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Michael Kulick, MD answers: Do I need Blepharoplasty only?

I am age 62, and have very saggy upper eyelids, extending slightly past the outer corners of my eyes. My doctor has recommended a blepharoplasty, bilateral levator advancement, bilateral direct brow lift, and bilateral sculpting of the upper lid fat pads. Since my insurance covers only the blepharoplasty, I'm wondering, do I need the rest. My eyebrows are not sagging, and I don't seem to have a lot of fat above my eyes, so do I really need the eyebrow lift and fat sculpting? Also, what does the "bilateral levator advancement" mean? Thanks so much for your help!


Michael Kulick, MD
4 months ago

Not trying to be evasive but in order to make a suggestion that is accurate, any doctor would need to "see" the problem. Given your age, I would not be surprised if you would not benefit from a brow lift. You may also benefit from a Blepharoplasty. You should see some doctors in your area and also be able to express your expectations regarding your final result.

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