If you're considering eyelid surgery in New York, understanding blepharoplasty cost is one of the most important steps before booking a consultation. What you pay depends on the type of procedure, the scope of the work, the anesthesia used and the follow-up care included. This guide covers procedure types, what goes into the price, payment options, recovery expectations and how to prepare for your consultation.
Quick Overview of Eyelid Surgery
Blepharoplasty is eyelid surgery designed to refine the upper eyelids, the lower eyelids, or both. The procedure addresses excess skin, protruding fat and loose tissue around the eyes to create a more rested, refreshed appearance.
Common goals of eyelid surgery include:
- Reducing hooded or heavy-looking upper lids
- Smoothing under-eye bags and puffiness
- Softening the transition between the lower lid and the cheek
- Removing sagging skin that crowds the upper lid
Good candidates are in good general health, have realistic expectations and do not have uncontrolled dry eye or other untreated eye conditions. A consultation is used to assess candidacy, review medical history, take photographs and discuss your goals.
Types of Blepharoplasty Surgery
Blepharoplasty comes in several main variations: upper, lower, and combined upper and lower surgery. Each addresses different concerns and carries its own cost profile.
Upper Blepharoplasty
Upper blepharoplasty reduces excess skin on the upper eyelids that can create a heavy, tired look. Upper eyelid surgery targets redundant skin, loose skin folds and sometimes small pockets of fat that weigh down the lid.
The incision is placed along the natural crease of the upper lid so that the scar sits within the fold once healed. Heaviness caused by a weak eyelid muscle rather than extra skin is a different condition, and it is evaluated separately during the consultation.
Lower Blepharoplasty
Lower blepharoplasty addresses puffiness and creasing under the eyes. The procedure targets bags caused by protruding fat pads and can help soften hollowing near the tear trough.
Lower eyelid surgery is often more involved than upper eyelid surgery. There are two main approaches:
- Transconjunctival - the incision is made inside the lower lid, so there is no external scar
- Transcutaneous - the incision is placed just below the lash line, which allows loose skin to be removed
When hollows under the eyes are prominent, fat repositioning or fat grafting may be combined with lower lid surgery for a smoother, more natural contour.
Combined Upper and Lower Blepharoplasty
Combined (sometimes called quad) blepharoplasty treats the upper and lower eyelids in a single procedure. Benefits of combining upper and lower surgery can include:
- More balanced results across the whole eye area
- One procedure day and one recovery period
- A single combined plan instead of two separate surgeries
Eyelid Surgery for Different Anatomy
Eyelid anatomy varies from person to person, including skin thickness, fat distribution and the natural crease height. A careful plan respects your features so the result looks like a refreshed version of you rather than a different face.

Blepharoplasty Procedure: The Entire Process
The process begins with a consultation where the eyelids are examined, medical history is reviewed, photographs are taken and goals are discussed. This is also where the exact surgical plan is set, which is what determines the final cost.
On the day of surgery, the incision lines are marked, anesthesia is given and the planned skin or fat is removed or repositioned. The incisions are then closed with fine sutures.
Many eyelid procedures can be performed under local anesthesia, which numbs the area while you stay awake. Other anesthesia options may be discussed depending on the scope of the procedure and your comfort.
Fat Grafting and Volume Restoration
Instead of only removing fat, fat can be repositioned or transferred to restore volume where the lower lid meets the cheek. This can help avoid a hollow look after surgery. Fat grafting may be considered when under-eye hollows or volume loss contribute to a tired appearance along with loose skin.
Blepharoplasty Cost in NYC
Eyelid surgery prices vary from one practice to another. The total depends on whether the upper lids, lower lids or both are treated, and on the technique used.
At Leva Medical, upper eyelid surgery starts at $5,500 and lower eyelid surgery starts at $6,500.
The exact price is set at the consultation.
What a quote usually includes:
- Surgical fee - the work itself, based on the scope of the plan
- Facility and anesthesia - where the procedure is done and the type of anesthesia used
- Additional items - preoperative tests, medications, supplies and follow-up visits

Factors That Affect Blepharoplasty Cost
Several variables influence what you'll pay for eyelid surgery in New York City:
- Procedure scope - upper lids only, lower lids only, or both
- Technique - removing upper lid skin is simpler than lower lid fat repositioning
- Added treatments - other procedures combined with eyelid surgery
- Anesthesia type - local anesthesia versus other options
Financing and Payment Options
Cosmetic procedures are self-pay. Payment options can be reviewed in office after the exact plan and total are known.
We offer financing through Cherry and Alphaeon, subject to credit approval.
We also offer an in-house save-up plan with no credit check.
When you schedule a consultation, ask for a clear written quote so you know exactly what is included before you decide.
Recovery, Risks, and Eyelid Surgery Results
Swelling and bruising are common after eyelid surgery. Bruising usually fades over about 7 to 10 days, and many patients return to work after about one week. A general recovery outline:
- First days - keep your head elevated, use cold compresses and rest your eyes
- First week - sutures are checked or removed at follow-up and bruising begins to fade
- Following weeks - remaining swelling settles gradually and scars continue to soften over several months
Possible risks include bleeding, infection, dry eye, temporary blurry vision and asymmetry. Less common, longer-term concerns include a change in lower-lid position or shape (eyelid malposition), persistent scarring, and some return of loose skin (skin laxity) with natural aging. Your surgeon will review these with you and explain how to lower them.
Eyelid surgery results tend to be long-lasting, with a natural, refreshed look. The face continues to age over time, so skin may gradually change in later years.

Dark Circles and Heavy Eyelids: Expectations
Surgery can improve dark circles caused by shadows from under-eye bags or hollows. Dark circles caused by pigment or visible blood vessels may persist and can be discussed separately with options such as fillers or skin treatments.
When upper lid heaviness is caused by a weak eyelid muscle rather than extra skin, blepharoplasty alone may not correct it, which is why a thorough evaluation at the consultation matters.
Preparing for Your Consultation
The consultation gives you a personalized cost estimate, a candidacy assessment and a chance to ask questions about the plan. Bring the following:
- A current list of medications and supplements
- Recent eye exam records, especially if you have dry eye or wear contact lenses
- Reference photos showing the look you're hoping for
- Your questions about the quote, follow-up visits and recovery
A clear understanding of blepharoplasty cost in NYC helps you plan with confidence and focus on results that match your goals.
Frequently Asked Questions
How much does blepharoplasty cost?
The cost section of this article gives the starting price for upper and lower eyelid surgery. The exact price is set at the consultation.
What factors affect the total cost of eyelid surgery?
Cost depends on whether the upper lids, lower lids or both are treated, the technique used and the anesthesia type.
Can eyelid surgery be done under local anesthesia?
Many eyelid procedures can be performed under local anesthesia. The right option depends on the scope of your procedure and is discussed at the consultation.
When can I return to work after blepharoplasty?
Many patients return to work after about one week. Bruising usually fades over about 7 to 10 days.
When can I wear contact lenses after surgery?
Contact lenses are usually avoided until the eyes have healed enough. Ask your surgeon at follow-up when it is safe to resume wearing them.
What is combined upper and lower blepharoplasty?
It treats both the upper and lower eyelids in one procedure, offering balanced results and a single recovery period.
About Leva Medical
Leva Medical has offices in Queens (94-06 59th Ave, Suite E9, Elmhurst, NY 11373) and in Northport, Long Island (320 Laurel Rd, Northport, NY 11768).
Call (718) 699-9737 to book a consultation with a board-certified surgeon.
At Leva Medical, upper eyelid surgery starts at $5,500 and lower eyelid surgery starts at $6,500.
We offer financing through Cherry and Alphaeon, subject to credit approval.
We also offer an in-house save-up plan with no credit check.
Learn more: Eyelid Surgery at Leva Medical