8 doctors weighed in:

Can a blepharoplasty procedure improve my peripheral vision? I'm and 48-year old women and over the past couple of years, my skin has begun to "sag" around my face. I understand that this is natural, but I have noticed that my peripheral vision has weened

8 doctors weighed in
Dr. Mia Skourtis
Surgery - Plastics
1 doctor agrees

In brief: If

If you are noticing that your peripheral vision is being affected by the loose skin of your upper eyelids, this may indeed be the case.
A good rule of thumb (often but not always the case) is that if your eyelid skin has a tendency to sit directly upon your upper lashes, you are very likely to be experiencing some decrease in your visual fields and peripheral vision. The first step is to have formal visual field testing by your ophthalmologist. This will involve assessment of your ability to see objects in your direct and peripheral vision. If a reduction in your upper visual fields is identified, you may be a candidate for a medically indicated upper blepharoplasty, which would be covered by your insurance. Of note, lower eyelid surgery (lower blepharoplasty) to reduce fat bags is not covered by insurance, and is considered cosmetic. Blepharoplasty surgery should only be performed by a board certified plastic surgeon, oculoplastic surgeon, or otolaryngologist with experience and expertise in this area. All the best, dr. Skourtis.

In brief: If

If you are noticing that your peripheral vision is being affected by the loose skin of your upper eyelids, this may indeed be the case.
A good rule of thumb (often but not always the case) is that if your eyelid skin has a tendency to sit directly upon your upper lashes, you are very likely to be experiencing some decrease in your visual fields and peripheral vision. The first step is to have formal visual field testing by your ophthalmologist. This will involve assessment of your ability to see objects in your direct and peripheral vision. If a reduction in your upper visual fields is identified, you may be a candidate for a medically indicated upper blepharoplasty, which would be covered by your insurance. Of note, lower eyelid surgery (lower blepharoplasty) to reduce fat bags is not covered by insurance, and is considered cosmetic. Blepharoplasty surgery should only be performed by a board certified plastic surgeon, oculoplastic surgeon, or otolaryngologist with experience and expertise in this area. All the best, dr. Skourtis.
Dr. Mia Skourtis
Dr. Mia Skourtis
Thank
Dr. Barry Handler
Surgery - Plastics
1 doctor agrees

In brief: Blepharoplasty

Blepharoplasty is the surgical procedure to remove excess skin and/or fat from the upper and/or lower eyelids.
When excess skin forms on the upper eyelids then it causes hooding and if severe enough can limit one's field of vision. In such cases, an upper blepharoplasty can improve the peripheral vision. The best way to test for this is to have your ophthalmologist perform a formal visual field exam to document loss of peripheral vision. Of course, this is only necessary if one hopes to have their insurance company pay for the surgery. For those people who simply wish to pay for the operation themselves testing is not necessary lower eyelid blepharoplasty is never covered by insurance as excess skin and fat in the lower eyelids, however unsightly it my be, does not limit peripheral vision.

In brief: Blepharoplasty

Blepharoplasty is the surgical procedure to remove excess skin and/or fat from the upper and/or lower eyelids.
When excess skin forms on the upper eyelids then it causes hooding and if severe enough can limit one's field of vision. In such cases, an upper blepharoplasty can improve the peripheral vision. The best way to test for this is to have your ophthalmologist perform a formal visual field exam to document loss of peripheral vision. Of course, this is only necessary if one hopes to have their insurance company pay for the surgery. For those people who simply wish to pay for the operation themselves testing is not necessary lower eyelid blepharoplasty is never covered by insurance as excess skin and fat in the lower eyelids, however unsightly it my be, does not limit peripheral vision.
Dr. Barry Handler
Dr. Barry Handler
Thank
Dr. Suzanne Galli
ENT - Head & Neck Surgery

In brief: Visual field deficit

Blepharoplasty can improve a visual field deficit.
Have your eye doctor test for this and see if you are a candidate for functional surgery.

In brief: Visual field deficit

Blepharoplasty can improve a visual field deficit.
Have your eye doctor test for this and see if you are a candidate for functional surgery.
Dr. Suzanne Galli
Dr. Suzanne Galli
Thank
Dr. Thomas Lamperti
Facial Plastic Surgery

In brief: Upper

Upper eyelid blepharoplasty is a great way to improve visual field blockage caused by excess upper eyelid skin.
The procedure involves making an incision in the existing upper eyelid crease and removing the excess intervening eyelid skin using an elliptical pattern. After closing the wound with sutures the scar is hidden in this crease. The procedure can be done with local numbing medicine in the office or an operating room. For insurance to cover the surgery you would need to have visual field testing done by your eye doctor in order to get pre-authorization. To see if you are a good candidate you should consult with a board certified facial plastic surgeon, oculoplastic surgeon, or plastic surgeon who has experience in performing eyelid surgery.

In brief: Upper

Upper eyelid blepharoplasty is a great way to improve visual field blockage caused by excess upper eyelid skin.
The procedure involves making an incision in the existing upper eyelid crease and removing the excess intervening eyelid skin using an elliptical pattern. After closing the wound with sutures the scar is hidden in this crease. The procedure can be done with local numbing medicine in the office or an operating room. For insurance to cover the surgery you would need to have visual field testing done by your eye doctor in order to get pre-authorization. To see if you are a good candidate you should consult with a board certified facial plastic surgeon, oculoplastic surgeon, or plastic surgeon who has experience in performing eyelid surgery.
Dr. Thomas Lamperti
Dr. Thomas Lamperti
Thank
Dr. Robert Brueck
Surgery - Plastics

In brief: Yes

Yes this may be covered by insurance.
I would go to a plastic surgeon and be evaluated.You will then have pictures taken.You also will need to see an eyedoctor to get a visual field study doen.If the study shows significant impairment of your vision then your insurance should pay.Your doctor can write a letter with the supporting documents to get approval.

In brief: Yes

Yes this may be covered by insurance.
I would go to a plastic surgeon and be evaluated.You will then have pictures taken.You also will need to see an eyedoctor to get a visual field study doen.If the study shows significant impairment of your vision then your insurance should pay.Your doctor can write a letter with the supporting documents to get approval.
Dr. Robert Brueck
Dr. Robert Brueck
Thank
Dr. Tal Dagan
ENT - Head & Neck Surgery

In brief: In

In general, it is a relative challenge to convince insurance companies to cover procedures that are cosmetic in nature.
However, some insurance companies are lenient when they receive the proper documentation especially in the case of upper blepharoplasty surgery. There is an objective test, typically done in an ophthalmologists' (eye doctor) office that confirms whether eyelid skin is responsible for blocking your vision. The test involves evaluating each eye separately. You sit looking into a box with one eye covered. There are brief flashes of light and with each flash you are asked to push a button. If you can't see the flashes in the upper field of your vision, and the opthalmologist agrees that this is from excess skin , then the test may be considered positive. If your eye doctor determines there is a functional blockage of vision, either from excess eyelid skin, and or significant descent of the brow and eyelid skin, which is confirmed by the visual field test, then many insurance carries will consider surgical management as "medically necessary". Depending on what aging changes may be prominent, you may combine upper blepharoplasty surgery with a facelift procedure to gain maximal rejuvenation.

In brief: In

In general, it is a relative challenge to convince insurance companies to cover procedures that are cosmetic in nature.
However, some insurance companies are lenient when they receive the proper documentation especially in the case of upper blepharoplasty surgery. There is an objective test, typically done in an ophthalmologists' (eye doctor) office that confirms whether eyelid skin is responsible for blocking your vision. The test involves evaluating each eye separately. You sit looking into a box with one eye covered. There are brief flashes of light and with each flash you are asked to push a button. If you can't see the flashes in the upper field of your vision, and the opthalmologist agrees that this is from excess skin , then the test may be considered positive. If your eye doctor determines there is a functional blockage of vision, either from excess eyelid skin, and or significant descent of the brow and eyelid skin, which is confirmed by the visual field test, then many insurance carries will consider surgical management as "medically necessary". Depending on what aging changes may be prominent, you may combine upper blepharoplasty surgery with a facelift procedure to gain maximal rejuvenation.
Dr. Tal Dagan
Dr. Tal Dagan
Thank
Dr. Bryan McIntosh
Surgery - Plastics

In brief: Excessive

Excessive upper eyelid skin can partially obscure your vision.
An ophthalmologist would likely be required to document how your peripheral vision is adversely affected, and then your insurance likely would reimburse for an upper blepharoplasty. Additional useful information for your plastic surgeon would be in regard to the dryness of your eyes. An exam called a schirmer's test can also be performed by an ophthalmologist to determine if you are at an increased risk for symptomatic dry eyes after blepharoplasty. If the excessive skin of your upper eyelids is impairing your peripheral vision, an upper blepharoplasty would be the ideal surgical treatment for you. Not only will surgery improve the function of your eyes, but your appearance will be improved as well.

In brief: Excessive

Excessive upper eyelid skin can partially obscure your vision.
An ophthalmologist would likely be required to document how your peripheral vision is adversely affected, and then your insurance likely would reimburse for an upper blepharoplasty. Additional useful information for your plastic surgeon would be in regard to the dryness of your eyes. An exam called a schirmer's test can also be performed by an ophthalmologist to determine if you are at an increased risk for symptomatic dry eyes after blepharoplasty. If the excessive skin of your upper eyelids is impairing your peripheral vision, an upper blepharoplasty would be the ideal surgical treatment for you. Not only will surgery improve the function of your eyes, but your appearance will be improved as well.
Dr. Bryan McIntosh
Dr. Bryan McIntosh
Thank
Get help from a real doctor now
Dr. Jane Van Dis
Board Certified, Obstetrics & Gynecology
15 years in practice
47M people helped
Continue
111,000 doctors available
Read more answers from doctors