Eyelid Surgery (Blepharoplasty)


A common procedure, blepharoplasty is the name given to the surgical correction of ptosis. Although this may be considered cosmetic, there are also medical indications for the procedure.

Blepharoplasty is considered cosmetic when performed in the absence of visual symptoms such as loss of peripheral vision due to the droopiness of the upper lid(s), or difficulty with reading or driving secondary to the abnormal lid position. In this case, the procedure is done to enhance one’s appearance, and not to correct visual symptoms.

Medically necessary blepharoplasty is done to relieve or improve the symptoms present due to the lid’s abnormal position. Generally, these patients have difficulty seeing because the lid is droopy and interferes with their ability to see. Frequently patients will note significant improvement if they manually lift the lids to a higher position. Insurance companies generally require specific testing and documentation, and prior authorization is generally needed to receive benefits for the procedure. Testing will include a computerized visual field test with eyelids in the relaxed position, and a repeat of the same test with the eyelids manually fixed (with tape) in a higher position.

Whether the surgery is cosmetic or medically indicated, it is typically done on both eyes in one session, and is done under local anesthesia with mild sedation in our ambulatory surgery center.

Dr. Ballitch has been performing these procedures for more than fifteen years, and has done in excess of a thousand.

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