Can my hooded eyelids be corrected to look natural and also be covered under insurance? (photo)

Hooded eyelids in your case is caused by two factors:  You have loose "excess" upper lid skin, which is compounded by lateral brow drooping. Lateral brow lift combined with upper blepharoplasty will achieve the optimal results. In yours, it does not appear severe enough to be covered by insurance.

As mentioned in previous responses, a formal visual field needs to be performed, and sent along with exam notes and photographs for preauthorization by insurance company.In recent years this process has become more and more difficult for physicians to perform, with denials becoming more and more common. Furthermore, there have been cases when preauthorization is given before surgery, but once surgery is performed, the claim is then denied for a variety of 'bogus' reasons. This is a business model that insurance companies have started to use to make the process so onerous for surgeons so that they no longer perform this surgery with insurance. In fact, it is working. Many surgeons do not consider it practical to spend hours of office hours to perform a surgery that reimburses minimally as compared to the cost of a cosmetic blepharoplasty.An oculoplastics surgeon will have the best chance of getting this process covered for you.Good luck.

An upper eyelid blepharoplasty is a great way to remove excess upper eyelid skin. Insurance may cover this surgery if the excess eyelid skin is severe enough. This is normally documented by a visual field test. An in person exam would also be needed to fully assess your eyelid region. You can read more about blepharoplasty surgery at my web reference link below.

From your picture you have some hooding which would be improved with an upper lid blepharoplasty.  Some insurance companies may cover the surgery if you can document a visual field loss.  Not all doctors will do the surgery for the insurance reimbursement as it has dropped so much over the last few years. And the insurance companies are much more resistant to covering for eyelid surgery.

There are a number of excellent oculoplastic surgeons in Portland.  Try the Casey Eye Insititue.  I believe there are a couple of oculoplastic surgeons in the community as well.  I guess that Roger Dailey is a past president of the American Society for Ophthalmic Plastic and Reconstructive Surgery.  The ASOPRS website has a regional directory that will help you.Just studying your photo, I think you would do well with an endoscopic forehead lift.

Upper eyelid surgery can sometimes be covered by insurance if vision is being impaired by the hooding over the eye.  A exam of the vision is needed to determine if there is any impairment or not.  I would start with this exam to determine if you might be covered for the procedure or not.  

The hooded upper eyelids can be corrected with an upper blepharoplasty. The procedure involves removal of a small amount of skin and fat of the upper lids to give a natural contour. The surgery can be performed under local or general anesthesia, but we usually recommended general anesthesia.  Insurance coverage for an upper blepharoplasty must meet several criteria. These criteria  are  different with each insurance company. For  potential  Insurance coverage, patients must go to an optometrist to get a visual field obstruction test. In our practice we take photographs and physical exam notes and submit all 3 of these items to the patient's insurance company for preauthorization prior to the surgery.  Medical necessity must be documented before any insurance will cover the upper eyelid procedure. For many examples, please see the link below to our eyelid surgery photo gallery

You are asking for a cosmetic upper lid blepharoplasty and that is a self-pay procedure. Good luck in your decision to move forward.

For insurance to cover an upper blepharoplasty, the procedure to remove eyelid hoods,  and ophthalmologist or optometrist must document a loss of your upper outer visual fields.  These test results must be submitted to your insurance company for prior approval.Based on the photographs that you provided I doubt that your visual fields are obstructed significantly by the amount of loose skin above the eyelashes.

You are an excellent candidate for upper eyelid correction.   You need to see an ophthalmologist or optometrist that will do visual field studies   for you.     Your visual fields are likely obstructed and you will possibly qualify for some insurance coverage.    The visual field studies are very important.  While many insurance companies will cover you some may not.   Coverage will be partial and they set the portion.   Big rig truck drivers and airline captains  qualify immediately for coverage because of their job.   Be sure and do exactly what the insurance company wants you to do.   My Best,  Dr C