Blepharoplasty Cost


Written by:  Howmuchisit.org Staff
Last Updated:  August 13, 2018

Eyelid surgery, or commonly referred to as a blepharoplasty in the medical world, is a surgical procedure designed to help improve the appearance of either the upper, lower or both eyelids by removing skin and/or fat from the eyelids.

The surgery is said to help loose/sagging skin around the upper eyelids, often causing vision problems, the fatty deposits that often cause a puffy look, bags beneath the eyes, drooping eyelids that reveal the white below your iris or the excessive wrinkles of your lower eyelid.  Not to be confused with an eyelid lift, the goal is to create a more appealing, well-rested face.

Whether you want to improve your appearance or experiencing functional problems, then eyelid surgery may help the areas surrounding your eyes.

Blepharoplasty Cost
Angel” (CC BY 2.0) by peasap

How much does eyelid surgery cost?

The average cost of eyelid surgery will greatly depend on many factors, just like any other cosmetic procedures, including the surgeon you choose, the inclusions in the bill, which eyelids are being worked on, your geographical region, where the surgery is performed and the type of procedure used.  Based on all of these factors, the average costs of the procedure without any insurance involved can range anywhere from $2,300 to $5,200 per eyelid.  Combining both eyelids, however, could be in the $5,000 to $7,000+ range.

The American Society of Plastic Surgeons stated the average costs of eyelid surgery, as of 2017, was $3,026.  The Realself.com average, however, was closer to $4,600 based on 4,500+ reviews.

Todd Christopher Hobgood, MD on Realself.com answered this very question, stating the surgery is often very standardized as long as they are not adjusting the lid margin for ptosis.  He also noted his practice charged about $2,400 for an upper lid blepharoplasty or about $2,800 for a lower blepharoplasty.

YourPlasticSurgeryGuide.com states the average can range from $2,000 to $5,000 or higher based on the variables involved.

Can it be covered by insurance?

As for health insurance, in most cases, your company will probably not cover the procedure as most of the time, it’s considered a cosmetic procedure.  However, in the cases of redundant skin covering your eyelashes or for those with an obstruction in their visual field, it may be covered dependent upon your policy restrictions.  To know if your insurance company will cover the procedure or not, refer to your insurance documentation and talk with your insurance company directly to know your limitations.  Even if your surgery isn’t covered by your policy, there are many doctor’s offices that can either set you up with a payment plan or refer you to a third-party lending provider.

The additional costs to think about

Every clinic will have its own inclusions, all of which you should know about when you pay for the procedure since a good doctor’s office will give you a detailed statement to highlight what your fee covers.

Location:  The surgery can either be performed in an outpatient facility, your doctor’s office or a hospital, all of which, with the exception of your doctor’s office may send you an additional bill for the fees incurred during your stay.  Just like the facility where the surgery is performed, the geographical region, as with any services/surgeries performed, can affect the pricing as well.

Surgeon’s fee:  A board-certified surgeon and/or specialist can often increase the costs mentioned above by more than 30 percent or more.

Anesthesia:  A local anesthesia, the most commonly used anesthesia during the procedure, tends to be the cheapest option, while an IV based can be much more.  Depending on your circumstances, this may or may not be apart of your total bill.  Anesthesia fees, without any insurance coverage, can often be as much as $500 to $900+

Follow-up visits:  Your surgeon will want to visit with you days after the procedure completes to check on your progress.  Again, depending on your doctor office policy, this may or may not be included.

Prescriptions:  Usually, a prescription will not be included in the fees, but some offices may have the prescriptions on site, which they fill for you before you go home.  Popular medications often filled include painkillers, antibiotics and/or artificial tear drops, to name a few.

Types of blepharoplasty options

Upper blepharoplasty:  During this procedure, incisions are created to remove any skin and fat, with muscles tightened in some cases to create a natural look.  Thin stitches are then used to bring the skin back together to heal within the crease of the eyelid.

Lower blepharoplasty:  Just like an upper blepharoplasty, any excess fat and skin are removed, as well as the tightening of any muscles.  Depending on the circumstances, an incision may be created just below the eyelash line or on the inside of the eyelid, which is referred to as a transconjunctival blepharoplasty.  Either option tends to be invisible after healing, with teh transconjunctival approach being the better of the two.  In some cases, your surgeon may decide to use a laser resurfacing method as well to help further reduce any wrinkles and lines.

Asian blepharoplasty:  Also known as a double eyelid surgery, this surgery option will create a horizontal crease in an upper eyelid without one.   During this procedure, a small incision is created inside the upper eyelid and the tissues are then sutured together.

The procedure

Before your surgeon even considers the surgery, he or she will first want to discuss your medical conditions, your surgical goals and take a look at your current medical state to make sure you’re even a candidate for the surgery.  He or she may also perform a general physical exam, take photographs of the troubled area, discuss your surgical options if eligible and recommend a treatment plan, all while explaining the risks and outcomes once done.  In some cases, your doctor may ask you to stop smoking, avoid taking anti-inflammatory drugs and/or stop/adjust medications you’re currently on.

During your procedure, anesthesia, either via intravenous sedation or general anesthesia, will be administered for optimal comfort.

After the anesthesia, the incisions lines, carefully crafted so the scars are concealed in the natural structures of the eyelid region, are either made within the natural crease of the eyelid in the case of an upper eyelid or just below the lower lash line for lower eyelid procedures.  Doing so can help remove and/or reposition any excess fat deposits and help tighten the muscles to create a natural look

Following the incisions, they are then closed with either a skin glue or sutures, with sutures generally removed about a week after the procedure completes.  In the case of discoloration, your surgeon, at this time, may also recommend a laser or chemical peel.

Recovery period

Following the surgery, your doctor will provide you with an at-home care sheet as well as a list of which medications to take.  Immediately following the surgery, you may be provided a cold compress and/or lubricating ointment to help the healing process, and in some cases, your eyes may be loosely covered with a gauze.

Even though bruising and swelling will be noted for the next 24 to 48 hours after the procedure, these side effects often disappear quite fast as long as you use the cold compress and follow the at-home care instructions.  Generally, most patients will see their eyelids return to normal about 10 to 14 days after the procedure.

Since your doctor will use some sort of anesthesia, you will need someone to drive you home.

Eyelid surgery risks

Risks and complications will always occur with any surgical procedure, regardless of the complexity.  Possible risks for an eyelid surgery can include:

Source:  American Society of Plastic Surgeons

Tips to know

Jacob D. Steiger, M.D., via his official website, showcased a variety of blepharoplasty before and after pictures.


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