Summary
Patients are often surprised to learn that upper eyelid surgery can be done for cosmetic reasons, functional reasons or a combination of both. Understanding the difference helps patients know when to seek evaluation and what questions to ask during consultation.
Upper eyelid surgery, also called upper blepharoplasty, is one of the most common procedures I perform.
What is upper eyelid surgery?
Upper blepharoplasty is a procedure used to remove excess skin from the upper eyelids. Over time, eyelid skin can stretch and become heavier, changing how the eyes look and sometimes how they function.
For some patients, the concern is appearance. For others, excess eyelid skin begins to interfere with daily activities like reading or driving.
When upper eyelid surgery is cosmetic
Cosmetic upper eyelid surgery focuses on improving the appearance of the eyes. Patients often describe looking tired or heavy‑eyed even when they feel well rested. In these cases, the procedure is designed to create a more open, refreshed appearance while maintaining natural eye shape and expression.
When upper eyelid surgery is functional
Upper eyelid surgery can also be medically necessary when excess skin becomes heavy enough to obstruct part of the upper visual field. Patients with functional concerns are often referred by their eye doctor or ophthalmologist. With appropriate testing, insurance may cover the cost of surgery when vision is affected.
Does eyelid surgery require anesthesia?
Many upper eyelid procedures are performed while patients are awake in the procedure room. Some patients receive light medication to help them relax, but general anesthesia is usually not required.
This approach allows for a safe, efficient procedure with a recovery process that is often easier than patients expect.
Is upper eyelid surgery right for you?
If you have noticed heavy eyelids, changes in vision or a tired appearance around your eyes, an evaluation can help determine whether upper eyelid surgery may be appropriate and whether the procedure would be considered cosmetic or functional.
The goal is always to match the treatment to your needs, comfort and long‑term eye health.
Request a consultation with us to talk about the best options for you.
Benjamin Googe, MD
Dr. Googe has a special interest in cosmetic surgery of the face and body, as well as breast reconstruction.
A 2008 graduate of New Albany High School, he graduated with honors from Johns Hopkins University in Baltimore with a bachelor’s degree in biomedical engineering focusing in cell and tissue engineering. It was his undergraduate experience that first sparked his interest in plastic surgery. He helped design two medical devices, including a malar implant for mid-face lift procedures and is co-author on multiple patents. He earned his medical degree from the University of Mississippi School of Medicine in Jackson. He then completed a six-year integrated plastic surgery residency at the University of Mississippi Medical Center in Jackson.
Dr. Googe has broad training in plastic surgery including cosmetic surgery of the face and body, as well as complex reconstruction of breast, face and lower extremity. He has published numerous articles in peer-reviewed journals, authored book chapters and presented his research in numerous regional, national and international plastic surgery conferences.
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