Introduction
Eye bags can be a source of concern for many people, making them look tired and older than they actually are. In New York City, numerous hospitals and surgeons offer external incision procedures to remove eye bags, known as blepharoplasty. This article aims to provide a comprehensive strength comparison of some prominent hospitals and surgeons in New York City for this specific procedure, considering factors such as surgical techniques, surgeon expertise, patient results, and after - care.
What is External Incision to Remove Eye Bags (Blepharoplasty)?
Blepharoplasty is a surgical procedure that improves the appearance of the eyelids. It can be performed on the upper eyelids, lower eyelids, or both. When it comes to removing eye bags, lower blepharoplasty is the relevant procedure. As people age, the skin under the eyes becomes loose, and fat pockets can protrude, creating a puffy appearance. External incision blepharoplasty involves making an incision either just below the eyelashes (transcutaneous blepharoplasty) or other appropriate locations to access and remove the excess fat and tighten the skin.
Top Hospitals and Surgeons in New York City for Blepharoplasty
Mount Sinai
Surgical Techniques
Mount Sinai's expert plastic surgeons perform cosmetic eyelid surgery with precision. They can camouflage the incision by making it in the crease of the upper eyelid or along the lower eyelid’s lash line. In some cases, they can completely hide the incision inside the lower eyelid. For patients with visual impairment due to excess skin over the eyes, they collaborate with vision specialists. This ensures that the surgery not only enhances the appearance but also potentially restores vision.
Surgeon Expertise
The plastic surgeons at Mount Sinai are highly trained. Their expertise lies in both the cosmetic and functional aspects of eyelid surgery. They understand the delicate nature of the eye area and the importance of achieving natural - looking results while maintaining the function of the eyelids.
Patient Results
Patients can expect improvements such as lifting of loose, sagging upper and lower eyelids, correction of under - eye bags, restoration of better peripheral vision affected by loose eyelid skin, and removal of fatty deposits from the upper and lower eyelids. The surgery aims to make the eyes appear naturally younger and refreshed.
After - care
Although specific details of after - care are not extensively provided in the given source, it is reasonable to assume that as a major medical institution, Mount Sinai would offer comprehensive post - operative instructions and follow - up care to ensure proper healing and optimal results.Dr. Barry Weintraub
Surgical Techniques
Dr. Weintraub is a board - certified and Ivy League - educated plastic surgeon. Whenever possible, he prefers to remove the lower - eyelid fat pads or “bags” through the backside of the lower eyelid to avoid leaving a scar. For the lower skin, which can be crepey and redundant, he uses a moderate - depth peel or laser. In more severe cases, he directly excises the redundant lower eyelid skin and uses camouflaged micro - sutures. He also emphasizes a conservative approach to ensure the eyes return to their natural shape and attractiveness without an unnatural appearance.
Surgeon Expertise
With more than two decades of experience, Dr. Weintraub is in his surgical prime. He is a national spokesperson for the American Board of Plastic Surgery. In 2024, he was named one of America’s best plastic surgeons by Newsweek in the categories of facelift and eyelid surgery. His expertise extends to dealing with complex redos of surgeries performed by other offices, indicating his high - level skills in handling challenging cases.
Patient Results
The goal of his surgery is to recreate the neat, clean, sleek, and unencumbered eyelids of youth. The eyes should look refreshed but not surprised. His patients experience long - lasting improvements in the appearance of their eyelids, with natural - looking results.
After - care
Dr. Weintraub provides detailed post - operative instructions. Mild pain medication, a broad - spectrum antibiotic, and medication to reduce swelling are started immediately following surgery. He advises patients on when to shower, when to have sutures removed, and when they can return to their normal lifestyle and exercise routine. For patients living beyond a 50 - mile radius of New York City, he advises a two - night post - operative stay at a hotel and can provide a private nurse.
Dr. Adam R. Kolker
Surgical Techniques
Dr. Kolker offers a variety of techniques for eyelid rejuvenation. These include non - surgical lower eyelid rejuvenation using injectable facial fillers, laser resurfacing, skin - pinch blepharoplasty, transconjunctival blepharoplasty, fat grafts for tear trough and volume loss, and lower eyelid fat repositioning. He tailors the procedure to each patient's unique needs, ensuring the most appropriate approach for the best results.
Surgeon Expertise
He is a New York City plastic surgeon with vast experience in all nuances and techniques in rejuvenation of the eye area. His technical finesse, meticulous attention to detail, and artistry contribute to achieving beautiful results. He is highly attuned to maintaining the natural shape and "personality" of the eyes during the treatment.
Patient Results
Patients treated by Dr. Kolker experience subtle yet effective changes that rejuvenate and beautify the eyes. The results are both dramatic and subtle, making the patients look more youthful, refreshed, and rejuvenated.
After - care
Patients recover in the recovery room under the care of a registered nurse. Cold compresses are used to minimize bruising and swelling. Dr. Kolker will see patients in follow - up periodically, with suture removal generally at 5 to 7 days after blepharoplasty. He provides eye drops and is available to assist with any questions or recovery - related matters.
Dr. Andrew Jacono
Surgical Techniques
Dr. Jacono offers multiple techniques for lower blepharoplasty. He can perform transconjunctival blepharoplasty (incision inside the eyelid) or transcutaneous blepharoplasty (incision just below the eyelashes) depending on the amount of skin to be removed. He also uses fat transposition to fill the tear trough instead of simply removing the fat bags, which can create a more natural appearance. Additionally, he performs canthopexy to maintain the shape of the eyelids and prevent complications such as ectropion.
Surgeon Expertise
He is double board - certified with the American Society of Plastic Surgeons and the American Academy of Facial Plastic and Reconstructive Surgery, specializing in facial cosmetic surgery. He is considered the best facial plastic surgeon in New York City and has a high success rate in dealing with complex lower eyelid cases.
Patient Results
Patients achieve smoother, fuller lower eyelids, with a reduction in wrinkles, puffiness, and dark circles. The surgery can make patients look years younger, and the results can last 15 years or more.
After - care
Lower blepharoplasty recovery takes approximately ten days to two weeks. Dr. Jacono prescribes special makeup to cover bruises. He provides detailed instructions to patients to ensure a smooth recovery, and the incisions heal quickly and are virtually invisible.
Dr. Thomas Romo III
Surgical Techniques
For upper blepharoplasty, he removes the excess loose skin from the upper lids to open up the eyes. In lower blepharoplasty, he offers an external approach (skin - muscle approach) to remove skin and fat pads or a more conservative internal approach (transconjunctival blepharoplasty) to remove only the fat pads. All incisions are made along the natural crease lines to minimize scarring.
Surgeon Expertise
Dr. Romo is one of the most experienced and respected plastic surgeons for blepharoplasty in the world. He is a world - renowned innovator in surgical methods and an inventor of new endoscopic instruments for facial surgery. His double board - certification (American Board of Otolaryngology — Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery) attests to his high - level skills.
Patient Results
Patients experience removal of excess skin or fat from the eyelids, fixing of sagging eyelids, correction of puffiness and bags under the eyes, and a refreshed and firmer - looking eye area. The results are often long - lasting, and most patients feel their faces look about 10 years younger after the surgery.
After - care
Blepharoplasty recovery typically occurs over a two - week period. The team provides clear post - operative care instructions, including applying cold eye gels, using eye drops and sterile ointments, and when to have sutures removed. They are also available to answer questions during the recovery process.
Dr. Yael Halaas
Surgical Techniques
Dr. Halaas can perform upper eyelid surgery to address loose, drooping skin on and around the upper eyelids, lower eyelid surgery to smooth puffy bags and fill dark circles under the eyes, and Asian eyelid surgery to create a fold in the upper eyelid and/or reduce excess tissue along the eyelids. She makes small incisions in the natural crease of the upper or lower eyelid, which eventually heal into virtually imperceptible scars. In some cases, she can make the incision inside the lower eyelid to eliminate scarring completely.
Surgeon Expertise
As a double board - certified plastic surgeon in otolaryngology and facial plastic and reconstructive surgery, she has two decades of experience in facial plastic surgery procedures such as eyelid surgery. She is the number one female facial plastic surgeon in NYC, with a combination of artistic sensibility and expertise in the latest surgical techniques.
Patient Results
Patients benefit from smoothed and reduced eye bags and under - eye puffiness, better line of sight, eliminated skin irritation, a renewed and refreshed appearance, and reduced dark circles under the eyes. The results are natural - looking and enhance the patient's overall facial aesthetics.
After - care
Patients are expected to take about a week off from work. They are advised to sleep on their back for 1 - 2 weeks to minimize swelling. Contact lenses should be avoided for 10 - 14 days, and strenuous exercise and sun exposure should be avoided for 2 - 4 weeks. Dr. Halaas and her staff are available to answer any post - operative questions.
Laser & Skin Surgery Center of New York
Surgical Techniques
The center's experienced plastic surgeons perform upper and lower blepharoplasty. They typically use IV sedation in the office or a surgery center, and upper eyelids alone can often be done using local anesthesia. Incisions are placed within the natural creases of the eye or inside the lid to minimize visible scarring. They also combine facial fat grafting with blepharoplasty to augment the cheeks and fill in the tear troughs for better results.
Surgeon Expertise
The plastic surgeons at the center are well - trained in eyelid surgery. The center also has board - certified dermatologists who can customize a treatment plan for other skin - related concerns around the eyes, providing a comprehensive approach to eye area rejuvenation.
Patient Results
Patients achieve a smoother, more contoured lower lid, with a reduction in eye bags and fine lines. The surgery produces dramatic, long - lasting improvements to eyelid aesthetics.
After - care
Most patients return to work within 1 - 2 weeks after the surgery. Swelling can persist for 3 - 6 weeks but is usually not noticeable to others. The center provides guidance on the recovery process to ensure optimal results.
Prasad Cosmetic Surgery
Surgical Techniques
Dr. Amiya Prasad, a leading oculofacial plastic surgeon, performs lower blepharoplasty using either transcutaneous blepharoplasty (external incision just below the eyelashes) or transconjunctival blepharoplasty (internal incision in the conjunctiva). He uses a unique approach to IV sedation combined with local anesthesia called Lite™ anesthesia to allow for a faster recovery. He can also use a laser to sculpt the fat in transconjunctival blepharoplasty.
Surgeon Expertise
Dr. Prasad has performed eyelid surgery for more than 25 years and is considered one of the best in his field. He has in - depth knowledge of the delicate structures around the eye and specializes in avoiding common complications associated with lower eyelid surgery, such as lower eyelid retraction.
Patient Results
Patients see a significant improvement in the appearance of under - eye bags. The results are often long - lasting, and the natural shape of the eye is well - preserved.
After - care
After surgery, minimal swelling and some bruising are typical, which diminish within a week to ten days. Most patients return to work about one week after surgery. Dr. Prasad provides specific instructions for recovery and has a follow - up appointment in about one week.
Comparison Table
| Hospital/Surgeon | Surgical Techniques | Surgeon Expertise | Patient Results | After - care |
|---|---|---|---|---|
| Mount Sinai | Camouflaged incisions, collaboration with vision specialists | Highly trained plastic surgeons, experienced in both cosmetic and functional aspects | Lifted eyelids, corrected eye bags, restored vision | Comprehensive post - operative instructions expected |
| Dr. Barry Weintraub | Removal of lower - eyelid fat pads from the backside, peel/laser for lower skin, conservative approach | Two - decade experience, national spokesperson, named America’s best in relevant categories | Neat, clean, youthful eyelids, long - lasting results | Detailed post - operative instructions, hotel stay advice for out - of - town patients |
| Dr. Adam R. Kolker | Multiple rejuvenation techniques, personalized approach | Vast experience in eye area rejuvenation, technical finesse and artistry | Subtle yet effective rejuvenation, natural - looking results | Registered nurse care in recovery, follow - up appointments, eye drops |
| Dr. Andrew Jacono | Transconjunctival/transcutaneous blepharoplasty, fat transposition, canthopexy | Double board - certified, specialized in facial cosmetic surgery | Smoother, fuller lower eyelids, long - lasting results | Prescription for bruise - covering makeup, detailed recovery instructions |
| Dr. Thomas Romo III | Upper and lower blepharoplasty with natural - crease incisions, different lower - lid approaches | World - renowned innovator, double board - certified | Removed excess skin/fat, refreshed eye area, long - lasting results | Two - week recovery guidance, post - operative care instructions |
| Dr. Yael Halaas | Upper, lower, and Asian eyelid surgery, hidden incisions | Double board - certified, two - decade experience, top female surgeon in NYC | Reduced eye bags, better vision, refreshed appearance | One - week work - off advice, sleep and activity restrictions, post - operative support |
| Laser & Skin Surgery Center of New York | IV sedation, local anesthesia for upper lids, fat grafting with blepharoplasty | Experienced plastic surgeons, board - certified dermatologists | S
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