Introduction
Orbital fat repositioning of the eyes is a delicate and effective cosmetic procedure that can address issues such as puffy lower eyelids, dark circles, and under - eye hollows. In New York City, a bustling metropolis known for its world - class medical facilities, there are several hospitals and clinics that offer this treatment. This article will explore the top options in the city, highlighting their expertise, procedures, and patient experiences.
Understanding Orbital Fat Repositioning
As we age, the lower eyelids undergo significant changes. The skin loosens, forming wrinkles and crow’s feet. The orbicularis oculi muscle around the eye becomes lax, and “festoons” may develop. Excess fat pockets make the eyelids puffy, and volume loss in the upper cheeks leads to the formation of dark circles. The outer corner of the eye, the lateral canthus, may droop, changing the eye shape from almond - shaped to round. Orbital fat repositioning aims to correct these issues by moving the excess orbital fat to the tear trough area, filling the hollows and reducing the appearance of bags under the eyes.
Top Hospitals and Surgeons in New York City for Orbital Fat Repositioning
Dr. Andrew Jacono
Dr. Andrew Jacono is a well - known name in the field of facial plastic surgery in New York City. He is double - board certified with the American Society of Plastic Surgeons and the American Academy of Facial Plastic and Reconstructive Surgery. His expertise lies in lower blepharoplasty, including orbital fat repositioning.
Procedures Offered
- Transconjunctival Blepharoplasty: This approach involves making an incision inside the eyelid. It is suitable for patients with good skin elasticity and is less invasive, resulting in minimal visible scarring. Dr. Jacono uses this method to access the fat pads beneath the eye and can reposition the orbital fat as needed.
- Transcutaneous Blepharoplasty: When excess skin needs to be removed, Dr. Jacono may opt for a transcutaneous approach, making an incision just below the eyelashes. He can then remove the excess skin, muscle, and fat, and reposition the orbital fat to achieve a more youthful appearance.
- Fat Transposition Lower Blepharoplasty: Instead of simply removing the fat bags under the eyes, which can create a hollowed - out look, Dr. Jacono transposes the orbital fat down into the tear trough. This fills the hollows and removes the bags in a single procedure.
- Canthopexy: To maintain the shape of the eyelids, Dr. Jacono often performs a canthopexy. This procedure tightens the lateral canthal tendon of the lower eyelid, preventing changes in eyelid shape after blepharoplasty and recreating the almond - shaped eyes of youth.
Patient Experiences
Many patients have shared their positive experiences with Dr. Jacono. His personalized approach to each patient's unique needs is highly praised. Patients have reported significant improvements in the appearance of their lower eyelids, with reduced puffiness, dark circles, and a more youthful and refreshed look. The recovery process is also managed well, with Dr. Jacono providing detailed post - operative instructions to ensure a smooth recovery.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a New York City plastic surgeon with vast experience in eyelid rejuvenation. He is skilled in all nuances and techniques related to blepharoplasty and orbital fat repositioning.
Procedures Offered
- Non - surgical Lower Eyelid Rejuvenation: For some patients, especially those with milder concerns, Dr. Kolker may recommend non - surgical options such as injecting facial fillers to restore volume to the tear trough and soften the lid - cheek junction. This can be a good alternative for patients who are not ready for surgery or have minor issues.
- Transconjunctival Blepharoplasty with Fat Repositioning: Similar to other experts, Dr. Kolker can perform transconjunctival blepharoplasty to access and reposition the orbital fat without any external incisions. This is a popular choice for patients who want to avoid visible scarring.
- Lower Eyelid Fat Repositioning with Other Modalities: He may combine orbital fat repositioning with other procedures such as laser resurfacing or fat grafting to achieve the most natural results. Laser resurfacing can improve the color, texture, and tone of the eyelid area, while fat grafting can restore volume to other parts of the face.
Patient Experiences
Patients have commended Dr. Kolker for his thoroughness, attention to detail, and warmth. His ability to understand each patient's goals and create a personalized treatment plan is highly valued. Many patients have seen remarkable results after their procedures, with more youthful - looking eyes and an overall improvement in their facial appearance.
Dr. John E. Sherman
With over four decades of surgical experience, Dr. John E. Sherman is one of the most sought - after board - certified plastic surgeons in New York City. His private practice, located across from Central Park, specializes in various cosmetic procedures, including lower eyelid lift with orbital fat repositioning.
Procedures Offered
- Transconjunctival Eyelid Lift with Fat Repositioning: Dr. Sherman frequently performs transconjunctival eyelid lifts to access the eyelid tissue from the inside, avoiding visible scarring. He can then reposition the fat pads beneath the eye to smooth out the area and reduce the appearance of bags.
- Customized Approaches: He tailors each procedure to the patient's specific needs. If the lower eyelids are severely lax, he may modify the surgery by using a subcutaneous incision on the outside of the lid along the lash line to remove excess skin and reposition the fat.
Patient Experiences
Patients appreciate Dr. Sherman's expertise and his friendly approach. His ability to create permanent results with minimal scarring is highly regarded. Many patients have reported that their eye bags have dissipated, and their under - eyes look smoother and more youthful after the procedure.
Dr. David Cangello
Dr. David Cangello is a board - certified plastic surgeon in New York City. His practice, Cangello Plastic Surgery, is known for providing top - notch results and unmatched expertise in eyelid surgery, including orbital fat repositioning.
Procedures Offered
- Blepharoplasty with Orbital Fat Repositioning: Dr. Cangello can perform blepharoplasty on the upper and lower eyelids. For lower eyelid surgery, he can reposition the fat from the lower eyelid or perform fat grafting into the “tear trough” to reduce the appearance of dark circles and bags under the eyes.
- Canthopexy or Canthoplasty: To tighten the lower eyelid and prevent changes in eyelid shape, he may perform a canthopexy or canthoplasty as part of the orbital fat repositioning procedure.
Patient Experiences
Patients have had positive experiences with Dr. Cangello and his team. The personalized care, from the initial consultation to the follow - up appointments, is highly praised. Many patients have achieved a more refreshed and youthful appearance, with natural - looking results.
Dr. Steven Wallach
Dr. Steven Wallach is a New York plastic surgeon who recreates a natural - looking, youthful eye by treating the necessary fat and skin from the upper and lower lids. He is careful to conserve soft tissue in and around the eye to prevent the hollowed - eye look.
Procedures Offered
- Lower Lid Blepharoplasty with Fat Repositioning: Dr. Wallach has several methods for performing lower lid blepharoplasty. He can remove fat conservatively or drape the fat along the lower lid - cheek crease. He also performs a transconjunctival procedure to access the fatty compartments inside the eyelid and reposition the fat as needed.
- Canthopexy: If the patient has a poor lower lid tone, he will perform a canthopexy to support the lower eyelid and prevent issues such as ectropion or scleral show.
Patient Experiences
Patients have commended Dr. Wallach for his conservative approach and his ability to achieve natural - looking results. The recovery process is often described as relatively easy, and patients are satisfied with the long - term improvements in the appearance of their eyes.
Comparing the Options
| Surgeon | Specialty Procedures | Patient Focus | Approach |
|---|---|---|---|
| Dr. Andrew Jacono | Fat transposition lower blepharoplasty, canthopexy | Personalized treatment for individual aging - related eyelid issues | Combines surgical precision with attention to maintaining natural eyelid shape |
| Dr. Adam R. Kolker | Non - surgical lower eyelid rejuvenation, combination of surgical and non - surgical modalities | Understanding patient goals and providing a comprehensive approach | Thorough evaluation and customized treatment plans |
| Dr. John E. Sherman | Transconjunctival eyelid lift with fat repositioning | Long - term, permanent results with minimal scarring | Customized surgical approaches based on eyelid laxity |
| Dr. David Cangello | Blepharoplasty with orbital fat repositioning, canthopexy/canthoplasty | Personalized care from consultation to follow - up | Artistic approach to achieve natural - looking rejuvenation |
| Dr. Steven Wallach | Lower lid blepharoplasty with fat repositioning, canthopexy | Conservative approach to preserve soft tissue and avoid hollowed - eye look | Multiple methods for lower lid treatment based on patient anatomy |
What to Consider When Choosing a Hospital or Surgeon
Credentials and Experience
It is crucial to choose a surgeon who is board - certified and has extensive experience in orbital fat repositioning. Surgeons with a long - standing reputation and a high volume of successful procedures are more likely to deliver good results. For example, surgeons like Dr. Andrew Jacono and Dr. John E. Sherman have decades of experience in facial plastic surgery, which gives them an edge in performing complex orbital fat repositioning procedures.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide valuable insights into the surgeon's skills, bedside manner, and the overall patient experience. Positive reviews about the results, the recovery process, and the level of care can help you make an informed decision. Many patients on the surgeons' websites share their before - and - after photos and stories, which can give you an idea of what to expect.
Treatment Approach
Each surgeon may have a different approach to orbital fat repositioning. Some may focus on a more conservative approach, while others may be more aggressive in achieving dramatic results. It is important to discuss your goals and expectations with the surgeon and ensure that their treatment approach aligns with what you want.
Cost and Insurance
Orbital fat repositioning is a cosmetic procedure, and most insurance plans do not cover it. The cost can vary depending on the surgeon, the complexity of the procedure, and the location. It is important to get a detailed cost estimate from the surgeon and understand what is included in the price. Some surgeons may offer financing options to help manage the cost.
Recovery and Aftercare
The recovery process after orbital fat repositioning is an important aspect of the overall experience. Most patients can expect some swelling and bruising, which typically subside within one to two weeks. Here are some general tips for recovery:
- Follow the Surgeon's Instructions: This includes taking prescribed medications, using cold compresses, and avoiding strenuous activities. For example, Dr. Andrew Jacono prescribes special makeup to cover bruises during the recovery period.
- Rest and Relax: Give your body time to heal. Avoid using contact lenses until cleared by the surgeon. Take frequent short walks to optimize blood circulation, but avoid vigorous exercise until fully healed.
- Protect Your Eyes: Wear sunglasses to protect your eyes from the sun and avoid rubbing or touching your eyes. Keep your head elevated when lying down to reduce swelling.
- Attend Follow - up Appointments: Regular follow - up appointments with the surgeon are essential to monitor your progress and ensure that you are healing properly. The surgeon can also address any concerns or questions you may have during these appointments.
Conclusion
New York City offers a wide range of options for orbital fat repositioning of the eyes. Surgeons like Dr. Andrew Jacono, Dr. Adam R. Kolker, Dr. John E. Sherman, Dr. David Cangello, and Dr. Steven Wallach have demonstrated their expertise in this field through their specialized procedures, positive patient experiences, and personalized approach. When considering this procedure, it is important to do your research, choose a qualified surgeon, and have realistic expectations. The results of orbital fat repositioning can be life - changing, giving you more youthful and refreshed - looking eyes.
If you are considering orbital fat repositioning, we encourage you to schedule a consultation with one of the recommended surgeons. Discuss your goals, ask questions, and make an informed decision about your treatment. Share this article with others who may be interested in this procedure to help them make the right choice for their eye rejuvenation journey.
