As we begin to age we start noticing that our upper eyelid skin begins to lose its elasticity resulting in the skin “sagging”.  As time goes on this skin excess continues to sag to the extent that the upper eyelids appear droopy with skin resting on the upper lashes. This condition is called Dermatochalasis, which is the redundancy of upper and lower lid tissues due to the aging process.  In some patients fatty pads which normally cushion the eye will begin to bulge or herniate beneath the lower eyelids resulting in a “puffy” appearance.

Some young adults have excess skin of the upper and lower eyelids which is due to heredity. This condition is referred to as Blepharochalasis and is predominately cosmetic in nature.

If a patient’s vision is severely affected due to a redundancy of skin to the extent that vision is lost peripherally and/or superiorly, insurance may cover surgery. These cases would be considered “functional” in nature.  Insurance does not cover “cosmetic” Blepharoplasty (eyelid surgery).

For  eyelid surgery to be “functional”, insurance carriers require patients to have visual field testing prior to any surgical intervention, along with medical necessity documentation that surgery will result in a minimum 25 degree visual improvement superiorly and peripherally. 

Excess skin and fat of the upper and lower eyelids causes a “puffy” appearance  making a person appear tired, worn-out, or even angry. If you are experiencing this problem you may be a good candidate for eyelid surgery.  Whether done for cosmetic, or functional reasons, blepharoplasty can significantly provide a more youthful and refreshed appearance.  A Blepharoplasty procedure cannot alter dark circles, fine lines or wrinkles around the eyes, nor improve or change sagging eyebrows.

Dr. Rousso commonly performs Blepharoplasty  in conjunction with other facial procedures to achieve optimal results. Some of the additional facial cosmetic procedures that help to improve the appearance of facial aging, and can be performed at the same time include facelift surgery (“rhytidectomy”), Rhinoplasty (nose), Cheek/chin augmentation, Laser Skin Resurfacing and Lip enhancements.

Blepharoplasty surgeon Daniel E. Rousso, M.D., F.A.C.S., at The Rousso Facial Plastic Surgery Clinic in Birmingham, has more than 25 years of experience in facial plastic surgery. He is board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology (ABOto).  A Birmingham blepharoplasty surgeon, Dr. Rousso is also a past president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), and a member of the American Board of Hair Restoration Surgery (ABHRS). He is also a past past president of the International Society of Hair Restoration Surgery (ISHRS).

Individuals seeking blepharoplasty come locally from the Mountain Brook, Birmingham, and Hoover areas, while many come from other metropolitan areas and  from out of  state.  As a highly skilled Birmingham facial plastic surgery professional, Dr. Rousso’s expertise qualifies him to perform the blepharoplasty procedure. He and his staff provide a private, comfortable atmosphere and demonstrate a keen understanding of cosmetic surgery and the patient experience.

For more information regarding blepharoplasty, prospective patients can call (205) 930-9595 or, from outside the local area, Toll free at (877) 932-0400. You may also send a request via e-mail to

Dr. Rousso and his staff are ready to help you Look and Feel Your Best!

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