There are numerous eyelid conditions that affect their function. Although treating such conditions help you look much better, these operations are not “purely” cosmetic in nature. Having performed thousands of eyelid surgeries throughout the years. Our Surgeon does every functional eyelid surgery under local anesthesia only, and he does them all in our in-house eye specialty surgery center without having to transport patients to a hospital or another facility. Your PPO insurance should cover the entire cost of such procedures.