Eyelid Surgery (Blepharoplasty)

Portland Plastic Surgery Group performs upper and lower eyelid surgery (blepharoplasty) at the Pearl District location, addressing excess upper eyelid skin, under-eye bags caused by herniated orbital fat, and periorbital ageing. Upper blepharoplasty may qualify for insurance coverage when drooping upper eyelid skin causes a documented functional visual field obstruction. Lower blepharoplasty addresses under-eye puffiness and hollowing. Both procedures are frequently combined with facelift or brow lift surgery in a single operative session. Pricing is provided following consultation.

Eyelid surgery (blepharoplasty) at Portland Plastic Surgery Group is performed by board-certified plastic surgeons at the Pearl District practice, addressing periorbital ageing across both the upper and lower eyelids. Upper blepharoplasty targets the accumulation of redundant skin in the upper eyelid — a process driven by a combination of dermatochalasis (excess skin) and brow ptosis (descent of the brow) — that creates a heavy, tired appearance and, in more advanced cases, an overhang of skin across the eyelid margin that obstructs the superior visual field. Where functional visual field obstruction is present and documented by visual field testing, upper blepharoplasty may qualify for partial or full insurance coverage under medical necessity criteria; the team can assist with insurance documentation and prior authorisation. The surgical technique involves a precisely placed incision within the upper eyelid crease, conservative excision of excess skin and orbicularis muscle, and careful removal or repositioning of prolapsed medial orbital fat. Lower blepharoplasty addresses under-eye bags — the result of herniation of the three orbital fat compartments through a weakened orbital septum — as well as tear trough hollowing, lower eyelid skin excess, and festooning. The transconjunctival approach accesses the fat compartments through the inner surface of the lower eyelid without external incision, and is preferred for patients with good skin tone and isolated fat prolapse; fat may be reduced or repositioned over the orbital rim to simultaneously fill the tear trough hollow. Where lower eyelid skin excess is a primary concern, a subciliary external incision approach allows concurrent skin resection. Eyelid procedures at the Pearl District practice are commonly combined with facelift, brow lift, or neck lift surgery in a single operative session to address periorbital and facial ageing comprehensively. Pricing is provided following an individual consultation, with the practice's all-inclusive model covering surgeon, surgical assistant, facility, and anaesthesiologist fees plus CosmetAssure complication insurance.