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Is Ptosis Surgery Part of a Blepharoplasty or is It a Separate Procedure?

Leo84
i've seen a couple of eye PS in NC and have been told that these are two separate surgeries with separate costs. Additionally I was told there has to be medical reason for the lift not just cosmetic. I'm wondering if in California where PS is commonplace, if these surgeries are one in the same and/or if medical reason is also necessary. If they are one in the same would my paperwork just state upper blepharoplasty or would it have to be noted as two separate surgeries?

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