Introduction to Lower Eyelid Suspension and Recommended Hospitals in New York City
Lower eyelid suspension is a crucial procedure for many individuals in New York City who are looking to address issues related to the lower eyelids, such as sagging, puffiness, and wrinkles. This article will introduce several hospitals highly recommended by people for lower eyelid suspension in the city, along with detailed information about the procedure, benefits, and what to expect.
Understanding Lower Eyelid Suspension
Lower eyelid suspension is a form of blepharoplasty, a surgical procedure designed to improve the appearance of the eyes. As we age, the lower eyelids may experience changes such as excess skin, herniated orbital fat, and weakened muscles, which can lead to a tired or aged appearance. Lower eyelid suspension aims to correct these issues by tightening the lower eyelid and repositioning or removing excess fat and skin.
Benefits of Lower Eyelid Suspension
- Reduction of under - eye bags: One of the most noticeable benefits is the reduction of puffiness and bags under the eyes, giving a more rested and youthful look.
- Improved eye contour: It helps to create a smoother and more defined eye contour, enhancing the overall aesthetics of the face.
- Correction of lower eyelid laxity: Tightens the lower eyelid, preventing issues such as scleral show and ectropion, which can cause discomfort and aesthetic problems.
- Increased confidence: By improving the appearance of the eyes, patients often experience a boost in self - confidence.
Recommended Hospitals in New York City for Lower Eyelid Suspension
1. Mount Sinai - New York
Mount Sinai offers cosmetic eyelid surgery performed by expert plastic surgeons. Their eyelid surgery, also known as blepharoplasty, can improve the appearance of both the upper and lower eyelids. For lower eyelid surgery, the plastic surgeons can camouflage the incision by making it in the crease of the upper eyelid or along the lower eyelid’s lash line, or even completely hide the incision inside the lower eyelid.
The benefits of their lower eyelid surgery include lifting loose, sagging lower eyelids, correcting under - eye bags, and restoring better peripheral vision affected by loose eyelid skin. Additionally, they may collaborate with vision specialists to assess if the procedure can help improve visual impairment, and in some cases, patients may be eligible for insurance coverage with their eye doctor’s recommendation.
When it comes to the approach, they have the expertise to handle different anatomical issues. For example, if the main issue is excess fat, they can perform procedures to remove or reposition it, and if there is a need to tighten the lower eyelid support structure, they can perform relevant procedures.
2. Park Avenue Plastic Surgeon
Dr. Rapaport at Park Avenue Plastic Surgeon is well - known for his work in blepharoplasty. In lower eyelid blepharoplasty, he assesses each case individually. For eyelid puffiness primarily caused by excess fat, he often uses a transconjunctival approach. With this approach, the incision is made inside the lower eyelid, and excess fat is either removed or repositioned to achieve an improved contour of the lower lid. Since the incision is inside the eyelid, no sutures are required in this case, and there is absolutely no visible scar.
If patients have excess skin of the lower eyelid, he will choose to make the incision in an inconspicuous site along the lash line and smile creases of the lower lid. Excess fat and skin are then trimmed away, and the incision is closed with fine sutures. He also assesses whether a canthoplasty, a procedure to improve the support of the lower eyelid, is necessary for each patient.
The recovery process at this practice involves specific instructions. For the first night after blepharoplasty, it is important to rest with the head of the bed elevated about 30 degrees. Cold compresses are applied intermittently for the first week. Sutures, if used, are removed on or around the second and fifth days after surgery. Patients can return to non - straining activities within 1 or 2 days, but many will take 5 - 7 days off because of the bruising that commonly occurs following the surgery.
3. Steven Wallach, MD
Dr. Steven Wallach is a New York plastic surgeon who offers comprehensive eyelid surgery. In lower eyelid rejuvenation, he addresses various issues such as loose skin, herniated orbital fat, and lower eyelid laxity. He believes in conserving soft tissue in and around the eye to prevent the hollowed - eye look.
There are several ways he performs lower lid blepharoplasty. Usually, a skin - muscle flap is elevated just below the eyelash margin. He also performs a transconjunctival procedure – an incision along the conjunctiva inside the eyelid to expose the fatty compartments. He removes fat conservatively or drapes the fat along the lower lid - cheek crease. Often, he will free the crease of the lower lid - cheek junction. If there is excess skin when using the transconjunctival approach, he will “pinch” the excess skin and remove it conservatively at the level just below the lash line.
If the patient has a poor lower lid tone, he will perform a canthopexy. A canthopexy is performed by placing a suture through the lateral canthal ligament and suspending it to the connective tissue along the inner lateral orbital rim, which is like suspenders on a pair of pants that holds the lower lid in place during the healing process.
4. Dr. John E. Sherman
Dr. John E. Sherman, with over four decades of surgical experience, is a highly sought - after board - certified plastic surgeon in New York City. His lower eyelid lift, or lower blepharoplasty, is a cosmetic procedure that removes tissue from underneath the eye to restore a rested and youthful - looking complexion.
He frequently performs transconjunctival eyelid lifts, accessing the eyelid tissue from the inside to avoid visible scarring, which is suitable for those with good skin elasticity. His surgical team starts the procedure by administering intravenous sedation anesthesia to keep the patient comfortable. Once the patient is comfortable, he places special covers over the eyes to protect them, then makes an incision along the inside of the lower eyelid. He then skillfully maneuvers toward the fat pads located beneath the thin internal layers of the under - eye area, and may reposition them with internal sutures, or remove small sections to smooth out the area.
If the lower eyelids are severely lax, he can modify the surgery by using a subcutaneous incision on the outside of the lid along the lash line to safely remove portions of the skin to reduce sagging and correct under - eye wrinkles. Lower eyelid lifts typically take around 1 hour to complete.
5. Dr. Daniel B. Block
Dr. Daniel B. Block specializes in facial plastic and reconstructive surgery. In lower eyelid suspension, he focuses on achieving natural - looking results. He assesses the patient's unique facial anatomy and uses advanced techniques to address issues such as under - eye bags and lower eyelid sagging.
He may use a combination of fat removal, skin tightening, and muscle repositioning to improve the appearance of the lower eyelids. For example, he may remove excess fat through a transconjunctival approach and then use sutures to tighten the lower eyelid muscles and lift the eyelid to a more youthful position. He also pays attention to minimizing scarring, often using incisions that are well - hidden within the natural creases of the eyelid or inside the eyelid.
After the procedure, he provides detailed post - operative care instructions to ensure a smooth recovery. This includes advice on cold compresses, rest, and avoiding strenuous activities for a certain period.
6. Dr. Jessica Lattman
As an oculoplastic surgeon, Dr. Jessica Lattman has specific expertise in treating aging changes of the eyelids and brows. For lower blepharoplasty, she takes great care to individually tailor her approach for patients seeking natural - looking lower eyelid rejuvenation.
She will use either a trans - conjuctival or a subcillary approach. The trans - conjuctival approach provides safe and easy access to the bags to be removed, without a skin incision, and is usually indicated for younger patients with small eyelid bags. The subcillary approach is used when there is excess skin and muscle that needs to be tightened and supported.
Dr. Lattman has also developed and published scientific articles describing an innovative technique that allows her to tighten the deeper structures in the eyelids, known as an orbicularis muscle flap and suspension. This procedure can better define the cheeks, restore the natural shape of the lids, and reduce the tired appearance of the eyes.
7. Millennial Plastic Surgery
Dr. David Shokrian and his team at Millennial Plastic Surgery are leading experts in lower eyelid surgery. They offer state - of - the - art facilities in midtown Manhattan. The lower eyelid surgery at Millennial Plastic Surgery involves removing fat, skin, and muscle through surgical incisions or a laser operation to give the desired results.
During the procedure, fat is repositioned to make the skin under the eyes smoother, and the surgeon also removes excess skin or tightens it to fix any drooping and sagging. Fine, dissolvable sutures are used to close the incisions. The recovery process at Millennial Plastic Surgery includes some discomfort that goes away as the recovery progresses. In the first few days, patients will have some bruising and swelling, but it disappears by the end of the first week. Appropriate medication is provided to deal with any pain and discomfort.
They also stress the importance of following post - operative instructions, such as limiting unnecessary physical activity, staying out of the sun, and keeping the eyelids clean using a cotton swab, water, and hydrogen peroxide.
8. Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery is trained in general surgery as well as plastic and reconstructive surgery. He offers blepharoplasty to improve the appearance of the upper and lower eyelids. In lower eyelid surgery, the incision is made inside the eyelid or just below the lower eyelash margin to ensure a completely hidden scar. An incision is only made on the outside of the lower eyelid when excess skin needs to be removed.
He will gently separate the skin and muscle from the underlying tissue, remove excess fat, skin, and muscle needed to create the desired result, and then close the incisions using tiny sutures. A typical blepharoplasty procedure takes about forty - five to ninety minutes to complete depending on whether one or both sets of eyelids are being operated on.
After the procedure, patients can expect some tightness and achiness in the eyelids, as well as dry or itchy sensations. Pain medication will be prescribed to alleviate any discomfort. Bruising and swelling are common, and using cold compresses and keeping the head elevated when lying down can help reduce these symptoms.
Factors to Consider When Choosing a Hospital for Lower Eyelid Suspension
1. Surgeon's Expertise
The experience and expertise of the surgeon are crucial. Look for surgeons who are board - certified, have extensive experience in performing lower eyelid suspension, and have a good track record of successful procedures. You can check their educational background, training, and any specialized certifications they hold.
2. Hospital Reputation
Research the hospital's reputation in the field of plastic surgery. Read patient reviews and testimonials to get an idea of the quality of care, patient satisfaction, and the results achieved. A hospital with a good reputation is more likely to provide a high - standard of service.
3. Technology and Facilities
State - of - the - art technology and modern facilities can contribute to a more successful procedure and better patient outcomes. Hospitals with advanced surgical equipment and comfortable recovery areas are more preferable.
4. Cost and Insurance
Lower eyelid suspension is often an elective procedure, so insurance may not cover it. However, it's important to understand the cost structure, including all associated fees such as surgical fees, anesthesia fees, and post - operative care costs. Some hospitals may offer financing options to help with the cost.
5. Post - operative Care
Proper post - operative care is essential for a smooth recovery and good results. Find out what kind of post - operative care the hospital provides, including follow - up appointments, instructions for wound care, and support during the recovery period.
Preparing for Lower Eyelid Suspension
Before undergoing lower eyelid suspension, there are several steps you need to take:
- Consultation: Schedule a consultation with the surgeon to discuss your goals, expectations, and medical history. The surgeon will examine your eyelids and determine the most suitable approach for your case.
- Medical Evaluation: You may need to undergo a medical evaluation, including blood tests and an eye examination, to ensure you are in good health for the surgery.
- Medication and Lifestyle Changes: Your surgeon may ask you to stop taking certain medications, such as blood thinners, and avoid alcohol, tobacco, and certain supplements for a period of time before and after surgery. You may also need to arrange for someone to drive you home after the surgery and take time off work for recovery.
Recovery Process
The recovery process after lower eyelid suspension varies from person to person, but generally, the following can be expected:
- Initial Days: In the first few days after surgery, you will experience swelling and bruising around the eyes. It is important to rest with your head elevated and apply cold compresses to reduce swelling. You may also have some discomfort, which can be managed with pain medication prescribed by your doctor.
- Suture Removal: If sutures are used, they will typically be removed within a few days to a week after surgery.
- Return to Normal Activities: Most patients can return to non - strenuous activities within 1 - 2 days, but it may take 5 - 7 days or more for the bruising and swelling to subside enough to feel comfortable going out in public. You should avoid strenuous exercise and activities that may increase blood pressure for a few weeks.
- Final Results: It can take several weeks to months to see the final results of the surgery. During this time, the swelling will continue to go down, and the eyelids will gradually settle into their new position.
Potential Risks and Complications
As with any surgical procedure, lower eyelid suspension has some potential risks and complications, including:
- Infection: There is a risk of infection at the incision site, which can be minimized by following proper post - operative care instructions.
- Scarring: While efforts are made to minimize scarring, there may still be some visible scars, especially if an external incision is used. However, these scars usually fade over time.
- Asymmetry: There is a possibility of the eyelids not looking completely symmetrical after surgery. This may require additional procedures to correct.
- Dry Eyes: Some patients may experience dry eyes after surgery, which can be treated with eye drops or other medications.
- Vision Changes: Although rare, there is a risk of vision changes, such as blurred vision or double vision. If this occurs, it should be reported to the surgeon immediately.
Conclusion
Lower eyelid suspension can be a life - changing procedure for those looking to improve the appearance of their eyes and reduce the signs of aging. In New York City, there are several highly recommended hospitals with experienced surgeons who can provide excellent results. When considering this procedure, it is important to do thorough research, choose a qualified surgeon and a reputable hospital, and follow all pre - and post - operative instructions.
If you are interested in learning more about lower eyelid suspension or scheduling a consultation with one of the recommended surgeons in New York City, we encourage you to reach out to the hospitals directly. Take the first step towards achieving a more youthful and refreshed appearance today!
