William Portuese MD

Blepharoplasty Portland OR | Eyelid Surgery Portland Oregon

How much does eyelid surgery cost in Portland Oregon?

The cost of eyelid surgery depends upon multiple factors. If there is functionally related loss of vision due to excessive hooding of the upper lids, medical insurance may participate in the coverage for a functional blepharoplasty procedure. Significant ptosis can also be covered by medical insurance. The cost for cosmetic eyelid surgery is directly related to three fees, which include operating room, anesthesia fee, and the surgeon’s professional fee for performing the service in addition to all the post–operative follow-up appointments.

blepharoplasty before and after photoeyelid surgery before and afterbefore and after eyelid liftbefore and after eyelid rejuvenation

What are the goals of upper eyelid surgery?

For an upper blepharoplasty procedure, the primary goal is to remove excess skin creating the tired or hooded look. When there are fatty deposits on the inner corner of the upper eyelid, these are also removed as well. The incision for an upper blepharoplasty is placed in the upper eyelid crease and carried out laterally into a crows feet wrinkle. In our practice, the incision can be closed with dissolvable sutures and tissue glue.

What are the goals for lower eyelid surgery?

The primary goal for a lower blepharoplasty procedure is to remove a portion of the eye bags that are creating the puffy look in the lower lids. There are three compartments of fat in the lower lids, and a portion of that fat is removed to reduce the visible signs of puffiness in the lower lids. The fat is removed through trans-conjunctival approach located on the inside of the eyelids. For patients less than 50 years of age, this is usually all that is required to rejuvenate the lower lids.

When patients are over 50 years of age, there will be excess skin noted. This excess skin can be removed an incision located directly below the lower eyelash line. Usually 2 to 3 mm the excess skin is removed which helps tighten the lower lid skin as well. In our practice, we close this incision with Histocryl tissue glue. No sutures are required for the lower lids.

How long will I be bruised and swollen after eyelid surgery?

For most patients, anticipate visible bruising and swelling for two weeks after an upper or lower blepharoplasty procedure. The sutures and the tissue glue are usually dissolved or fallout at approximately 7 to 10 days after the surgery. Makeup can then be applied to the upper and lower lids at that point. The incisions themselves will be pink the first 2 to 3 months after the incision until full healing occurs at three months.

Can eyelid surgery be performed under local anesthesia?

In our practice, upper eyelid surgery can be performed comfortably under local anesthesia. A lower blepharoplasty procedure must be performed under general anesthesia for patient safety and comfort. In our practice, board-certified physician anesthesiologists perform the general anesthesia in our Medicare certified outpatient surgery center.

I have asymmetric eyes, what can be done about it?

Everyone has some degree of asymmetry in the eyebrows and eyelids due to the embryologic development of the face. This is what makes everyone very unique. When there is significant asymmetry, skin, muscle, and fat can be addressed asymmetrically to make the eyelids look more symmetrical. If there is ptosis present, this is usually treated by an Oculo-plastic surgeon.

What are the requirements to have medical insurance cover a blepharoplasty?

Individual medical insurance has different parameters on what they consider for coverage of functional upper eyelid surgery when there is vision loss. As a general rule, medical insurance usually requires 20 to 30% of visual loss in the total field-of-view, a reflex distance from the pupil to the lid margin of 1 to 2 mm, physician chart notes and photographs documenting medical necessity.

How long does it take my stitches to dissolve in my eyelids?

In our practice, we use dissolvable stitches in the upper eyelids, which usually take 7 to 10 days to dissolve. We also place a small amount of tissue glue on the incision as well to help bolster the dissolvable stitches. Anticipate two weeks of swelling and bruising after a surgical upper blepharoplasty procedure. Tissue glue is used on the lower lids and there are no stitches at all used on the lower lids.

How much pain is involved after upper and lower eyelid surgery?

Most patients only take a few medium strength narcotic pain pills for the first day or two after their upper and lower eyelid surgery. Tylenol is also very helpful. We ask patients to avoid aspirin, since it is a blood thinner. Most patients experience some degree of their eyes feeling like they are tired and irritated for the first week after the surgery

Are crow’s feet treated with eyelid surgery?

No, crow’s feet are best treated with Botox. Eyelid surgery will not improve crow’s feet,which are caused from the eyelid smiling muscle contracting around the orbit. Botox treatments offer a temporary softening effect of the smiling muscle, which decreases the visibility of the cross feet themselves.

For Eyelid Rejuvenation our plastic surgery office if located in Seattle Washington. Contact us at 206-624-6200.

Contact Dr. William Portuese