I had a boss that had this surgery years ago. He paid for it himself (or his insurance company paid for it) but it had to be done. His eyelids drooped so much it was causing his eyelashes to scrape his eyes. This isn’t cosmetic and if people are abusing it that should be stopped, but to think that all of these are for vanity is to get it completely wrong.
I think if most folks just stood up and said they had cash in their pocket today....most doctors would drop the cost by fifty percent. The hassle with getting paid....taking weeks and weeks....isn’t business-smart. My doctor would submit the paperwork to my health insurance company, and it’d take a minimum of three weeks to be paid....sometimes, even eight weeks. Cutting the insurance company out, and the accountant hours....might be worth the money.