Introduction to Transconjunctival Blepharoplasty

Transconjunctival blepharoplasty is a specialized type of eye bag surgery. It is performed without any external incisions, which means that when expertly carried out, the eyes can look completely natural without visible signs of surgery such as scars or the “over - pulled” look. This procedure is a great option for those with puffy under - eye bags caused by herniated fat. In New York City, several top - tier Grade - III hospitals offer this service with high - quality care and experienced surgeons.

Benefits of Transconjunctival Blepharoplasty

• No outside scars: As the incision is made inside the eyelid, there are no visible external scars, which is a major advantage for many patients.
• Better eye shape preservation: It helps in maintaining the natural shape of the eye, ensuring a more aesthetically pleasing result.
• Faster recovery: Compared to traditional lower eyelid surgery, patients can expect a quicker return to normal activities.
• Less trauma around the eyes: Reduces the amount of damage to the surrounding tissues, resulting in less pain and discomfort.
• Reduced bruising and swelling: Minimizes the visible side effects that often accompany surgery, allowing patients to recover more discreetly.

Top Five Grade - III Hospitals for Transconjunctival Blepharoplasty in New York City

1. Clinic Associated with Dr. Lara Devgan

Surgeon and Expertise

Dr. Lara Devgan, MD, MPH, FACS, is highly regarded in the field of plastic surgery. She has a vast experience in performing blepharoplasty procedures. A blepharoplasty performed by Dr. Devgan can address various issues such as tired - looking eyes, drooping eyelids, thin or crepe - y eyelid skin, dark circles under the eyes, puffy bags under the eyes, deep tear troughs, hooding of the eyelids, and Asian eyelids lacking the upper lid crease. She performs blepharoplasties under sedation administered by a board - certified anesthesiologist, and uses protective corneal shields to keep the eyes safe during the procedure.

Procedure Details

For transconjunctival blepharoplasty, it is a short outpatient procedure. All scars are either hidden inside the pink part of the eyelids or camouflaged along a skin crease. After surgery, patients can go home the same day once they are feeling well. Contacts should not be used for the first several days while swelling subsides. Swelling and bruising typically do not go away for at least one week, but patients can resume normal activities like shopping, walking, reading, and even working 1 - 2 days after surgery.

Patient Testimonials

Patients have given glowing reviews about Dr. Devgan. One patient said, “You only have one face. Frankly, it wasn't cheap, but it was worth every cent.” Another patient, a 63 - year - old man, stated, “I feel transformed and feel that I look at least ten years younger than I did. You are, in my experience, an outstanding surgeon.” These testimonials reflect the high level of satisfaction patients have with the results of the surgery.

2. Clinic of Dr. John E. Sherman

Surgeon and Expertise

Dr. John E. Sherman is a board - certified plastic surgeon with over 40 years of experience in the field. He specializes in facial rejuvenation, and has routinely performed transconjunctival blepharoplasty operations over the past 30 years. This procedure is ideal for younger patients to those in their early forties who have inherited a family tendency for puffy upper and lower eyelids. In these younger patients, the fat may be removed without removing skin because the skin has enough elasticity to contract.

Procedure Details

In a transconjunctival blepharoplasty performed by Dr. Sherman, the incision is made inside the eyelid, avoiding any type of scar. The periorbital fat is then carefully and conservatively teased out of the lower eyelid. If a small amount of skin must be tightened, a laser peel or “skin pinch” may be performed simultaneously. The operation for transconjunctival lower lid blepharoplasty takes roughly 30 minutes. If upper eyelids are added, the procedure may take up to one hour. Most patients are back to work within a week, without the use and need for any suturing.

Patient Testimonials

A patient who had their upper and lower eyelids done by Dr. Sherman said, “I could not be happier with the experience (very caring, very professional, virtually painless) or with the results. I would recommend him without reservation.” This shows the positive experience patients have at his clinic.

3. Clinic of Dr. Adam R. Kolker

Surgeon and Expertise

Dr. Adam R. Kolker, MD, is a highly skilled New York City plastic surgeon. He is skilled in all nuances and techniques in rejuvenation of the eye area. He brings vast experience, technical finesse, meticulous attention to detail, and artistry to achieve the most beautiful results. His approach to transconjunctival blepharoplasty is tailored to each patient's unique needs, taking into account factors such as skin quality, fat deposits, and overall facial aesthetics.

Procedure Details

When performing transconjunctival blepharoplasty, Dr. Kolker focuses on removing excess lower eyelid fat without any external incisions. The procedure may be combined with other techniques such as non - surgical lower eyelid rejuvenation, laser resurfacing, fat grafts for tear trough and volume loss, and lower eyelid fat repositioning. The duration of the procedure may range from approximately 45 minutes to two hours, depending on the specific techniques planned, anatomic requirements, and goals.

Patient Testimonials

Patients have shared their positive experiences with Dr. Kolker. One patient said, “Dr. Kolker is an excellent surgeon! He performed my eyelid surgery and enhanced my upper lip area. The results are extraordinary and I continue to use Dr. Kolker for all of my surgical and non - surgical needs. There is no other doctor that I would use.” This speaks to the high level of patient trust and satisfaction.

4. Prasad Cosmetic Surgery (Dr. Amiya Prasad)

Surgeon and Expertise

Dr. Amiya Prasad is an oculofacial plastic surgeon, which is a rare specialty. He is trained as both a facial cosmetic surgeon and an ophthalmologist. He has a unique artistic and natural aesthetic style. Dr. Prasad is known for performing transconjunctival blepharoplasty for people of all ethnic backgrounds. He is also a pioneer in performing eyelid surgery such as transconjunctival blepharoplasty with local anesthesia with iv sedation.

Procedure Details

During the transconjunctival blepharoplasty procedure, Dr. Prasad approaches the lower eyelid from the inside and sculpts and repositions the fat pockets. He evaluates the results throughout the procedure to ensure the desired shape and contour of the eyes. If needed, he may use lasers such as the fractional CO2 laser to tighten any loose skin. To improve the eyelid skin quality and dark circles in some patients, he uses PRP (platelet - rich plasma) derived from the patient’s blood. The surgery is performed under local anesthesia with lite iv sedation (twilight anesthesia), which allows for a faster recovery, less bruising, and avoidance of complications associated with general anesthesia.

Patient Testimonials

Many patients have been satisfied with Dr. Prasad's work. A 53 - year - old woman from South America who had lower eyelid transconjunctival blepharoplasty with him appreciated his familiarity with the concerns of people of all skin types in terms of scars and keloids. She was tired of applying makeup to hide the bags under her eyes and was very happy with the results.

5. Kassir Plastic Surgery (Dr. Ramtin Kassir)

Surgeon and Expertise

Dr. Ramtin Kassir is a triple - board certified facial plastic surgeon with over twenty years of experience with facial procedures. He is considered one of the best surgeons in the world for facial aesthetic surgery in New York and New Jersey. When it comes to transconjunctival blepharoplasty, he has the skill and precision to address the concerns of the lower eyelids, such as dark circles, puffy eyelid bags, and an aged appearance.

Procedure Details

If no skin needs to be excised in lower blepharoplasty, Dr. Kassir will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars. He then removes excess fat from the eyelid bags or repositions it to create a smooth and more youthful lower eyelid and cheek. Lower blepharoplasty may require local anesthesia with sedation or general anesthesia because the incision is hidden within the lid and can be uncomfortable for the awake patient.

Patient Testimonials

Patients who have undergone eyelid surgery with Dr. Kassir have had positive experiences. After the surgery, they have reported seeing a more awake and cheerful look around the eyes and greater self - confidence, indicating the effectiveness of his procedures.

Choosing the Right Hospital and Surgeon

Importance of Surgeon's Experience

The experience of the surgeon is crucial in transconjunctival blepharoplasty. Surgeons with years of experience, like those in the top five hospitals mentioned above, are more likely to have encountered a wide range of cases and developed the necessary skills to handle any complications that may arise. For example, Dr. John E. Sherman's 40 - year experience in plastic surgery and 30 - year experience in transconjunctival blepharoplasty give him a deep understanding of the procedure and the ability to achieve optimal results.

Hospital Reputation and Facilities

A hospital's reputation is also an important factor. Hospitals with a long - standing history of providing high - quality care and positive patient outcomes are more reliable. Additionally, modern facilities and advanced technologies can enhance the safety and effectiveness of the surgery. For instance, Prasad Cosmetic Surgery provides a state - of - the - art surgical facility to ensure the highest level of safety for patients.

Patient Reviews and Testimonials

Patient reviews and testimonials can provide valuable insights into the quality of care at a hospital. Reading about the experiences of other patients can help you understand what to expect in terms of the surgical process, recovery, and final results. As seen in the testimonials above, patients are often very satisfied with the care they receive at these top - tier hospitals.

Preparing for Transconjunctival Blepharoplasty

Medical Consultation

Before undergoing transconjunctival blepharoplasty, it is essential to have a thorough medical consultation with your chosen surgeon. The surgeon will evaluate your overall health, examine your eyes, and discuss your expectations and concerns. For example, if you have any pre - existing medical conditions such as dry eyes, glaucoma, or diabetes, the surgeon needs to be aware of them. If you have recently had LASIK, cataract surgery, or another ophthalmologic procedure, you must wait 6 months before having a blepharoplasty.

Lifestyle Changes

You may need to make some lifestyle changes before the surgery. Stop taking any medications that can thin your blood, such as aspirin and certain supplements, two weeks prior to the procedure. Smoking should be stopped at least four weeks before and two weeks after the surgery as nicotine can impair healing and increase the risk of complications. You should also avoid wearing contact lenses for at least two weeks before the surgery.

Arrangements for Recovery

It is important to make arrangements for your recovery. Arrange for someone to drive you home after the surgery and stay with you for at least the first night. Stock up on any necessary medications prescribed by your doctor, such as painkillers and antibiotics. You may also want to prepare a comfortable recovery area at home with extra pillows to keep your head elevated, ice packs to reduce swelling, and plenty of healthy food and drinks.

Recovery Process after Transconjunctival Blepharoplasty

Immediate Post - Operative Period

After the surgery, you will be monitored in the recovery room. You may have an ice pack placed over your eyes for several minutes. You will be able to go home the same day, but it is important to rest. Avoid strenuous activity and keep your head elevated to reduce swelling. Most patients experience some swelling and bruising, which usually peak after 2 to 3 days and then start to dissipate.

First Week of Recovery

During the first week, you may need to apply eye drops or ointment as prescribed by your doctor. Avoid reading for 2 - 3 days after the surgery to give your eyes a chance to rest. Contacts should not be used for the first several days. You can resume normal activities like shopping and light walking 1 - 2 days after surgery, but you may want to wear sunglasses to camouflage any bruising.

Longer - Term Recovery

Swelling usually lasts up to three weeks, and the final eyelid result is obtained in two months. Non - absorbable stitches, if present, are usually removed by the fourth or fifth day. You should avoid strenuous exercise for at least three weeks after the surgery. Your surgeon will provide you with specific instructions on when you can resume normal physical activities and other aspects of your daily life.

Cost Considerations

The cost of transconjunctival blepharoplasty can vary depending on several factors. These factors include the surgeon's fee, anesthesia fee, facility fees, and the extensiveness of the surgery. For example, if both upper and lower eyelids are being treated, the cost may be higher than if only the lower eyelids are addressed. It is important to have a detailed consultation with your surgeon to understand the exact cost of the procedure and any available financing options. Some hospitals, like Prasad Cosmetic Surgery, offer financing options to help make the payment process easier for patients.

Conclusion

Transconjunctival blepharoplasty is an effective procedure for improving the appearance of under - eye bags and rejuvenating the eye area. In New York City, the top five Grade - III hospitals mentioned above offer high - quality care and experienced surgeons. When considering this surgery, it is important to choose the right hospital and surgeon based on their experience, the hospital's reputation, and patient testimonials. Proper preparation before the surgery and following the recovery instructions are also crucial for achieving the best results. If you are interested in transconjunctival blepharoplasty, take the time to research and consult with these top - tier hospitals to make an informed decision.

Are you ready to enhance your appearance and regain a more youthful look? Contact one of the top hospitals in New York City for a consultation and take the first step towards your dream eyes!