Dermtochalasis Oculofacial Procedures

Nationally Recognized in Oculofacial Plastic Surgery

Dermatochalasis - Extra Eyelid Skin

Dermatochalasis, or baggy eyelids, is a redundancy and laxity of the eyelid skin. As we age, loss of elasticity in the skin, and weakening of the connective tissues of the eyelid can often occur and contribute to “baggy” or “saggy” lids. These findings are most common in the upper eyelids, but sometimes the lower eyelids are affected, as well. Droopy eyelids and eyebrows, or ptosis, may also be seen with dermatochalsis.
Dermatochalasis may be a functional or cosmetic problem. When functional, dermatochalasis may obstruct the upper field of vision or cause the eyelashes to turn inward toward the eye (entropion) or turn out from the eye (ectropion). Most insurances will cover functional correction of dermatochalasis.
Redundant and loose skin around the eyelids may cause:

  • Loss of peripheral vision
  • Difficulty with daily activities such as reading, driving and cooking
  • Frequent fatigue and headaches from straining to see


  • Cosmetic dermatochalasis is a fullness or heaviness of the upper eyelids, “bags” in the lower eyelids, and wrinkles in the lower eyelids that are painless and do not affect vision. Upper eyelid and/or brow surgery can help in restoring lost peripheral vision by removing excess skin and fat. Any problems with drooping, or ptosis will also be addressed during this procedure. To do so, Dr. McInnes makes a small incision in the natural fold of the eyelid so that visible scarring is minimal. This may be done in the office or at a surgery center with IV sedation and local anesthetic and is considered an outpatient procedure, so patients are able to return to the comfort of their own home the same day

    Most patients are able to return to relatively normal activities within about a week. Sutures are removed around the same time in the office and wearing makeup and contacts may be resumed. Dr. McInnes will meet with you for an exam and address your individual situation and discuss the risks and benefits of having surgery to help make the right decision for you. Aesthetic Eye will also pre-authorize any procedures with your insurance company if surgery is the right choice for you.

    Request an appointment or call Aesthetic Eye, P.C. today to set up an appointment for a consultation with Dr. McInnes.

    Contact our Boise area office. We will be happy to answer all of your questions.