Introduction to Double Eyelid Surgery

Double eyelid surgery, also known as Asian blepharoplasty, is one of the most popular cosmetic surgery procedures, especially among Asian patients. Approximately half of all Asians are born with single eyelids, which tend to make the eyes look smaller. Extra fat and skin can exacerbate this, creating a heavy, hooded look. Sometimes, this may even cause vision problems or other issues such as eyelashes grazing the corneas. In addition to Asian patients, Western patients also seek different types of eyelid surgery to correct conditions like baggy eyelids.

Who is Suitable for Double Eyelid Surgery?

If you are one of the 50% of Asians with single eyelids, you may be a candidate for double eyelid surgery. However, you must be over 18 and have reasonable expectations of the outcome. Western patients seeking to correct certain conditions, like those with baggy eyelids, also fall into the category of potential candidates. Other criteria to be suitable include being in good health, having no life - threatening illnesses, and having a positive outlook with specific goals in mind for the surgery. People with serious eye conditions, such as glaucoma, dry eye, or a detached retina; thyroid disorders; cardiovascular diseases; high blood pressure; diabetes; or other circulatory disorders may not be suitable or need to consult with the doctor first. For example, patients with glaucoma should consult with the medical team before considering the procedure.

Types of Double Eyelid Surgery Techniques

Incision Technique

The incision technique involves making a small incision across the eyelid to form the double crease. It is most suitable for patients with thick or excessive eyelid skin, or fatty tissue. The major advantage of this technique is that the results are permanent. However, recovery times are longer compared to non - incision methods, and scarring may be slightly more visible.

Non - Incision (Suture) Techniques

Non - incision techniques are suitable for patients with thinner skin and no obvious fatty deposits. Creases are formed by folding the eyelid skin and stitching the fold. The main advantage is the shorter downtime, as many patients can return to work after a week, and there is little or no scarring. But it's not a permanent solution. Although the results should last for several years, sometimes it may be much less.

Small - Incisional Techniques

Small - incisional double - eyelid surgery has been gaining popularity. A systematic review (Panxi Yu et al., 2022) analyzed different small - incisional techniques. Through small incisions, the pretarsal soft tissue can be removed as appropriate, and the pretarsal fixation can be firm and exact. Both single - and three - incisional studies had a pooled total complication rate of 5% and a pooled fold loss rate of 2%. These techniques offer a simple, safe, and reproducible approach to double - eyelids, reducing post - op recovery time and allowing for a tenacious fixation. The fold - loss rate and other complication rates are acceptable when compared with non - incisional and full - incisional techniques.

Double Eyelid Surgery Procedure

The double eyelid surgery procedure usually takes between half an hour and an hour and can be carried out as an outpatient procedure. Patients are normally given local anesthesia and sedation, and most can return to their hotel after only a few hours at the clinic.

Double Eyelid Surgery Recovery Time

After surgery, swelling and bruising are expected, and it may take a long time to disappear. For the non - suture technique, it may take one or two weeks, while for the incision technique, recovery may be twice as long. Stitches are typically removed between five and seven days after the procedure. After that, patients can wear makeup to disguise any swelling, bruising, and scarring. It takes several months for the tissue around the eyes to settle down and look natural, and the healing process can take up to six months to a year to be entirely complete. Patients should always consult with their surgeon about when they can travel, especially if they have a long flight ahead.

Importance of Choosing the Right Hospital for Double Eyelid Surgery

Choosing the right hospital for double eyelid surgery is crucial. A reputable hospital ensures patient safety by having well - trained and experienced surgeons, advanced medical equipment, and strict hygiene standards. Surgeons in top - notch hospitals are more likely to have performed a large number of successful surgeries, which means they are more skilled in handling different eye conditions and can provide more customized treatment plans. Additionally, high - quality hospitals offer better after - care services, which are essential for a smooth recovery and optimal results. For example, they can provide detailed post - op instructions, regular follow - up appointments, and immediate support in case of any complications.

Top 5 Hospitals for Double Eyelid Surgery with Small Incisions in New York City

1. Mount Sinai - New York

Mount Sinai's expert plastic surgeons are highly skilled in performing cosmetic eyelid surgery with precision. Eyelid surgery at Mount Sinai, also known as blepharoplasty, can improve the appearance of the eyes by addressing puffiness, drooping, and fine lines. It can also enhance visual impairment caused by excess skin over the eyes. The surgeons at Mount Sinai 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 it inside the lower eyelid. In addition to cosmetic improvements, patients may be able to get insurance coverage for the procedure with the recommendation of an eye doctor. For patients looking to enhance their eyes, Mount Sinai offers comprehensive services that not only focus on the surgery itself but also on the overall well - being of the patient during the pre - op, intra - op, and post - op periods.

2. Manhattan Surgical Care

Manhattan Surgical Care is another great option. Their double - board - certified cosmetic surgeon, Dr. Basil Pakeman, is experienced in upper eyelid rejuvenation surgery, also known as upper blepharoplasty. Ideal candidates for this surgery are those with sagging skin that impairs vision, in good health, non - smokers, and with realistic expectations. During the consultation, Dr. Pakeman discusses the surgery in detail, assesses the patient's specific needs, and develops a customized treatment plan. The procedure involves making small incisions in the contour of the upper eyelid, repositioning and adjusting fat and muscle tissue, and removing excess skin. After the surgery, patients receive a comprehensive recovery plan, including instructions on post - op care to ensure a smooth recovery and excellent results.

3. Cleveland Clinic Cosmetic & Plastic Surgery Center

The Cleveland Clinic offers a total - care approach to eyelid surgery. Surgeons here have significant experience in the field. The center offers both upper and lower eyelid surgeries. Upper eyelid surgery involves placing incisions in the natural crease of the upper lid, removing excess skin and protruding fat. Lower eyelid surgery focuses on reducing lower lid bulges by removing or repositioning fat and may also involve removing small amounts of skin. If the eyebrows are low, the surgeon may recommend an eyebrow lift in addition to eyelid surgery. The clinic provides detailed pre - op preparation guidelines, including a medical and eye history review, physical exam, and review of current medications. After the surgery, patients are given lubricating ointment and cold compresses, and follow - up care is emphasized to ensure a good outcome.

4. With Doctors from Reputable Affiliations (e.g., Dr. Rasa Zarnegar, Dr. Brendan Finnerty)

Doctors like Dr. Rasa Zarnegar and Dr. Brendan Finnerty, who are on staff at New York - Presbyterian Lower Manhattan Hospital, are highly rated for eyelid surgery in New York. These doctors have a proven track record of successful surgeries, as evidenced by their high patient ratings. They bring a wealth of experience and expertise to the table, ensuring that patients receive high - quality care. Their affiliated hospitals also provide a supportive medical environment with advanced facilities and a team of healthcare professionals to assist throughout the surgical process. Patients can expect personalized treatment plans based on their unique eye conditions and aesthetic goals.

5. Under the Care of Dr. Scott E. Newman

Dr. Scott E. Newman, a cosmetic surgeon in the New York City area, is well - known for performing eyelid surgery. He uses very small incisions placed in the folds of the eyelids, which are so small that the scars are easily hidden within the natural skin folds. His approach to eyelid surgery aims to correct baggy skin under the eyes, sinking upper eyelids, or drooping eyelids, as well as treat ptosis. In many cases, he combines eyelid surgery with other facial surgeries like face lifts or brow lifts for more comprehensive results. Dr. Newman provides patients with clear information about the surgery process, possible side effects, and recovery, and offers post - op care to ensure the best possible outcome.

Comparison of the Top 5 Hospitals

Cost Considerations

In the United States, the average cost of double eyelid surgery is around $5,000 - $6,000. However, this can vary depending on the hospital, the surgeon's experience, the type of technique used, and other factors. For example, more experienced surgeons or hospitals with advanced facilities may charge a higher fee. Some insurance companies may cover the cost of eyelid surgery if it is related to a medical condition, such as when excess skin on the upper lids interferes with vision. In such cases, a special vision test called a ptosis visual field exam may be required to document the need for surgery. It's important for patients to check with their insurance providers to understand their coverage.

How to Prepare for Double Eyelid Surgery

Before undergoing double eyelid surgery, patients should first have a consultation with a qualified surgeon. During the consultation, patients should be honest about their medical history, including any eye diseases, thyroid disorders, cardiovascular diseases, or other medical conditions. They should also inform the surgeon about their current medications, smoking history, and any previous surgeries. Surgeons may recommend certain preparations, such as quitting smoking for a certain period before and after the surgery, changing medications, and arranging for someone to drive them home after the surgery and stay with them for the first night. Additionally, patients should have realistic expectations about the surgery outcome and understand the potential risks and complications.

Potential Risks and Complications

All surgical procedures carry some risks. Although rare, possible complications from double eyelid surgery include bleeding, infection, dry eyes, abnormal discoloration of the skin of the eyelids, an inability to fully close the eyes, abnormal folding of the eyelid skin, a pulled - down lower lid lash line, and in extremely rare cases, possible loss of vision. It's important for patients to discuss these risks with their surgeons before the surgery and to follow all post - op instructions carefully to minimize the chances of complications.

Conclusion

Double eyelid surgery with small incisions is a popular and effective cosmetic procedure that can enhance the appearance of the eyes and, in some cases, improve vision. In New York City, there are several top - notch hospitals and experienced surgeons that offer high - quality double eyelid surgery services. Mount Sinai, Manhattan Surgical Care, Cleveland Clinic Cosmetic & Plastic Surgery Center, hospitals with highly rated doctors, and the practice of Dr. Scott E. Newman are all great options for patients seeking double eyelid surgery. Each of these institutions has its own strengths in terms of surgeon experience, surgical techniques, pre - op, intra - op, and post - op care. However, it's crucial for patients to carefully consider their options, have in - depth consultations with surgeons, and understand all aspects of the surgery, including cost, preparation, and potential risks.

If you are considering double eyelid surgery, we encourage you to research these hospitals further, read patient reviews, and schedule consultations with the surgeons. This will help you make an informed decision and choose the hospital and surgeon that best suits your needs. Remember, a well - planned and well - executed double eyelid surgery can lead to a more youthful and confident you.