Lid Procedures

There are three different conditions which can cause droopy eyelids, each of which is treated differently. Many people with droopy eyelids have a condition known as dermatochalasis, excess upper eyelid skin. A mild to moderate amount of excess eyelid skin results in a tired, sad appearance and can block peripheral vision.

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Dermatochalasis can be corrected in the office non-invasively with the MIXTOLaserLift or in the office with a procedure known as blepharoplasty, or an eye lift.  Dr. Melissa Toyos performs Laser Eyelid Blepharoplasty with the Mixto Fractionated CO2 laser.  Both upper and lower lid skin can be rejuvenated with the MIXTO. Fat pockets or “bags” can be removed surgically in the office.  Dr. Toyos lectures around the world on the Laser Blepharoplasty technique that can be done in our minor procedures suite in our office.

Ptosis is also known as a “sleepy” eyelid and refers to a drooping of the eyelid. A person may be born with ptosis or more commonly develop it over time with normal aging. Even though serious medical conditions that cause ptosis must be ruled out, most droopy lids can be treated with a daily drop of Upneeq or an in office surgical procedure for more permanent results.

Surgery to correct ptosis is more involved than blepharoplasty surgery and is usually only performed by eyelid surgery specialists. Ptosis surgery requires adjusting the position of one of the two muscles which elevate the eyelid. 

Ptosis frequently coexists with dermatochalasis and both problems can be treated at the same time. I frequently see patients who have had upper eyelid blepharoplasty surgery by other physicians and still feel that they have droopy eyelids. This problem is most often caused by uncorrected ptosis. If an eyelid is droopy to due to ptosis or a combination of ptosis and dermatochalasis, a blepharoplasty alone will not fix the problem.

Sometimes the eyes look droopy because the eyebrows are droopy. Brow ptosis is repaired with a brow lift, which can be performed in a number of different ways including directly lifting the brows and resurfacing the sutured area with MIXTO or temporal brow lifts set in the hairline.

Estimated Cost

Please note that all prices listed here are approximate and subject to change. An exact price will be provided at the time of your consultation. Operating room fees vary by facility. These fees represent cosmetic surgery only and do not apply to insurance based surgeries which are usually fully covered.

  • Upper blepharoplasty: 2500

  • Ptosis: 3000

  • Lower blepharoplasty: 3000

  • Upper and lower blepharoplasty: 5000

  • Financing through Care Credit is available.