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Eyelid Lift

Excessive sagging or wrinkling of upper or lower eyelid skin can be corrected by having an eyelid lift. Excessive skin that interferes with your vision may be removed as part of an eyelid lift. If you have lost your natural upper eyelid crease, it can be re-defined with an eyelid lift. Puffy pouches of fat in the upper or lower lids, which create a tired or aged appearance, can be removed during this procedure. A more youthful and rested eye appearance can be achieved by having an eyelid lift. An eyelid lift may also widen visual fields if excessive upper eyelid skin causes partially blocked vision. An eyelid lift can soften wrinkle lines. It is impossible to remove or erase all lines. Additional procedures that can enhance the result of an eyelid lift are a forehead lift, facelift, and/or a skin peel.

Is an eyelid lift right for me?

Since aging affects everyone’s eyes, both women and men can benefit from an eyelid lift. You may be a good candidate if:

  • you have loose or sagging skin that creates folds or hooding of your upper
    eyelids or changes the natural contour of your eyelids, sometimes even
    impairing your vision
  • you have excess fatty deposits that make your eyelids appear puffy
  • you have bags under your eyes
  • you have excess skin and fine wrinkles of your lower eyelid
  • you simply feel that your eyes make you look tired and older than you are

Because an upper eyelid lift can remove droopy skin that can impair vision, your insurance provider might cover it, but only if a visual field test can determine that the degree of excess skin moderately inhibits your peripheral vision.

How is an eyelid lift performed?

The operation is done on an outpatient basis under sedation and local anesthesia. Incisions are made where the natural crease should be in the upper lids and below the lash line in the lower lids. Excess fat and skin are removed. If only excess fat is present in the lower lids, it may be removed through an incision inside the lower lids with no external incision or scar (transconjunctival blepharoplasty).

Recovery after an eyelid lift

Sutures are usually removed within 4 to 6 days. Initial discomfort is mild and can be controlled with medication. A patient will experience bruising and sensitivity to light for the first week or two following surgery. Swelling progressively disappears over several weeks. Eye makeup can be used shortly after sutures are removed. Contacts may be worn when patients feel comfortable, which is typically within 7 to 10 days.


Insurance Guidelines

Occasionally, if surgery is required to improve the field of vision, insurance may cover upper lid surgery. Otherwise, these procedures are considered to be cosmetic and the cost must be paid by the patient.

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