What causes baggy eyelids?
The bags are made of tiny pads of fatty
tissue. The tendency to develop them is often
hereditary. Even though they are made of fat,
they often occur in thin people.
Are sagging eyelids sometimes a sign of an
illness or poor health?
Certain disease states such as low thyroid
hormone levels and kidney conditions may tend to
make the face puffy and the eyelids baggy. It is
a good idea to have a thorough check-up by your
family doctor. Regardless of what caused the
drooping eyelids, they can almost always be
eliminated by surgery, and doing this does not
make an illness worse.
Will insurance or Medicare pay for this surgery?
Rarely will insurance pay for this
surgery. Repair of the upper eyelids may partly
be covered by insurance or Medicare when
photographs show them hanging down so far they
actually obscure the vision.
How much does this surgery cost?
That depends on what needs to be done. The
exact cost will be determined for you when you
are seen in the office.
How long does the operation take?
One or two hours depending on how much
needs to be done.
Where is the surgery done?
Usually in the office, to save the patient
the cost of hospital fees.
Can the vision be affected?
The vision is often made better by
allowing wider opening of the lids after the
wrinkles are removed. Very rarely is the vision
made worse. Serious loss of vision can occur,
but is very rare. Temporarily, for the first two
days, the eyelids are held partly closed by a
suture and the patient can see but with some
difficulty. For several more days there is filmy
mucus in the eyes and tears that cloud the
vision. Minor problems due to dryness may last
for several months and may require eye drops.