Hello and thanks for your question. Surgery is usually very effective. It is an outpatient procedure, done with local anesthetic. You tend to look a bit beat up for a couple of days, but after that, most people are quite happy with the results.
Does that help answer your question?
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That is a good question. There is a test your eye doctor can do called a visual field test, which is something insurance companies would require before they would pay for the procedure. If the eyelid is significantly obstructing the vision based on the results of this test, then it is considered a medical condition and insurance pays for it. If not, then it is considered cosmetic and you would have to pay for it out of pocket.
Does that help?