How Much Does Eyelid Surgery Cost?

How much does a blepharoplasty cost?  Are the prices different for blepharoplasty on the upper eyelids vs. the lower eyelids?

Doctor Answers 154

Cost for eyelid surgery

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Costs vary widely in different geographic regions, between different specialities, and between individual physicians.  A patient's individual anatomy also factor into the equation.  Anyone contemplating eyelid surgery really should see an oculo-facial surgeon as these specialists have the greatest expertise with this procedure.  In my area of Florida, expect to pay $2000-$6500 for eyelid surgery and an additional $2000-$3000 if a browlift is added, inclusive of all costs.

Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 140 reviews

$4,500 (Upper Eyelids only), $4,500 (Lower Eyelids only), $8,000 (Upper and Lower Eyelids)

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At my office, our all inclusive price for blepharoplasty on the lower eyelids is $4,500. We charge $4,500 for the upper lids. The total is $8,000 for the upper and lower eyelids if both the upper and lower eyelids are done at the same time. These prices include the anesthesia and operating room fee, as well as post-op appointments.

Usha Rajagopal, MD
San Francisco Plastic Surgeon
4.6 out of 5 stars 43 reviews

Cost of Eyelid Surgery Depends on Expertise, Experience, and Safety Measures of Your Surgeon

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Please do not select your surgeon based on the lowest price  You have one set of eyes. Eyelid surgery requires experience, expertise, patience and attention to detail.  It is important to find a plastic surgeon who shares your aesthetic sensibilities.

Many of my brow-upper lid junction structural fat grafting patients have come to my practice for the correction of hollowness created by the over-zealous removal of fat during an upper blepharoplasty surgery. I am continually amazed at how many cosmetic surgeons practice 1970's-era blepharoplasty surgery in the 21st century.  I almost never remove upper lid fat during blepharoplasty surgery, and in many cases I actually add fat at the brow-upper lid junction. Fortunately, essentially all cases of post-blepharoplasty hollowness can be improved dramatically by structural fat grafting. It is a more challenging procedure, as scar tissue must be overcome to create space for the grafted fat, and in many cases it takes more than one fat grafting procedure to restore adequate fullness in these patients.

Lower lid hollowness following an overly aggressive lower blepharoplasty can likewise be improved. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, with a plan for secondary and occasionally tertiary fat grafting procedures depending on the 'take' of the initial fat grafting surgery.

Many patients referred to me for treatment of these frustrating and difficult post-blepharoplasty problems have reported more than just a cosmetic improvement. Excessive removal of skin and fat during upper and lower blepharoplasty can impair normal lid function and cause or aggravate dry eye syndrome. In some cases the fat grafting procedure will restore suppleness and flexibility to peri-orbital soft tissues, make eyelid closing easier, and improve the truly irritating and aggravating symptoms of dry eye syndrome.

I urge all people interested in eyelid surgery to look at many, many before and after photos, and to check the background of any plastic surgeon very carefully. The results of eyelid surgery can be very beautiful. Taking your time finding the right surgeon for you can give you an idea about the results you might experience.

The following are a few things that can distinguish some surgeons from others

1) Graduating from a top tier medical school at the top of their class.

2) Membership in Alpha Omega Alpha. THis is the medical honors society. Alpha Omega Alpha is to medicine what Phi Beta Kappa is to letters

3) Formal surgical training from prestigious medical universities. The minimum number of years of surgical training for plastic surgeons to be bord certified in five years. Some physicians have as many as ten years of formal surgical training. There simply is no substitute for stelar academic and practical surgical training.

4) Very experienced surgeons with meticulous surgical technique and natural looking outcomes will have photgraphic evidence of their work. Patients should be able to view many photos of the surgery of interest, photgraphed from three different perspectives all with similar lighting, distance from the camera and cropping

The elite experience extends beyond the surgeon to the facility, and the surgical team. You should be able to see the surgical theater and know who else will be in the OR with you during surgery. The Joint Commission (JCAHO) is an organization that provides certification to hospital OR's. The Joint Commission and AAAASF are two of the organizations that can provide certification to surgical suites. Some plastic surgeons elect to have their surgery centers dually certified.

The anesthesia experience is critical to a safe and comfortable surgical experience. A board certified anesthesiologist can administer general or MAC anesthesia. My preference is to have a board-certified anesthesiologist at the bedside of my patients for the duration of surgery.

Plastic surgeons who cater to high profile individuals who place a high value on privacy will have a private first floor entrance and exit so patients never need to be in a public lobby or elevator for pre-operative or post operative visits.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Cost also depends on the plastic surgeon's specialty

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Most oculoplastic surgeons (plastic surgeons who specialize in cosmetic and reconstructive eyelid surgery) charge slightly higher prices than general plastic surgeons who also perform eyelid surgery. The oculoplastic surgeon may be more experienced and capable of handling complex cases and complications. Prices vary from $2,500 - $4,000 per upper or lower blepharoplasty. Some surgeons charge extra for the operating room facility and the anesthesiologist (which I do not).

Free consultations are welcome.

Blepharoplasty cost

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Upper blepharoplasty under local anesthesia should run between $1500--3000    Lower blepharoplasty under local anesthesia should run between $2000--4000. A combined proceedure should be between $3500--6500  .......add another $1500--2500 for IV sedation or other anesthesia if an anesthiologist is present. However it should be noted that experienced surgeons rarely need any more than a little oral sedation and local anesthesia to do a complete and very comfortable quad-blepharoplasty; the safest method to do it. A local anesthesia blepharoplasty is both very easy and very safe to do in the office operating room

Blepharoplasty/Eyelid Surgery Cost and determining factors

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Eyelid Surgery, and by this I mean Blepharoplasty (eyelid lift) prices vary greatly because the procedure itself encompasses a range of techniques that can be performed.RealSelf estimates the price to be around $4300 as of today. The cost in Southern California should range from $3000-$6000 depending on if it is just the upper lids or upper and lower blepharoplasty (quad blepharoplasty). The lower lids unless a "skin pinch" procedure usually takes a bit longer.. My recommendation is to first find qualified surgeons   that are board certified by the American Board of Plastic Surgery or board certified Oculoplastic surgeon you trust, then compare prices between them. Factors that influence the price include:

1. Location - Will it be performed in a hospital with an overnight stay, an independent out- patient facility or a doctors office?

2. Type of Anesthesia - local, IV sedation or General Anesthesia? Will a board certified anesthesiologist or a nurse anesthetist be used, or an RN?
3. Experience and training of your surgeon. The best trained (and longest) would be a surgeon board  certified by the American Board of Plastic Surgery, and some fellowship trained oculoplastic surgeons.
4. Length and Complexity of Surgery - Skin only removal or also the fat pads. Will a procedure need to be done to correct muscle weakness (ptosis repair) and do the fat pads need to be lessened or re-positioned (fat preservation blepharoplasty).

Price for cosmetic blepharoplasty varies

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The price for upper eyelid and lower eyelid blepharoplasty varies geographically and among practitioners.

In my practice, the typical cost for a cosmetic upper eyelid blepharoplasty alone is roughly $2500. The cost for a cosmetic lower eyelid blepharoplasty alone is roughly $2500 as well. If you combined the two procedures, the cost would be roughly $3200.

We have two operating rooms in our office and use light sedation (twilight anesthesia) which we do not charge extra for.

Depending on the amount of skin, upper eyelid blepharoplasty can be covered by insurance and Eye and Facial Plastic surgeon can help determine whether the procedure would qualify for coverage.

Briggs Cook, MD

Briggs E. Cook, Jr., MD
Charlotte Oculoplastic Surgeon

Cost of eyelid surgery (blepharoplasty)

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The cost of eyelid surgery varies significantly between practitioners and in different anesthetic settings.  Upper eyelid surgery may also need to be accompanied by browlift surgery for maximal longevity of results.  Most isolated upper eyelid surgery can be treated under local anesthesia, with costs ranging $2000-3000 in our practice.  The addition of a browlift would typically require sedation or general anesthesia, with the total costs for both procedures ranging around $5000-6000.  Lower eyelid surgery can also be performed under local anesthesia and is also $2000-3000, but for more involved lower eyelid work, sedation or general anesthesia is necessary, which typically adds $1000-2000 to a procedure depending on length of procedure.  A thorough examination is necessary to provide an accurate price estimate because every patient is significantly different.  Have a nice day!

Thomas T. Le, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 62 reviews

Cost of Blepharoplasty

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Like anything else the cost varies based on the surgeon, the problem being treated, and the technique used to treat it. There is less variability with the upper eyelid. On the lower eyelid, sometimes all that needs to be done is skin removal, sometimes just fat removal, other times, fat addition, and other times all three of those maneuvers. The more complex the needs, and the more skilled the surgeon, the more expensive the procedure. Generally, the cost is anywhere for $2500-4,000 for an upper or a lower eyelid blepharoplasty.

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Blepharoplasty cost in Atlanta

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At our facility we are having a special on the Blepharoplasty thru March 2012.  Upper Blepharoplasty Reg. $3,500.00. Special pricing $1,975.00. Lower Blepharoplasty Reg. $3500.00. Special pricing $2,600.00.

If you do both procedures at the same time the cost Reg. $7,000.00/Special pricing $5,200.00. Only additional cost are prescriptions and lab work if needed.

Make sure to ask these questions when choosing your surgeon for these procedures:

  • Is the Physician Board Certified in Plastic Surgery?
  • Is the Facility a State licensed Facility?
  • Are there MD Anesthesiologists on Board?

Safety first.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.