Introduction
Lower eyelid suspension and related plastic surgeries have gained significant popularity in New York City as people seek to address the signs of aging around the eyes. The eyes are often one of the first areas to show visible signs of age, such as sagging skin, puffiness, and dark circles. Lower eyelid plastic surgeries can help rejuvenate the appearance of the eyes, making individuals look more refreshed and youthful. In this article, we will introduce some of the top - rated plastic surgeons in New York City for lower eyelid suspension and blepharoplasty procedures.
Understanding Lower Eyelid Plastic Surgery
What is Lower Blepharoplasty?
Lower blepharoplasty is a surgical procedure designed to rejuvenate aging eyelids. As we age, the lower eyelids undergo several changes. The skin loosens, creating wrinkles and crow's feet. The orbicularis oculi muscle around the eye becomes looser, and “festoons” may develop. The eyelids can become puffy due to excess fat pockets, and dark circles form as volume is lost in the upper cheeks. The outer corner of the eye, the lateral canthus, may also droop, making the eyes appear round. According to an article from newyorkfacialplasticsurgery.com, not everyone develops these problems, so surgeons like Dr. Andrew Jacono tailor every blepharoplasty to the patient's individual needs.
Common Reasons for Lower Eyelid Surgery
- Excess loose skin that sags under the eyes
- Puffy lower eyelids that make a person look tired
- Excessive lower eyelid wrinkles
- Dark circles under the eyes
- Change in the shape of the eyes from a youthful almond shape to an older round shape
Top Plastic Surgeons for Lower Eyelid Surgery in New York City
Dr. Andrew Jacono
Dr. Andrew Jacono is a well - known plastic surgeon specializing in facial cosmetic surgery. He is double - board certified with the American Society of Plastic Surgeons and the American Academy of Facial Plastic and Reconstructive Surgery. According to his profile, he offers a variety of techniques for lower blepharoplasty. For younger patients, he may recommend non - surgical methods like injecting hyaluronic acid filler in the tear troughs beneath the eyes to camouflage puffy lower eye bags, and Botox to smooth eyelid wrinkles. However, as patients age and the eyelid bags become too large or the skin too loose, he recommends surgical blepharoplasty. He uses different incision types, such as transconjunctival blepharoplasty (an incision placed inside the eyelid) and transcutaneous blepharoplasty (just below the eyelashes). He also performs fat transposition lower blepharoplasty, where instead of removing the fat bags that can create a hollowed - out look, he transposes the orbital fat down into the tear trough. Additionally, he often tightens the lateral canthal tendon of the lower eyelid through a canthopexy procedure to prevent changes in eyelid shape after surgery.
Dr. Barry Weintraub
Dr. Barry Weintraub is a top NYC plastic surgeon. He is board - certified and Ivy League educated at the Weill - Cornell Medical Center, with over two decades of experience and is a national spokesperson for the American Board of Plastic Surgery. He specializes in festoon removal, which is related to the lower eyelid. Festoons are bags of the lower eyelid skin that can make a person look tired and older. Dr. Weintraub can remove festoons in various ways, including the transconjunctival surgical approach and direct removal performed with microscopic magnification and sewn with the finest suture material to create nearly invisible incisions. He prefers his patients to be in a comfortable state of twilight sleep during the surgery for safety reasons. He also insists on the most sterile conditions in the operating room with board - certified anesthesiologists and state - of - the - art monitoring equipment.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a New York City plastic surgeon skilled in all nuances and techniques in rejuvenation of the eye area. He brings vast experience, technical finesse, and artistry to achieve beautiful results. A traditional blepharoplasty with him might include removal of excess upper or lower eyelid skin and fat. He offers a variety of eyelid rejuvenation techniques, such as non - surgical lower eyelid rejuvenation using injectable facial fillers to restore volume to the tear trough and soften the lid - cheek junction, laser resurfacing to improve color, texture, and tone of the eyelid area, skin - pinch blepharoplasty to remove a small amount of excess skin of the lower eyelid, transconjunctival blepharoplasty to remove excess lower eyelid fat without external incisions, fat grafts for tear trough and volume loss, and lower eyelid fat repositioning to tighten the lower lid support mechanisms. His approach emphasizes maintaining the natural shape and “personality” of the eyes.
Dr. David Cangello
Dr. David Cangello is one of the top board - certified plastic surgeons in New York City. He believes in the importance of a strong doctor - patient relationship, starting with a personal consultation. Ideal candidates for blepharoplasty with him are men and women in good health who are unhappy with the changes in their eyelid area caused by age, genetics, or environmental factors. He can perform blepharoplasty on the upper and lower eyelids, which may involve excision of excess skin, laser resurfacing, excision of fat bulging from the eyelids, repositioning of fat from the lower eyelid or fat grafting into the “tear trough”, and tightening of the lower eyelid with a canthopexy or canthoplasty. For upper eyelid blepharoplasty, the incision follows the natural crease in the eyelid, and for lower eyelid surgery, the incision is made inside the eyelid or just below the lower lash line, ensuring hidden scars.
Dr. Lara Devgan
Dr. Lara Devgan offers blepharoplasty procedures that make the eyes look more refreshed, awake, large, and youthful. A blepharoplasty with her can address the upper eyelid, the lower eyelid, or both. It can fix problems such as tired - looking eyes, drooping eyelids, thin or crepe - y skin of the eyelids, dark circles under the eyes, puffy bags under the eyes, deep tear troughs, hooding of the eyelids, and prominent crow's feet. She performs blepharoplasties under sedation administered by a board - certified anesthesiologist and uses protective corneal shields to keep the eyes safe. All scars are either hidden inside the pink part of the eyelids or camouflaged along a skin crease. After surgery, patients can usually go home the same day, and they can resume normal activities like shopping, walking, reading, and even working 1 - 2 days after surgery, although swelling and bruising may take at least one week to subside.
Dr. Sam Rizk
Dr. Sam Rizk is a top - rated double - board certified facial plastic surgeon in New York. He favors minimally invasive techniques for eyelid surgery. His lower blepharoplasty and upper blepharoplasty procedures can address both cosmetic and medical concerns. He aims to create a natural - looking result to reduce signs of aging around the eyes and improve eye function where drooping lids contribute to impaired vision. His eyelid surgery procedure can correct droopiness, puffiness, and bags under the eyes, excess fat in the upper lids, sagging or lax skin in the eyelids, and droopiness of the lower lids. He uses an advanced, scarless technique with an incision inside the lower lid (transconjunctival). His surgery is usually performed in 45 minutes and can be combined with other procedures like a facelift or neck lift. After surgery, most patients can return to their usual activities within one week, looking more refreshed and youthful.
Dr. Joshua D. Rosenberg
Dr. Joshua D. Rosenberg is one of the top facial plastic and reconstructive surgeons in the New York area. He uses advanced techniques to remove excess skin and fat from the upper or lower eyelids while gently tightening and lifting the lids. For the upper eyelid, the incision is made in the upper eyelid crease to open the eyes and diminish a droopy appearance. For the lower eyelid, an incision is made under the bottom lashes to access and remove skin and fat that cause bagging and puffiness. He focuses on creating natural - looking results, and often upper and lower eyelid lifts are performed together to revitalize the entire eye area.
Comparison of Surgeons
| Surgeon | Specialty Focus | Techniques Offered | Recovery Time | Cost Considerations |
|---|---|---|---|---|
| Dr. Andrew Jacono | Facial cosmetic surgery, personalized lower blepharoplasty | Transconjunctival, transcutaneous blepharoplasty, fat transposition, canthopexy | Approximately ten days to two weeks for lower blepharoplasty recovery | Cost varies, long - term surgical option may be more cost - effective than repeated non - surgical treatments |
| Dr. Barry Weintraub | Festoon removal, lower eyelid rejuvenation | Transconjunctival approach, direct removal with microscopic magnification | Short period of minimal swelling and bruising, specific return - to - normal - lifestyle time advised by doctor | Not specified, determined during consultation |
| Dr. Adam R. Kolker | Comprehensive eyelid rejuvenation | Non - surgical and surgical options including injectable fillers, laser resurfacing, skin - pinch, transconjunctival, fat grafting, fat repositioning | Primary swelling and bruising resolves in about one week for more extensive blepharoplasty, less for limited maneuvers | Not specified, depends on procedure details |
| Dr. David Cangello | Upper and lower eyelid blepharoplasty | Excision of excess skin, laser resurfacing, fat excision and repositioning, canthopexy/canthoplasty | Bruising and swelling improve in one - to - two weeks, regular activities can resume in three weeks | Not specified, discussed during consultation |
| Dr. Lara Devgan | Upper and lower eyelid blepharoplasty for overall eye rejuvenation | Minimally invasive with hidden incisions | Swelling and bruising subside in at least one week, can resume normal activities 1 - 2 days after surgery | Not specified, more information available through consultation |
| Dr. Sam Rizk | Minimally invasive eyelid surgery for aesthetic and functional improvement | Scarless transconjunctival approach, fat sculpting with laser | Most patients return to usual activities within one week | Discussed during consultation, influenced by various factors |
| Dr. Joshua D. Rosenberg | Upper and lower eyelid lift for natural - looking results | Advanced techniques for skin and fat removal, lifting of eyelids | Not fully specified, focused on overall revitalization of eye area | Not specified, consult for details |
Pre - surgery Considerations
Choosing a Surgeon
When choosing a plastic surgeon for lower eyelid suspension or blepharoplasty in New York City, it is crucial to do thorough research. Look for board - certified surgeons who have experience in the specific procedure you want. Check their credentials, such as certifications from recognized organizations like the American Society of Plastic Surgeons or the American Academy of Facial Plastic and Reconstructive Surgery. Read patient reviews and testimonials to get an idea of their patient satisfaction rates and the quality of their work. You can also ask to see before - and - after photos of previous patients to assess their aesthetic results.
Patient Suitability
Not everyone is a suitable candidate for lower eyelid surgery. Good candidates are generally in good physical health, non - smokers, and have realistic expectations about the results of the surgery. Some medical conditions such as hypothyroidism, dry eyes, glaucoma, high blood pressure, cardiovascular disease, and diabetes may affect a patient's suitability for surgery. In such cases, the patient may need to obtain approval from an ophthalmologist before the procedure. It is important to have an in - depth consultation with the surgeon to discuss your medical history, concerns, and goals.
Pre - operative Preparation
Surgeons typically provide patients with a pre - operative plan. This may include dietary changes, avoiding certain medications that can increase bleeding risk, and not smoking for at least two to four weeks before and after surgery. For example, Dr. David Cangello provides detailed pre - operative instructions tailored to each patient's needs. Patients may also need to purchase items like cold packs and artificial tears in preparation for the recovery period.
Post - surgery Care and Recovery
Immediate Post - surgery
After lower eyelid surgery, patients can expect some discomfort. The eyelids may feel tight and achy, and there may be a dry or itchy sensation. Pain medication is usually prescribed to alleviate discomfort. Bruising and swelling are common and can be reduced by using cold compresses and keeping the head elevated when lying down. According to Dr. Andrew Jacono, bruising from lower eye blepharoplasty surgery usually lasts between 7 and 10 days, and he may prescribe special makeup to cover bruises.
Longer - term Recovery
Most patients are advised to avoid excessive activity for a few days after surgery. For example, Dr. David Cangello recommends avoiding excessive activity for three to five days. External sutures are typically removed within one week after blepharoplasty. Swelling and bruising gradually subside, and patients can usually resume normal activities and go out in public within a couple of weeks. Dr. Adam Kolker suggests light cardio exercises for approximately two weeks after blepharoplasty, after which unrestricted exercise and activity may be resumed.
Conclusion
Lower eyelid suspension and blepharoplasty can be effective procedures for rejuvenating the appearance of the eyes and addressing the signs of aging. In New York City, there are several highly qualified plastic surgeons such as Dr. Andrew Jacono, Dr. Barry Weintraub, Dr. Adam R. Kolker, Dr. David Cangello, Dr. Lara Devgan, Dr. Sam Rizk, and Dr. Joshua D. Rosenberg, each with their own specialties and techniques. Before undergoing any surgery, it is essential to carefully consider your options, choose a reputable surgeon, and follow all pre - and post - operative instructions. By doing so, you can increase the likelihood of achieving the desired results and a smooth recovery.
If you are considering lower eyelid surgery in New York City, we encourage you to schedule a consultation with one of these top surgeons. Learn more about the procedure, discuss your specific needs and goals, and make an informed decision about your cosmetic journey. Share this article with friends and family who may also be interested in lower eyelid rejuvenation.
