How to Qualify for Eyelid Surgery

Our eyelids play a surprisingly significant part in our lives, both functionally and aesthetically. If an issue causes you concern, you may be prompted to look for a solution. Depending on the cause and symptoms behind the problem, one such option may be surgery.

For those residing in or near Victoria’s capital, a consultation with a plastic surgeon in Melbourne like Associate Professor Dean White can provide a comprehensive evaluation and tailored recommendations.

Eyelid surgery (blepharoplasty) involves the removal of excess fat and/or skin from the affected eyelid or eyelids. This may be done on the upper or the lower lids as deemed necessary. 

There are a variety of reasons why eyelid surgery might be chosen, and some of these are relevant to consider when exploring the financial factors of eyelid surgery and whether you are eligible for the procedure and related rebates from Medicare or a private health fund.

If you are a suitable candidate for eyelid surgery, there may be factors that allow you to claim assistance with the costs. We can help you identify how to qualify for eyelid surgery and whether you may be covered by Medicare Australia or your private health fund.

Reasons For Eyelid Surgery (Blepharoplasty)

Eyelid surgery is generally performed for two reasons: functional needs and aesthetic preferences. This may affect the plan for the procedure and your eligibility for rebate claims.

Functional

Some issues with the eyelids may create medical or safety concerns. If the upper eyelid is drooping considerably due to excess fat or skin, it may lead to vision obstruction and discomfort. 

Eye strain and reduced peripheral sight may result in reduced capacity with everyday tasks, such as working and driving, and may cause other health problems, such as headaches and anxiety. Trauma to the area may also result in a need for surgery, as well as health conditions like nerve palsy.

Eyelid surgery may elevate your quality of life by improving your field of vision. This may involve removing excess soft tissues, repositioning misaligned eyelids, and/or tightening relevant muscles.

Aesthetic

Many people wish to rejuvenate the appearance of their eyes as they age if their skin has become saggy, dark, or puffy. Some may also find makeup application becomes more difficult due to excess skin. Eyelid surgery may create a more youthful and brighter appearance, with the area looking smoother and tighter.

Will Medicare or Private Health Funds Cover My Eyelid Surgery?

Eligibility for rebates in terms of eyelid surgery generally comes down to whether it will be performed for therapeutic or non-therapeutic reasons. Medicare will not provide benefits for non-therapeutic cosmetic procedures. An optometrist or ophthalmologist must verify a clinical requirement for eyelid surgery to meet Medicare’s specific criteria to qualify for a rebate. This may include reasons such as:

  • Orbital fat herniation.
  • Vision defects.
  • Scarring.
  • Skin redundancy.
  • Eyelid intertriginous inflammation.

A report from your specialist, including photographic evidence and/or diagnostic imaging, is required. 

Private health funds generally have similar requirements. It is best to contact your provider to determine what your private health coverage includes.

Costs Involved in Eyelid Surgery

Eyelid surgery involves various steps that impact the overall cost. To begin with, you will have an initial consultation with us to discuss your concerns and requirements. This may follow a consultation with your optometrist or ophthalmologist, or we may recommend you visit one before your next appointment with us. You may require diagnostic imaging or testing depending on the cause of your issue.

Surgery involves local anaesthetic with sedation or general anaesthetic. The choice of which may be impacted by the underlying factors involved, your overall health, and your surgeon’s preferences. Recovery after the procedure typically involves at least one night in the hospital. Pain relief may also be required, and your ability to work may be affected for a few days.

It may be useful to consider these factors when exploring the need for eyelid surgery and whether you are eligible for rebates. 

Book a Consultation With Associate Professor Dean White About Eyelid Surgery

Eyelid surgery may make a significant difference to your quality of life, whether it be for functional or aesthetic reasons. When you visit Associate Professor Dean White, you will learn about your options and be equipped with the knowledge to make an informed decision. 

We can also help you identify whether you may be eligible for rebates. If your surgery is required due to medical reasons, we can assist you with your claim.

If your eyelids are causing you concern, please contact us to organise an initial consultation. 

BOOK AN APPOINTMENT

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