Eyelid Surgery (Blepharoplasty) in Manhattan New York
Information, Before and After Photos, Surgery

Are you considering an eyelid lift in New York City? Droopy eyelids or puffy lower eyelids often run in families, and are as common in men as in women. Protruding fatty tissue from your eye sockets that causes bags can be an inherited trait that shows up early in life, as well as the result of aging. Eyelid skin thins and a stretch as it ages, becomes loose and with time, muscles weaken, and the fat that cushions the eyeball moves forward around the eyes. Puffiness results when a fat pad that cushions the eye begins to pull away from the bone of the lower eye and sags. Gravity has its effects on the eyes as well. Sagging upper eyelids may result in hooding where upper lids become heavier and fuller. Blepharoplasty can reduce droopy or hooded eyelids, restore the contour to the lids and eliminate the protruding fat bags under the eyes. In some cases, eyelid surgery may also correct severe hooding of the upper eyelids called ptosis, which can obstruct peripheral vision and reduce the range of upward vision.


The procedure is usually performed under local anesthesia with intravenous sedation. The incision typically extends into the crow's feet where lines already exist. The most common methods of performing lower blepharoplasty are the traditional approach, sometimes called a skin-muscle flap, and the transconjunctival approach. For the traditional approach, we make an incision adjacent to the lower lashes to be as inconspicuous as possible. We lift the skin and muscle to remove a small amount of fat. Excess skin and muscle are then trimmed from the lower lid. If you have a pocket of fat beneath your lower eyelids, but do not have any loose skin, a transconjunctival blepharoplasty may be used. This method utilizes an incision hidden inside the lower eyelid, which leaves no visible external scars. Through this incision, the excess fat is trimmed. The incision is closed with self-dissolving sutures or it is left to heal on its own. A lid tightening procedure may also be performed at the same time if there is muscle laxity. The transconjunctival technique is commonly combined with resurfacing using lasers or chemical peels to tighten and smooth loose skin. Tear troughs, or deep grooves that form when there is an obvious demarcation between the lower eyelid area and the cheeks can be improved by moving around fatty deposits, removing excess fat or replacing fat. View before and after blepharoplasty photos.

For upper eyelid blepharoplasty, we make an elliptical incision across the eyelid crease, in the natural skin fold. We draw a line to identify the lower edge of the skin to be excised, which will eventually become the scar that remains. Excess skin and fatty tissue are removed along with a thin strip of muscle to give the eyelid crease more definition. The incision is closed with a single layer of sutures, usually hiding the scar within the natural fold of the upper eyelids. In some cases, a transconjunctival approach may be used for the upper eyelids as well. This procedure leaves no visible scar and a small amount of fat may be removed from the inside of the upper eyelid. For an eyelid surgery in Manhattan New York contact a board certified plastic surgeon.

The overall result of eyelid rejuvenation is a subtle change that produces a more youthful and less tired appearance.

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New York plastic surgeon Eric Sadeh offers eyelid surgery, browlifts, facelift surgery, rhinoplasty and other facial plastic surgery procedures. Located in New York City serving Manhattan, Queens and Forest Hills.