conditions, untreated eye diseases, or unrealistic expectations may not be suitable for eyelid surgery. Patients with severe dry eye or limited tear production may face complications.
The Consultation and Evaluation Process
Before surgery, patients meet with a board-certified plastic surgeon for a full consultation, where they can also review questions to ask before a blepharoplasty to feel more prepared.
The surgeon reviews your medical history, eye health, and any medications that affect healing. Visual field tests may be done if your field of vision is impaired.
During the consultation, your lifestyle habits, such as smoking and sleep, are also discussed. You’ll receive guidance on preparing for surgery and adjusting medications.
Results and Recovery Expectations
Before, After, and One-Week Recovery Photos
Blepharoplasty before and after photos show clearer eyes and smoother eyelid contours. In one week, swelling goes down, and many return to light activities.
How Long Do Results Last?
Eyelid surgery results last for years, especially with healthy habits and sun protection. Many patients achieve lasting results after undergoing eyelid plastic surgery.
Insurance Coverage for Eyelid Surgery
Medical Criteria, Testing, and Insurance Photos
Insurance may cover blepharoplasty if excessive skin on the upper lid blocks vision. Documentation includes photos and visual tests. Images of eyelid surgery covered by insurance are submitted to support medical claims.
Risks and Safety Considerations
Common Complications
As with all surgical procedures, risks include infection, bleeding, scarring, or asymmetry. These complications are rare but should be taken into consideration.
How to Reduce Risks
Following pre- and post-surgery instructions is key. Quitting smoking, managing medications, and attending follow-up appointments will help improve healing.
Alternatives and Complementary Procedures
Non-Surgical Options
Alternatives include laser resurfacing, Botox, and fillers to reduce wrinkles and under-eye shadows. These can be paired with surgery for better results.
Finding a Blepharoplasty Surgeon Near Me
Choose a board-certified plastic surgeon with extensive experience. Learn more about who does eyelid surgery and why expertise matters before making your decision.
Dr. Kopelman’s reputation in New York City reflects his precision and care. Schedule a consultation today to discuss your options and receive personalized advice.
