How upper vs. lower lids, anesthesia, insurance, and surgeon expertise shape the price of blepharoplasty.
Eyelid surgery cost depends on whether you treat the upper lids, lower lids, or both; the type of anesthesia; the surgical facility; your surgeon's expertise; and whether the surgery is functional or cosmetic. Insurance may help when drooping lids block your vision. There is no one-size price, so an in-person consultation is the only way to get an accurate quote, and financing is available.
If you're researching eyelid surgery, cost is probably one of your first questions. It's a fair one.
Eyelid surgery costs vary widely from one practice to the next, and the numbers you find online rarely tell you what they actually include.
You're not alone in this. According to the American Society of Plastic Surgeons, eyelid surgery grew by about 19 percent in 2025, making it the most performed facial surgery in the country.
This guide doesn't list a price, and that's intentional. Your quote depends on your anatomy, your goals, and your health history. Instead, we'll walk through every factor that shapes the cost of eyelid surgery in Newport Beach, so you know exactly what to ask when you meet with board-certified plastic surgeon Dr. Siamak Agha.
What Goes Into the Cost of Eyelid Surgery?
The eyelid surgery cost is built from several separate fees: the surgeon's fee, anesthesia, the surgical facility, medications, and any testing you need before surgery. The ASPS notes that the surgeon's fee itself varies with experience, technique, and location. A quote that looks low may simply leave some of these items out.
Surgeon's Fee and Expertise
Your surgeon's training and experience are the biggest variables. Eyelid tissue is thin and delicate, and small differences in technique can affect how natural your eyes look. A surgeon certified by the American Board of Plastic Surgery has completed years of specialized training in procedures like this one.
Anesthesia
Many eyelid procedures are performed with local anesthesia plus oral or IV sedation, which means you're relaxed but not fully asleep. Others use general anesthesia, especially when eyelid surgery is combined with another procedure. The type of anesthesia and how long it's needed both affect the final quote.
Surgical Facility and Accreditation
Where your surgery takes place matters for both cost and safety. An accredited surgical facility meets strict standards for equipment, staffing, and emergency preparedness. That level of safety carries real costs, and it's not a place to cut corners.
Medications, Testing, and Supplies
Your quote may also include preoperative lab work, prescriptions, eye drops or ointments, and cold compresses for recovery. Ask whether these are part of your quote or billed separately.
Upper vs. Lower vs. Both: How the Area Treated Changes Your Price
Treating one set of eyelids is generally a shorter, simpler procedure than treating both. Upper eyelid surgery mainly removes excess skin, while lower eyelid surgery often involves repositioning fat under the eyes. Combining upper and lower surgery in one session takes more operating time, but it means a single recovery and a single set of facility and anesthesia fees.
Upper Eyelid Surgery Cost Factors
Upper eyelid surgery, or upper blepharoplasty, removes excess skin and occasionally a small amount of fat. It's the most common choice for hooded eyes, where loose skin folds over the natural crease and makes eyes look heavy or tired.
The plan is influenced by the amount of excess skin and whether the brow also contributes to the hooding. You can learn more about how the two procedures differ in our guide to the differences between upper and lower eyelid surgery.
Lower Eyelid Surgery Cost Factors
Lower eyelid surgery targets under-eye bags, puffiness, and hollowing. It often involves repositioning fat rather than simply removing it, which helps avoid a sunken look. Some patients also need the lower lid tightened for support. These added steps make lower eyelid surgery more technically involved.
Doing Both in One Session
Many patients choose to treat upper and lower lids together. While the procedure takes longer, you go through anesthesia and recovery once. For patients with aging changes above and below the eyes, this approach often creates a more balanced result.
The price of eyelid surgery reflects your anatomy and goals, not a number on a menu.
Combining Eyelid Surgery With a Brow Lift or Other Procedures
Sometimes hooded eyes aren't caused by the eyelids alone. As we age, the brows can descend and push skin down onto the upper lids. In such cases, eyelid surgery alone may not provide the refreshed look you desire.
When a Heavy Brow Is the Real Cause
If your brows sit low, a brow lift may be part of your plan. Addressing the brow and the lids together can open up the eye area more naturally than removing extra eyelid skin alone. A careful exam will show which approach fits your anatomy.
Facelift and Skin Resurfacing
According to the Mayo Clinic, eyelid surgery can be combined with other procedures, such as a facelift or skin resurfacing. Combining procedures changes the total cost, because it adds operating time and may change the type of anesthesia. It can also mean fewer separate recoveries.
Does Insurance Cover Eyelid Surgery?
Insurance generally does not cover cosmetic eyelid surgery. However, it may help with upper eyelid surgery when drooping skin blocks your field of vision. In those cases, the procedure is considered functional rather than cosmetic. Coverage depends on your specific plan and on clear medical documentation.
Functional vs. Cosmetic Blepharoplasty
Functional blepharoplasty aims to restore vision that sagging lids have narrowed. Cosmetic blepharoplasty aims to refresh your appearance. The Mayo Clinic notes that coverage may depend on whether surgery repairs a condition that affects vision. Lower eyelid surgery for bags is almost always considered cosmetic.
Visual Field Testing and Documentation
Insurers typically want proof that your eyelids impair your vision. Guidance from the ASPS describes visual field testing, often done with the lids in their natural position and again with them taped up, to show how much vision improves. Photographs and an exam record are usually part of the file as well.
Why Prior Authorization Matters
Before scheduling surgery, ask your insurer whether prior authorization is required. Getting approval in writing helps you avoid surprises later. If you're combining functional and cosmetic work, the cosmetic portion is usually your responsibility.
Why Revision Eyelid Surgery Is Priced Differently
Revision eyelid surgery resolves problems from a previous procedure, such as asymmetry, a pulled-down lower lid, or a hollow look from too much fat removed. It is usually more complex than a first surgery. There may be scar tissue, and there is often less skin to work with.
Because of that complexity, revision surgery calls for careful planning and experience. Board-certified plastic surgeon Dr. Siamak Agha regularly treats patients seeking revision plastic surgery, and he evaluates each case individually. The best way to avoid revision costs is to choose an experienced surgeon the first time.
When drooping lids block your vision, eyelid surgery may be medical, not merely cosmetic.
Why Only a Consultation Gives an Accurate Eyelid Surgery Cost
An accurate eyelid surgery cost requires an in-person exam. Your surgeon needs to assess your skin quality, fat pads, brow position, eyelid support, and health history before recommending a plan. Only then can a quote reflect the procedure you actually need, rather than a generic estimate.
During your consultation in Newport Beach, expect to discuss your goals, review photos, and talk through recovery. Ask what your quote includes, from anesthesia and facility fees to follow-up visits. Seeing blepharoplasty before-and-after photos can also help you describe the result you're hoping for.
Most patients see bruising fade within about two weeks, according to the Mayo Clinic. Knowing your recovery timeline also helps you plan time off work, which is part of the real cost of any procedure.
Ways to Make Eyelid Surgery More Affordable
If eyelid surgery fits your goals but the cost feels like a hurdle, you have options. The One Plastic Surgery Center offers financing options through Cherry and Alphaeon Credit, which let you spread payments over time.
It's also worth thinking about value rather than the lowest bid. A natural-looking result that lasts for years is worth more than a cheaper procedure that needs correcting later. The ASPS encourages patients to weigh a surgeon's experience as heavily as the final cost.
The Bottom Line on Eyelid Surgery Cost
Eyelid surgery cost reflects many personal factors: which lids you treat, whether a brow lift is needed, the anesthesia and facility, and whether insurance may cover a functional procedure.
Choosing a skilled, board-certified surgeon matters more than chasing the lowest price.
Ready to find out if eyelid surgery is right for you? Schedule a consultation with board-certified plastic surgeon Dr. Siamak Agha at The One Plastic Surgery Center in Newport Beach to discuss your goals and options.
Frequently Asked Questions
How much does eyelid surgery cost in Newport Beach?
Eyelid surgery cost depends on whether you treat the upper lids, lower lids, or both, plus anesthesia, facility fees, and your surgeon's expertise. Because every patient's anatomy is different, an accurate quote requires an in-person consultation. Your quote should list everything it includes.
Does insurance cover eyelid surgery if my eyelids block my vision?
It may. When excess upper eyelid skin narrows your field of vision, the surgery can be considered functional. Insurers usually require visual field testing, photos, and prior authorization, and coverage varies by plan.
Is upper or lower eyelid surgery more involved?
Lower eyelid surgery is often more technically involved because it may require repositioning fat and supporting the lid. Upper eyelid surgery mainly removes excess skin. Your surgeon will recommend the approach that fits your concerns.
Can I combine a brow lift with eyelid surgery, and does that change the cost?
Yes. If a low brow contributes to hooding, combining a brow lift with eyelid surgery can create a more natural result. Adding a procedure increases operating time, which changes the total cost, but it also means a single recovery.
Do you offer financing for blepharoplasty?
Yes. The One Plastic Surgery Center offers financing through Cherry and Alphaeon Credit. These plans let you spread payments over time so you can move forward with your procedure.
Medical disclaimer: This article is for educational purposes only and is not medical advice. Results and candidacy vary by patient, and a consultation with a qualified plastic surgeon is required to determine whether eyelid surgery is right for you.
