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https://www.mentorplasticsurgery.com/... - Depending on the cause of the eyelid abnormality and the purpose of its surgical repair, eyelid operations may be either reconstructive (functional) or cosmetic (for appearance only). As a general rule, insurance companies will cover part of the cost of functional eyelid surgery but not of cosmetic surgery. Video Transcription: [Dr. Vanek] This patient is an 88-year-old Black woman with an ectropion that's very severe. She has exposure of her conjunctiva and chronic drainage from having her eyelid rolled out so extensively. The patient and I have spoken about her situation, and she said it's intolerable. Even though she's an aged woman, she's an excellent candidate for remediative reconstructive surgery. This procedure was performed in about an hour as outpatient surgery, and you can see her in her other views side-by-side that's solved the problem. Her eyelid is in an excellent position. It co-apps and abuts the eye properly. The corner of the eye is properly reconstructed. The excess lid that's so loose, as well as the retractor muscles that have become disinserted with her age, are now reinserted in the right position surgically. I know she's very happy. They front view and side views definitely show the restoration of the normal eyelid shape, and she has a long-term prognosis for an excellent outcome. She's very happy as you can see from her happy smile. She's a very darling lady.