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Blepharoplasty or Eyelid Surgery: Diagnosis, Procedure, & Recovery

Droopy or baggy eyelids can make you look tired and often impair vision. And eyelid surgery or blepharoplasty is the best option to treat droopiness in the upper and lower eyelids and improve their appearance. Get in touch with Pristyn Care to consult our expert plastic and cosmetic surgeons and undergo eyelid surgery at the best prices.

Droopy or baggy eyelids can make you look tired and often impair vision. ... Read More

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    Dr. Rohit Devdutt Bavdekar (LkcatVgAb8)

    Dr. Rohit Devdutt Bavdek...

    MBBS, MD, DNB-Plastic Surgery
    30 Yrs.Exp.

    4.7/5

    30 + Years

    Bangalore

    Aesthetics and Plastic Surgeon

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    6366-528-521
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    Dr. Devidutta Mohanty (Qx2Ggxqwz2)

    Dr. Devidutta Mohanty

    MBBS,MS, M. Ch- Plastic Surgery
    20 Yrs.Exp.

    4.5/5

    20 + Years

    Hyderabad

    Aesthetics and Plastic Surgeon

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    6366-528-521
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    Dr. Sasikumar T (iHimXgDvNW)

    Dr. Sasikumar T

    MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY
    18 Yrs.Exp.

    4.7/5

    18 + Years

    Chennai

    Aesthetics and Plastic Surgeon

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    6366-528-521
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    Dr. Vicky Ghewarchand Jain (fSBuys4a7J)

    Dr. Vicky Ghewarchand Ja...

    MBBS, MS, MCh
    16 Yrs.Exp.

    4.8/5

    16 + Years

    Mumbai

    Plastic and Reconstructive Surgery

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    6366-528-521
  • What is Blepharoplasty?

    Eyelid ptosis, also known as blepharoptosis, is a condition characterized by the drooping of the upper eyelid. Ptosis can affect one or both eyes and can range from mild to severe. It often presents in combination with lower eyelid sagging. The sagging may occur congenitally (present from birth) or develop later in life due to various factors. Ptosis is mostly a cosmetic concern, but it can also affect vision if the drooping eyelid significantly obstructs the visual field.

    The appropriate treatment for eyelid ptosis depends on the underlying cause and the severity of the condition. If the droopiness is caused by a medical condition, the doctor will recommend getting prompt treatment. However, if the sagging is due to aging and not affecting the individual’s quality of life, the doctor will advise the patient not to worry. If the eyelid sagging is extensive and also blocks the vision, eyelid surgery may be the best option for you. To find out the most suitable treatment option for droopy eyelids, get in touch with Pristyn Care and consult our expert plastic and cosmetic surgeon. 

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    Diagnosis & Evaluation for Droopy Eyelid Treatment

    To identify the most suitable treatment method for droopy eyelids, the plastic surgeon will do a thorough assessment by taking the patient’s medical history and examining the eye. The doctor will ask the patient to explain the symptoms and duration of how long he/she has been experiencing them. Based on the initial diagnosis, the plastic surgeon will refer the individual to an ophthalmologist for further evaluation. 

    The ophthalmologist may perform the following tests to evaluate the patient’s eye health. 

    • Comprehensive Eye Exam: This exam helps to identify any underlying issues that might be causing sagging in the eyelids and interfering with vision. It also helps to check the presence of excess skin, fat deposits, muscle weakness, asymmetry, and the position of the eyebrows. If surgery is recommended, a comprehensive eye exam may also be useful to identify the best surgical approach. 
    • Visual Field Test: If the individual has significant upper eyelid sagging (ptosis) that affects his/her vision, visual field testing may be conducted. This test measures the extent to which the eyelids are obstructing the individual’s peripheral vision.
    • Slit-lamp Exam: This exam is performed mostly to examine the eyelids, cornea, conjunctiva, sclera, and iris. If surgery is planned, this test also measures the marginal reflex distance (MRD) and the position of the eyes. 
    • Tear Production Test: Also known as Schirmer’s test, this test helps the doctor to check if the patient has dry eyes. If the patient indeed has dry eyes, then the doctor might reconsider the decision to perform blepharoplasty as it can exacerbate the symptoms. 
    • Tensilon Test (for Myasthenia Gravis): This test involves using a drug called Tensilon, which is injected into the eyelids to see if it improves muscle strength. If it does, it indicates the presence of Myasthenia Gravis, which is a neuromuscular condition that affects the muscles in the upper eyelids. 
    • Eyelid Photography: Photographs of the eyes from different angles are taken to document the current appearance of the individual and provide a visual reference for the surgical plan. This will help the patient to see the before and after effects of eyelid surgery. 
    • Ocular Motility Test (Eye Movement Test): This test helps to examine the extent to which the eye motility. The patients are instructed to follow the examiner’s finger in six positions- left upper lateral, superior, right upper lateral, left lower lateral, inferior, and right lower lateral. This way, the examiner can determine if the patient’s motility is full in each direction of gaze. 
    • Peripheral Vision Test: In case of severe eyelid ptosis, the eye doctor also does a peripheral vision test. This test is mostly done with a comprehensive eye exam, but it can be performed separately as well. Usually, an automated perimetry test is done, which involves using a machine to check the side vision. Besides this, either a confrontation visual field test or a tangent screen test may be done for peripheral vision assessment. 

    The results of the above-listed tests and evaluations help the plastic surgeon determine whether blepharoplasty is the right course of treatment for droopy eyelids or whether it can be treated without surgery. If surgery is the best option, the results of the slit lamp exam will help to plan the surgery. 

    Are you going through any of these symptoms?

    Treatment Options for Eyelid Ptosis

    There are numerous treatment options for blepharoptosis or eyelid ptosis. The most commonly used approaches are listed below: 

    • Surgical Correction: Eyelid surgery or blepharoplasty is often considered the most effective treatment for moderate to severe cases of ptosis. There are different surgical techniques, and the choice depends on the individual’s specific condition. Some common surgical approaches include levator resection, frontalis sling, and Müller muscle resection. 
    • Eyebrow or Forehead Lift: A brow lift or forehead lift involves lifting the forehead muscles and removing excess skin that makes the brows droopy. When the brows are lifted, they reduce the bagginess in the upper eyelids and improve the individual’s vision. This method doesn’t provide dramatic improvement, especially if the lower eyelid is also drooping. 
    • Botox Injections: These neurotoxin injections can be used as a temporary solution for mild cases of ptosis. By injecting Botox into the muscles that pull the eyelid downward, the upward-pulling muscles can become more dominant, leading to temporary elevation of the eyelid. However, the effects are short-term and typically last a few months.
    • Treatment of Underlying Conditions: If ptosis is a symptom of an underlying medical condition (e.g., myasthenia gravis or Horner’s syndrome), treating the root cause may lead to improvement in the eyelid position.
    • Artificial Tears and Lubrication: For cases of mild ptosis that don’t require surgery, using lubricating eye drops or ointments can help alleviate discomfort and dryness caused by the drooping eyelid.
    • Ptosis Crutch or Taping: In certain cases, especially while awaiting surgery or in cases where surgery isn’t possible, eyelid crutches or taping techniques can be used to lift the drooping eyelid temporarily. 

    As eyelid ptosis can cause difficulty in driving, reading, and performing other day-to-day activities, in some cases, individuals will prefer surgery as a long-lasting solution instead of a temporary one. The decisions regarding the treatment are made on an individual basis, taking into account factors such as age, health, and personal preferences.

    Who is the Right Candidate for Eyelid Surgery?

    The right candidate for eyelid surgery is an individual who meets certain criteria and has realistic expectations about the procedure. While the suitability for the surgery may vary from person to person, here are some general characteristics considered by plastic surgeons that make an individual a good candidate for eyelid surgery:

    • Eyelid Concerns: Candidates who have specific concerns about their eyelids, such as excess skin, drooping, puffiness, or bags, can undergo eyelid surgery. Individuals can opt for the surgery for cosmetic and medical reasons alike. 
    • Physical Health: Candidates should be in good overall health, without any significant medical conditions that could increase the risks associated with surgery and anesthesia.
    • Eye Health: Candidates should have good eye health and not be experiencing any active eye infections or conditions that could interfere with the healing process.
    • Non-smoker: Smoking can impair the healing process and increase the risk of complications. Candidates should ideally be non-smokers or willing to quit smoking before and after the surgery.
    • Desire for Improvement: Candidates should have a genuine desire for improvement in their eyelid appearance and understand the potential benefits and limitations of the surgery.

     It’s important for candidates to have realistic expectations about the outcomes of the surgery. Eyelid surgery has both cosmetic and functional benefits, but it cannot completely change the individual’s overall appearance. 

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    Blepharoplasty or Eyelid Surgery

    Blepharoplasty is a surgical procedure that involves removing droopy or saggy skin  (eyelid ptosis or blepharoptosis) and fat from the eyelids to improve their appearance and, sometimes, also improve peripheral vision. Most people choose to undergo blepharoplasty for cosmetic reasons, but it is also performed for the functional correction of the eyelids. When performed for medical reasons, the surgery is called functional blepharoplasty. 

    Eyelid surgery, or blepharoplasty, successfully removes the sagging skin in the upper and lower eyelids, giving a younger and rejuvenated appearance.  This surgery is performed to address the following concerns- 

    • If folds are created in the upper or lower eyelid and disturb the natural contour. 
    • If there are clearly visible fatty deposits that make the eyes look puffy. 
    • If there are bags under the eyes. 
    • If the lower eyelids reveal the skin below the white part. 
    • If you have excess skin and fine wrinkles around the lower or upper eyelids

    To learn more about eyelid surgery, get in touch with Pristyn Care and consult our expert surgeons. 

    Types of Blepharoplasty

    Blepharoplasty can be performed on both the upper and lower eyelids, and there are several types of blepharoplasty procedures, each targeting specific areas of the eyelids. Here are some common types of blepharoplasty: 

    • Upper Blepharoplasty: This procedure focuses on the upper eyelids. It involves removing excess skin and, if necessary, repositioning or removing excess fat deposits to create a smoother and more youthful upper eyelid contour and improve vision. 
    • Lower Blepharoplasty: It addresses the lower eyelids and is mostly done for cosmetic reasons. It can involve the removal of excess skin, fat, or a combination of both to reduce puffiness, bags under the eyes, and wrinkles.
    • Blepharoplasty with Transconjunctival Approach: This technique is usually used for lower eyelid blepharoplasty. The surgeon makes an incision on the inside of the lower eyelid (conjunctiva) to access and remove excess fat without creating visible external scars.
    • Blepharoplasty with Transcutaneous Approach: It is an alternative surgical approach for lower blepharoplasty that involves making external incisions below the eyelashes instead of the conjunctiva. This incision allows the surgeon to remove and reposition the fat and excess skin to tighten the lower eyelid muscles. 
    • Double Eyelid Surgery (Asian Blepharoplasty): It is a specific type of eyelid surgery, performed mostly for cosmetic reasons, that aims to provide creases in the upper eyelids. In people of Asian descent, there is only one eyelid crease called monolid. Thus, through the surgery, double eyelids are created to make the upper eyelid taller and according to the patient’s preference. 
    • Laser Blepharoplasty: In some cases, lasers can be used to perform blepharoplasty, which can minimize bleeding and bruising and potentially lead to faster recovery times. It uses a CO2 laser instead of a scalpel to remove the excess skin. Laser blepharoplasty is often performed in conjunction with eyelid rejuvenation to improve the results. 

    The surgeon will determine which type of blepharoplasty is the most suitable and effective for the individual based on his/her anatomy, overall health, severity of the condition, and personal preferences. 

    Benefits of Droopy Eyelid Repair Surgery

    People all across the world feel very enthusiastic about getting eyelid surgery or blepharoplasty because it offers the following benefits- 

    • Improved Aesthetics: One of the primary reasons people seek blepharoplasty is to achieve a more youthful and refreshed appearance. The procedure can help reduce sagging skin, puffiness, and wrinkles around the eyes, giving the eyes a brighter and more vibrant look.
    • Reduced Baggy Eyelids: Blepharoplasty can address excess fat deposits and loose skin that can create bagginess in the upper and lower eyelids. Removing or repositioning these tissues can result in a smoother and tighter eyelid contour. Thus, the individuals will no longer have the tiring look on their faces due to baggy eyes. 
    • Enhanced Self-Confidence: Many individuals experience a boost in self-confidence and self-esteem after undergoing blepharoplasty. Improved eyelid appearance can lead to a more positive self-perception and greater comfort in social and professional interactions.
    • Visual Field Improvement: In cases where severe upper eyelid ptosis obstructs the visual field, blepharoplasty can provide functional benefits by lifting the eyelid and restoring a clear line of sight.
    • Restoration of Youthful Appearance: As we age, the skin and tissues around the eyes can become lax and droopy. Blepharoplasty can reverse some of these signs of aging, helping patients achieve a more youthful and rejuvenated overall facial appearance.
    • Durable Results: The results of blepharoplasty are generally long-lasting. While the natural aging process continues, the improvements made through surgery remain, allowing patients to enjoy their rejuvenated appearance for more than a decade.
    • Improved Makeup Application: Some individuals find that sagging eyelids can make makeup application challenging. After blepharoplasty, the smoother and more defined eyelid contour can make applying makeup easier and more effective.
    • Enhanced Vision: In cases of severe upper eyelid ptosis, where the drooping eyelid obstructs the visual field, blepharoplasty can lead to an improvement in vision. This is particularly beneficial for patients whose daily activities are affected by the eyelid’s position.
    • Natural-Looking Results: When performed by an experienced surgeon, blepharoplasty can produce natural-looking results that enhance the overall harmony of the face without giving an artificial appearance.
    • Minimal Scarring: One of the major benefits of blepharoplasty is that the scars of this surgery are barely visible. The incisions are placed in the natural folds of the skin and under the lash line. Thus, the individual’s overall look is not compromised.

    How to Prepare for Eyelid Surgery?

    Once the surgery is scheduled, the doctor will provide detailed instructions for preparation. Though blepharoplasty is plastic surgery, the patient will need to consult an ophthalmologist as well. The best thing to do is to consult an oculoplastic surgeon (an ophthalmologist who performs plastic surgery). It is crucial to discuss the medical history of the patients along with expected goals for good results. 

    The patients will be advised to follow the pre-operative instructions below:

    • Provide a list of all prescribed and over-the-counter medications to the surgeon, including herbal supplements. The doctor may adjust the medications and ask the patient to stop using them for a brief period. 
    • The patient needs to stop smoking (better to quit entirely) at least 2-3 weeks before the surgery to improve the body’s healing abilities. 
    • Avoid consuming alcohol 3 days prior to the surgery.
    • Start eating a healthy and balanced diet to support the body’s healing abilities and maintain hydration. 
    • Stop taking blood-thinning medications, such as warfarin, aspirin, ibuprofen, etc., leading to the day of surgery, as they can increase the risk of excessive bleeding during the procedure. 

    On the day of surgery, the patient needs to follow the instructions below:

    • Practice fasting on the day of surgery and avoid eating or drinking for 6-8 hours before the surgery. 
    • Wear comfortable clothes on the day of surgery, preferably something with buttons or zippers, to avoid pulling the clothes over the head and rubbing against the face. 
    • Ask a friend or family member to come to the hospital/clinic and arrange for transportation before and after the surgery. 
    • Avoid wearing makeup and using all skincare products on the day of surgery. Also, leave valuable items and jewelry at home. 

    It’s important for the patient to openly communicate with the doctor regarding the instructions and follow them diligently for a successful surgery and smooth recovery. 

    Eyelid Surgery Procedure

    Before taking the patient to the operating room, the nurses will insert an IV line into the arm to administer fluids and medications. The patient is asked to change into a clean and sterile hospital gown. The step-by-step procedure will vary for each patient depending on the individual requirements.

    The general overview of blepharoplasty is given below:

    • The anesthetist will administer anesthesia to put the patient to sleep and numb the facial region. Either local anesthesia with sedation or general anesthesia will be used for the procedure. 
    • In upper blepharoplasty, the surgeon makes an incision in the natural crease line of the upper eyelid. 
    • In lower blepharoplasty, the surgeon makes an incision beneath the lower eyelash line. If suitable, the surgeon may use the transconjunctival or transcutaneous approach to gain access. 
    • Excess skin, fat, and sometimes muscle are carefully removed or repositioned to achieve the desired aesthetic outcome.
    • The surgeon may sculpt the fat deposits to reduce puffiness and create a smoother eyelid contour.
    • If the muscles responsible for lifting the eyelids are weak or stretched, they may be tightened or repositioned to improve eyelid function.
    • After modifications, the incisions are closed with sutures or surgical adhesive, and if necessary, sutures may also be placed beneath the skin to support the eyelids. 
    • An ointment will be applied to the stitches, and a light dressing will be done to protect the incisions. 
    • After surgery, the patient is transferred to a recovery room where his/her health is monitored until the effects of anesthesia wear off. 

    In most cases, eyelid surgery or blepharoplasty takes around 1 to 2 hours and is performed on an outpatient basis, which means the patient is sent home on the same day after a few hours of observation. 

    What to Expect After Eyelid Surgery?

    Expect to feel slightly disoriented after the surgery due to the effects of anesthesia. As the surgery is performed on an outpatient basis, the patient will be kept under observation for a while and discharged on the same day. 

    The patient may also experience the following side effects after the surgery:- 

    • Blurred vision 
    • Watery eyes 
    • Light sensitivity 
    • Double vision 
    • Puffy or numb eyelids 
    • Swelling or bruising around the eyes 
    • Pain or discomfort

    The medical team will give detailed instructions on how to take care of the eyes before discharge, along with the follow-up schedule. 

    Results & Recovery After Blepharoplasty

    Typically, it takes around 2 to 4 weeks to recover and 2-3 months to see the final results of eyelid surgery. Initially, there will be significant swelling and bruising in the treated area, due to which the results won’t be visible. Once the healing begins and the swelling and bruising start to subside, the results will start to become apparent. In a few months, the residual swelling will also go away, the skin will tighten, and the scar will also start to fade. 

    Following post-surgery care instructions strictly is essential for a smooth and successful recovery after blepharoplasty. The general instructions patients will receive include the following: 

    • Apply cold compresses to the eyes in the first 48 to 72 hours to manage the swelling and bruising around the eyes. It will also provide relief from the discomfort. 
    • Take the prescribed medications, including antibiotics, anti-inflammatory medicines, painkillers, etc., as directed by the surgeon. 
    • Use the prescribed eye drops or ointments to keep the surgical area clean and lubricated to prevent dry eyes.
    • Keep the head elevated while resting, even while sleeping, to minimize swelling.
    • Protect eyes from bright lights and wind by wearing sunglasses while going outside. 
    • Avoid vigorous physical activity, heavy lifting, and bending over until the recovery is complete. 
    • Avoid wearing makeup on or around the eyes until the surgeon gives approval. 
    • Refrain from wearing contact lenses until the eyes heal, as they can be difficult to wear and cause irritation in the eyes. 
    • Attend all scheduled follow-up appointments with the surgeon to monitor the healing progress and address any concerns.
    • Protect the treated eyes from the sun’s UV rays by wearing sunglasses with proper UV protection.
    • Resume basic activities within a week. But it’s important to avoid activities that can strain the eyes. 

    The recovery duration will vary for each patient depending on the extent of treatment and his/her healing abilities. Throughout this period, it’ll be best to stay in touch with the doctor and clear all doubts regarding physical activities, skincare, diet, and others.

    Risks & Complications of Eyelid Surgery

    Like any surgical procedure, blepharoplasty (eyelid surgery) carries potential risks and complications. Before proceeding with surgery, the surgeon will inform the patient about these risks and also take several measures to prevent complications. The general risks and complications that may occur are: 

    • Anesthesia Risks: The patient may experience reactions to anesthesia, due to which he/she may go into anaphylactic shock. That’s why the anesthesiologist will evaluate which anesthesia is most suitable for the patient beforehand. 
    • Infection: There is a minor risk of infection during and after the surgery if the patient is exposed to environmental contaminants and bacteria. To prevent infections, patients are given antibiotics. In severe cases of infection, further intervention may be needed. 
    • Hematoma and Seroma: In some cases, hematoma (blood accumulation) or seroma (fluid accumulation) may occur in the treated site. They may resolve on their own after some time or may require drainage. 
    • Scarring: Most scars from blepharoplasty are well hidden in the natural creases of the eyelids. However, in some cases, the scars may heal abnormally or become keloid or hypertrophic, which will require surgery or other intervention. 
    • Asymmetry: Achieving perfect symmetry is challenging, and some degree of asymmetry might persist even after surgery, despite the best efforts by the surgeon. 
    • Dry Eyes or Irritation: Temporary dryness, irritation, or changes in tear production can occur after surgery. In some cases, these symptoms may persist longer than usual. 
    • Ectropion or Entropion: These two complications are associated with lower blepharoplasty. Ectropion is the outward turning of the eyelid, and entropion is the inward turning of the eyelid. If it happens, it can impair the eyelid function and will require another surgery to fix the problem. 
    • Overcorrection or Undercorrection: Sometimes, the results of the surgery may not fully meet the patient’s expectations, leading to overcorrection (tightening) or undercorrection (incomplete improvement).
    • Numbness or Sensation Changes: Temporary numbness or altered sensation around the surgical area can occur but usually resolves over time.
    • Vision Changes: It is an extremely rare complication in which the patient may experience vision changes after eyelid surgery. This may occur if the position of the eyelids or the natural function is affected. 

    Besides these, some patients may also experience delayed healing, reaction to suture or stitches material, skin discoloration, etc. In most cases, the risks are mitigated by the surgeon, but complications may still occur. To reduce the risk of complications, patients are advised to adhere to the post-op instructions. 

    Lifestyle Changes After Blepharoplasty

    After undergoing blepharoplasty (eyelid surgery), making certain lifestyle changes can help facilitate a smoother recovery and enhance the results. Some lifestyle changes that patients should consider implementing include the following:

    • Rest and Sleep: Adequate rest is essential for the healing process. Aim to get plenty of sleep and keep the head elevated to reduce swelling.
    • Hydration & Nutrition: Maintain hydration and take a balanced diet rich in vitamins and nutrients to support healing and improve skin health. 
    • Quit Smoking: It’ll be best for the patient to quit smoking entirely to get the best results and retain them for a long time. Smoking not only interferes with recovery but also causes faster aging by depriving the skin of essential nutrients. 
    • Sun Protection: Do not go out in the sun as UV rays can cause pigmentation of the treated skin. If going out is mandatory, use proper UV protection, such as sunscreen, scarves, etc. 
    • Scar Care: Once the stitches are removed and the scar starts to heal, the doctor may advise using scar reduction creams to ensure proper healing. Use the prescribed product as directed to ensure the scar fades away. 

    The doctor will provide guidance to the patients regarding lifestyle changes to optimize the results of surgery. 

    Blepharoplasty or Eyelid Surgery Cost in India

    On average, blepharoplasty cost in India is Rs. 40,000 to Rs. 60,000. This is an estimated price for eyelid surgery, and the final cost may vary for each patient due to various factors, including:

    • The severity of the condition. 
    • The type of eyelid surgery recommended (upper, lower, unilateral, or bilateral).
    • The surgeon’s consulting and operating fee. 
    • The technique chosen by the doctor.
    • Pre-op diagnostic tests and evaluations. 
    • The choice of hospital/clinic and its associated expenses.
    • Post-surgery care and follow-ups.

    At Pristyn Care, we have a flexible payment system that allows patients to cover eyelid surgery costs in India through modes like credit cards, cheques, etc. Moreover, we also offer a No-Cost EMI service to the patients that divides the overall cost of treatment into easily payable monthly installments. To learn more about the payment options, give us a call. 

    Is Eyelid Surgery Covered Under Insurance?

    Eyelid surgery is covered under health insurance plans if it’s performed for medical reasons. It means that an insurance company will cover the cost when the surgery is reconstructive, not cosmetic. If the surgery is purely cosmetic, the insurance company will not provide authorization to claim the insurance. 

    To get eyelid surgery covered, the patient needs to submit clinical evidence regarding the same stating the functional issues, and the documents must be signed by a certified doctor. Once the required documents are provided, the company will provide a pre-authorization claim and settle the bill through TPA (Third Party Administrator). 

    The insurance policy will cover the cost of hospitalization, admission fees, discharge fees, bed charges, room rent, medical consumables, ICU charges, anesthesia fees, meal charges, pre and post-op consultations, surgeon’s fees, nursing fees, anesthetist’s fees, etc. To clearly understand the inclusions and exclusions of the policy, talk to the insurance provider. Know More about Is Eyelid surgery coverd under insurance 

    Non-Surgical Methods for Droopy Eyelids

    Eyelid ptosis, or drooping eyelids, can sometimes be addressed using non-surgical methods, especially if the ptosis is mild or the individual is not a suitable candidate for surgery. The patient should understand that while non-surgical treatments can provide some improvement, they might not offer the same level of correction as surgical intervention. Here are some non-surgical methods that can be considered for addressing eyelid ptosis:

    • Botox Injections: The botulinum toxin(Botox) injections can be used to lift the eyebrows slightly, which can indirectly improve the appearance of mild eyelid ptosis. The toxins will relax the muscles and prevent contractions that pull the eyelids down. Thus, the eyelids appear slightly elevated. 
    • Filler Injections: Dermal fillers can be strategically injected in areas around the eyebrows and temples to provide lift and support to the surrounding tissues. This can create a mild lifting effect on the eyelids.
    • Thread Lifts: This method involves inserting dissolvable sutures beneath the skin to lift and tighten sagging tissues. While thread lifts can provide some elevation, their effectiveness might be limited in cases of significant ptosis.
    • RF Microneedling is another effective alternative to blepharoplasty. It involves using radiofrequency to address the sagginess of the skin. A specialized device is used to create micro-injuries on the epithelial tissues to stimulate the growth of new and healthy skin cells. These new cells will be firm and give a youthful appearance to the eyes. 
    • PRP Therapy or platelet-rich plasma is often combined with microneedling to boost the lifting effects and achieve better results. The plasma is used to improve collagen and elastin production, which improves the texture and tone of the upper and lower eyelids. 
    • Skin Resurfacing is recommended for patients who have excessive deep lines around the eyes. There are various techniques of resurfacing that can make the skin firm and improve bagginess. The doctor may recommend laser skin resurfacing, photofacial, chemical peels, microdermabrasion, etc. 

    Medication For Eyelid Ptosis

    Medications are generally not the primary treatment for eyelid ptosis (droopy eyelids). However, there are certain medications that might be used in specific cases or as part of a broader treatment plan:

    • Eye Drops: Lubricating eye drops can be used to relieve dryness and discomfort in cases where droopy eyelids are causing irritation. These drops don’t directly treat ptosis but can help with associated symptoms.
    • Medications for Underlying Conditions: If the eyelid ptosis is caused by an underlying medical condition such as myasthenia gravis, medications aimed at treating that condition might be prescribed. These could include medications that improve muscle strength and neuromuscular transmission.
    • Anti-Inflammatory Drugs: If the ptosis is related to inflammation or swelling of the eyelid muscles, anti-inflammatory medications might be used to alleviate symptoms.

    Exercises for Droopy Eyelids 

    The upper eyelid has a muscle that holds the eyelid in place and supports movements. In many cases, the muscle becomes weak, which causes the eyelids to droop. Patients who have droopy eyelids can try the following exercises to regain muscle strength and lift the eyelids to a certain extent. Some exercises that may be worth trying are: 

    • Eyelid Lifts: Gently place the index finger on the upper eyelids and try to lift them. Resist the movement of eyelid muscles, hold for a few seconds, and then release. 
    • Blinking Exercises: Blink both eyes rapidly for about 20-30 seconds. Then, close both eyes and relax for a few moments. 
    • Eyebrow Raises: Raise the eyebrows as high as possible while keeping both eyes open. Hold for a few seconds, and then relax. 
    • Eye Squeezes: Close the eyes tightly and squeeze them shut. Hold for a few seconds, then release. 
    • Forehead Massage: Gently massage the forehead and the area around the eyebrows using circular motions. This can help relax the muscles in the area.

    Remember, these exercises need to be repeated several times, and even then, they might not provide guaranteed results. In some cases, medical procedures or treatments might be necessary to address the issue effectively.

    FAQ Around Blepharoplasty Surgery

    Is eyelid surgery cost covered by health insurance?

    In general, eyelid surgery cost is not covered by health insurance as it is a cosmetic procedure. However, if the droopy eyelids cause vision problems, the treatment will become medically necessary. Hence, the cost will be covered by health insurance.

    What is the right age to undergo blepharoplasty?

    An individual can choose to undergo blepharoplasty at any age. When performed for cosmetic reasons, the patient must be at least 18 years or older. For medical reasons, the surgery can be performed on people of all age groups, even children, with their parent’s consent.

    What makes an individual ineligible for eyelid surgery?

    If an individual has the following conditions, he/she will become ineligible for eyelid surgery-

    • Eye disease, such as glaucoma, dry eye, or a detached retina. 
    • Thyroid disorders, such as under or overactive thyroid. 
    • Cardiovascular disease, high blood pressure, or other circulatory disorders. 
    • Diabetes

    Is blepharoplasty permanent?

    Blepharoplasty results are not considered permanent as the surgery won’t stop the eyes and skin from aging. The results of upper eyelid surgery are likely to last for 5 to 7 years. And the results of lower eyelid surgery are likely to be long-lasting.

    Can eyelid surgery be combined with other cosmetic treatments?

    Yes, it is possible to combine eyelid surgery with other cosmetic treatments, such as face lifts, rhinoplasty, etc. The doctor would confirm whether or not the additional treatments are safe in your case.

    How to fix droopy eyelids without surgery?

    There are several options available that claim to fix droopy eyelids without surgery. Such methods involve dermal fillers, Botox injections, exercises, eye drops, etc. However, the effectiveness of these methods varies for each patient, and the results are also not as dramatic as surgery.

    Is eyelid surgery very painful?

    Some people consider eyelid surgery to be very painful, believing that it is a highly invasive procedure. However, eyelid surgery is minimally invasive, and the pain associated with it is also minimal. Moreover, anesthesia is administered to numb the eyes and facial region for surgery, which ensures the patients don’t feel any kind of pain or discomfort.

    Is eyelid surgery a major surgery?

    No, eyelid surgery is a minor procedure performed on an outpatient basis. However, there are several risks and complications associated with the procedure.

    Is blepharoplasty safe?

    Yes, blepharoplasty is a safe procedure when performed by a certified and experienced oculoplastic surgeon (an ophthalmologist who specializes in cosmetic eye surgeries). An experienced surgeon can identify and mitigate the risks of surgery to ensure the patient’s safety and successful outcome of the procedure. 

    How long do blepharoplasty results last?

    The results of upper blepharoplasty can last from 5 to 7 years or longer if the patient lives a healthy life and takes good care of the skin and eyes. The results of lower blepharoplasty last for a lifetime as the lower eyelid is less susceptible to aging signs. 

    Are headaches common after eyelid surgery?

    Yes, headaches, disrupted sleep, irritation, puffiness around the eye, and discomfort are common and normal after eyelid surgery. These side effects usually persist for one or two weeks and start to disappear as the skin heals. If the headache doesn’t go away with painkillers and persists after 2 weeks, it’ll be best to consult the doctor.

    How long does upper eyelid surgery take?

    If the patient is undergoing only upper blepharoplasty, the procedure may take around an hour. When both eyelids are treated, the duration will be longer(around 2 hours).

    When can I wash my face after blepharoplasty?

    You can wash your face within 3-7 days after blepharoplasty. Till then, patients are advised to use bits of water and a gentle cloth to clean the eyes.

    How long after blepharoplasty can I exercise?

    Patients can start light exercises, such as walking, 2 weeks after the surgery. However, strenuous activities need to be avoided after surgery for 4 to 6 weeks or until the recovery is complete. It’ll be best to talk to the surgeon to find out the right time to resume exercises, specifically in your case.

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    Content Reviewed By
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    Dr. Rohit Devdutt Bavdekar
    30 Years Experience Overall
    Last Updated : April 2, 2024

    Our Patient Love Us

    Based on 7 Recommendations | Rated 5 Out of 5
    • PM

      Padmini Munda

      5/5

      After years of struggling with heavy, droopy eyelids that made me look tired all the time, I finally decided to undergo blepharoplasty with Pristyn Care. The entire experience was amazing! The team was professional and caring, and they answered all my questions. The surgery itself was quick and painless. The results are incredible - my eyes look more youthful and refreshed. Thank you, Pristyn Care, for giving me a new lease on life

      City : PUNE
      Doctor : Dr. Surajsinh Chauhan
    • AJ

      Aditi Jindal

      5/5

      I had been considering eyelid surgery, or blepharoplasty, for a while and decided to trust Pristyn Care with the procedure. I couldn't be happier with my decision. The doctors at Pristyn Care were professional, knowledgeable, and empathetic. They took the time to understand my goals and expectations and provided me with realistic insights. The surgery was smooth, and the post-operative care was excellent. Pristyn Care's attention to detail and commitment to patient comfort were impressive. Thanks to Pristyn Care, I now have brighter, more youthful-looking eyes. I highly recommend Pristyn Care for eyelid surgery.

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      Doctor : Dr. Devidutta Mohanty
    • RS

      Ravinder Sood

      5/5

      My under-eye bags had always made me look older than I am. I was nervous about getting blepharoplasty, but Pristyn Care's team made me feel comfortable and supported throughout the process. The surgery was a breeze, and the staff took great care of me during the recovery period. I can't believe the transformation! My eyes look brighter and more vibrant. Pristyn Care truly delivers outstanding results

      City : KOCHI
      Doctor : Dr. Amal Abraham
    • SD

      Saloni Dwivedi

      5/5

      I recently underwent eyelid surgery, or blepharoplasty, at Pristyn Care, and I am thrilled with the results. The entire experience, from the initial consultation to the surgery and post-operative care, was exceptional. The doctors at Pristyn Care were highly skilled and made me feel comfortable throughout the process. They carefully listened to my concerns and provided personalized care. The surgery was performed with precision, and the results have exceeded my expectations. Thanks to Pristyn Care, my eyes look rejuvenated and youthful. I highly recommend Pristyn Care for their expertise in eyelid surgery and their commitment to patient satisfaction.

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      Doctor : Dr. Ashish Vora
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      Kaushal Gaur

      5/5

      Pristyn Care's blepharoplasty procedure was a game-changer for me. The plastic surgeon was attentive, and the results are remarkable. The post-operative care was thorough, and my eyes look more youthful now. Thank you, Pristyn Care!

      City : COIMBATORE
      Doctor : Dr. Sathya Deepa
    • PR

      Pratibha Rathore

      5/5

      I had a wonderful experience with Pristyn Care for my eyelid surgery. The doctor expertise and care were evident from the start. The surgery was smooth, and the post-operative care was excellent. I am thrilled with the results as it has not only improved my vision but also boosted my confidence. The staff's professionalism and friendliness made me feel comfortable throughout. Pristyn Care is the epitome of exceptional healthcare, and I highly recommend them to anyone seeking eyelid surgery or any medical procedure. Thank you, Pristyn Care, for transforming my life!

      City : KOLKATA
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