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Medically Reviewed by:

Robert Applebaum M.D.

When should you consider blepharoplasty?

Blepharoplasty, or what is better known as eyelid surgery, is a procedure that can dramatically alter your appearance and improve your quality of life. But how do you know when it is the right time to consider this transformative surgery?

Though the decision to undergo blepharoplasty is often driven by satisfying cosmetic desires, the reasons are actually more multi-dimensional and transformative. Droopy eyelids do not only make us look tired and aged, but they can obstruct vision and dramatically decrease quality of life..

However, it’s crucial to approach this decision with a clear understanding of what the procedure entails as well as your options. This includes knowing the difference between upper and lower blepharoplasty, the various procedures, the recovery process, and the associated costs.

Understanding Blepharoplasty and Its Purposes

Blepharoplasty serves both aesthetic and functional purposes through focusing on the rejuvenation and appearance of the eyelids by addressing excess skin, fat, and muscle issues. It is most commonly sought after by those experiencing droopy eyelids, which can lead to an older and fatigued appearance.

Additionally, blepharoplasty offers functional benefits. It is not unusual for sagging eyelids to impair vision, and can often make daily tasks challenging. Through the removal of this obstructive tissue, blepharoplasty surgery can enhance vision and reduce eye strain. However, it is imperative to understand these varied purposes to determine whether this procedure aligns with your personal goals.

Functional vs. Cosmetic Blepharoplasty: What’s the Difference?

Functional blepharoplasty aims to correct vision problems caused by sagging eyelids. Because this can be a medical necessity, this category of blepharoplasty may be partially covered by insurance.

Cosmetic blepharoplasty solely focuses on enhancing appearance and can also result in a boost of self-confidence. This procedure can address everything from puffiness, to wrinkles, to tired-looking eyes. Yet because it is not a medical necessity, much of the expense will be out-of-pocket. 

Are You a Good Candidate for Blepharoplasty?

How to determine if you’re a good candidate for blepharoplasty involves several factors. Much of your appropriateness for this procedure will be determined by your overall health and medical history. Ideal candidates should be in good health as well as have realistic expectations. Lifestyle activities such as smoking or other detrimental health habits should also be examined as they can hinder recovery..

Once overall health is assessed, there will be other factors now taken into consideration as to whether you are a good candidate for blepharoplasty such as:

  • Excess skin causing vision obstruction
  • Puffy or drooping eyelids
  • Baggy lower eyelids
  • Tired or aged appearance
  • Good skin elasticity

In order to make a thorough assessment, consulting with a board-certified plastic surgeon is essential. They will fully evaluate your eyelids and discuss your overall goals.

The Right Time: Age and Skin Elasticity Considerations

Though general health is important, time must be taken into consideration as well when considering a blepharoplasty procedure. As we age, our skin loses elasticity, which can lead to droopy eyelids, and without a directed procedure, will probably remain in that same state.

Though blepharoplasty is suitable for older individuals with eyelid concerns, some younger people may be candidates due to hereditary conditions that affect their appearance. Yet it is these age differences that not only determine how the procedure is approached but what technique should be utilized.

Types of Blepharoplasty: Upper, Lower, and Transconjunctival

Blepharoplasty surgery comes in different forms to address various issues. The choice depends on the individual’s specific eyelid concerns. Each type of blepharoplasty targets distinct problems and offers unique benefits.

Upper blepharoplasty is the most common and primarily aims to remove excess skin from the upper eyelids. In contrast, lower blepharoplasty, as the name suggests, focuses on the lower eyelids, addressing issues like puffy bags or sagging skin. Transconjunctival blepharoplasty is a more specialized procedure for those with specific needs and offers a minimally invasive approach with no external incisions.

Choosing the right type of blepharoplasty depends on the patient’s goals and specific eyelid conditions and should be discussed with your plastic surgeon..

Upper Blepharoplasty

Upper blepharoplasty addresses excess skin and fat deposits on the upper eyelids. This procedure improves vision and aesthetics, making eyes appear more youthful. It’s ideal for those with droopy eyelids that impair their vision or affect their appearance.

Lower Blepharoplasty

Lower blepharoplasty targets puffiness and sagging in the lower eyelids. This is often due to fat displacement or loss of skin elasticity. The surgery helps reduce under-eye bags and creases, creating a smoother, more youthful appearance.

Transconjunctival Blepharoplasty

Transconjunctival blepharoplasty is a technique that addresses lower eyelid puffiness with no external scars. This procedure is best suited to patients with good skin elasticity but who experience fat bulges. It removes or repositions fat deposits via internal incisions.

Blepharoplasty Recovery: What to Expect Post-Surgery

Like most post-op experiences, recovery from blepharoplasty involves several stages, each with its own set of expectations. Initially, many patients experience swelling and bruising around the eyes, which is normal. These symptoms usually improve within the first two weeks.

Beverly Hills Plastic Surgeon, Dr. Robert Applebaum states that it’s essential to follow post-operative instructions closely. This will ensure the best possible healing process and results. Here are a few key things to keep in mind:

  • Keep your head elevated to reduce swelling.
  • Use cold compresses to minimize bruising and discomfort.
  • Avoid strenuous activities, including exercise, for a few weeks.
  • Take prescribed medications as directed to manage pain and prevent infection.
  • Attend all scheduled follow-up appointments with your surgeon.

It is important to remember that patience is a must during the recovery process as final results may take several months to fully manifest as the swelling subsides and healing completes.

Blepharoplasty Costs and Insurance Considerations

Blepharoplasty costs can vary significantly depending on several factors. The surgeon’s experience, the location of the procedure, and the complexity of the surgery all impact the final price. On average, patients can expect to pay several thousand dollars.

It is also important to check with your insurance provider as some functional blepharoplasty procedures may be partially or even fully covered if deemed medically necessary. However, if it is simply for cosmetic purposes, these procedures are usually not covered. Consulting with both your surgeon and insurance company can help clarify potential out-of-pocket expenses and coverage options.

Non-Surgical Alternatives to Blepharoplasty

Many may wish to address the problem without undergoing the invasiveness of surgery. For them, non-surgical blepharoplasty options are available. These procedures can include laser treatments, which tighten the skin and improve its texture, and injectable fillers that can smooth out areas around the eyes for a refreshed appearance.

Yet it is important to remember that non-surgical techniques, while less invasive, come with limitations. Results from these methods are usually temporary, requiring repeat treatments for maintenance. It’s essential to discuss expectations with a qualified professional to understand the effectiveness and risks compared to traditional blepharoplasty.

Making the Decision: Consultation and Choosing a Surgeon

Deciding to undergo blepharoplasty requires careful thought and planning. Therefore, a key step must be to consult with a board-certified plastic surgeon. This meeting is crucial for discussing your goals and assessing if surgery is suitable for you.

Choosing the right surgeon impacts the overall success of your procedure. Look for someone with extensive experience in eyelid surgeries. Review patient testimonials, as well as before-and-after photos to help assess the surgeon’s expertise. And above all, make sure to communicate your expectations clearly during the consultation to ensure both you and your surgeon are aligned on the desired outcomes.

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