Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/4/2025

Upper Lid Blepharoplasty Medical Necessity Criteria

Clinical Findings and Complications

  • Constricted superior visual fields prior to taping, with 56% improvement with taping, and clinical findings of redundant eyelid skin obscuring crease and touching lashes, pronounced lateral hooding and excessive medial fat pad prolapse, suggest potential functional impairment 1
  • New-onset diplopia can occur after upper lid blepharoplasty, sometimes associated with trochlear damage 1
  • Scarring and hemorrhage in adjacent tissue or fat adherence have been implicated in post-blepharoplasty complications 1
  • A history of blepharoplasty has been associated with sagging eye syndrome in some cases 2