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!

3 answers to “Do I need Blepharoplasty only?”

A: Ptosis Surgery

John Philip Connors III, MD

Linda- I have to agree with the information that the other surgeons have provided. I recommend a levator advancement only when I make the diagnosis of ptosis...this is made using a functional analysis of your eyelids function. Occassionally, one eyelid functions better or worse than the... more

A: Need to see your problem

Michael Kulick, MD

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... more

A: You should do what you are comfortable with.

Kenneth D. Steinsapir, MD

 Dear Linda I hope that you are seeing an ophthalmologist who is fellowship trained in eyelid plastic surgery.  This individuals will have been elected to the American Society of Ophthalmic Plastic and Reconstructive Surgery.  Your doctor may truly believe that you need all of these things.... more

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