Male upper blepharoplasty can be performed for medical reasons, cosmetic reason, or both. Upper lid position becomes medical when it obscures vision. A good rule of thumb is that if the upper lid tissue encroaches on the visible pupil, upper blepharoplasty may be covered by insurance.
The patient depicted here is a 55 year old gentleman who complained of heaviness of the upper eyelids, requiring him to actively raise his brows to see.
A preoperative photo is depicted below. Notice how the lid tissue obscures a portion of the pupil
Formal visual field testing was performed, which revealed a significant increase in visual field when lifting the eyelids manually. His insurance company agreed that upper blepharoplasty was worthwhile, and it was covered.
Two months after surgery, he reports an improvement in symptoms.
He is also quite pleased with his appearance: natural, still recognizable as himself, yet refreshed in appearance.