Introduction
Lower eyelid plastic surgery, also known as lower blepharoplasty, is a popular cosmetic procedure that can rejuvenate the appearance of the eyes. In New York City, a hub of medical excellence and cosmetic innovation, there are several top - notch hospitals and clinics that offer exceptional lower eyelid plastic surgery services. This article will introduce you to the top 5 hospitals in the ranking list of lower eyelid plastic surgery in New York City in 2025, including the surgeons, procedures, and other related information.
1. The practice affiliated with Dr. Andrew Jacono
Surgeon Profile
Dr. Andrew Jacono is double - board certified with the American Society of Plastic Surgeons and the American Academy of Facial Plastic and Reconstructive Surgery. He is highly regarded as one of the best facial plastic surgeons in New York City. His expertise lies in tailoring each blepharoplasty to the patient's individual needs, taking into account factors such as age, skin condition, and the patient's aesthetic goals.
Procedures Offered
- Non - surgical Rejuvenation: For younger patients or those with milder issues, Dr. Jacono offers non - surgical options such as injecting hyaluronic acid filler in the tear troughs to camouflage puffy lower eye bags and using Botox to smooth eyelid wrinkles. These non - surgical methods can last between 6 and 12 months.
- Surgical Blepharoplasty:
- Transconjunctival Blepharoplasty: The incision is made inside the eyelid, which is ideal for patients who need to remove excess fat without removing a large amount of skin. This approach leaves no visible external scar.
- Transcutaneous Blepharoplasty: An incision is made just below the eyelashes, and it is suitable for patients with significant excess skin that needs to be removed.
- Fat Transposition Lower Blepharoplasty: Instead of simply removing the fat bags under the eyes, Dr. Jacono transposes the orbital fat down into the tear trough. This not only removes the bags but also fills the hollows, creating a more natural and youthful appearance.
- Canthopexy: This procedure is often performed in conjunction with lower blepharoplasty to maintain the shape of the eyelids. It tightens the lateral canthal tendon of the lower eyelid, preventing the lower eyelid from changing shape after surgery and recreating the almond - shaped eyes of youth.
- Lower Blepharoplasty with Fat Transfer: For patients with excess skin, loose muscles, and eyelid hollowing but no fat bags, or those who have had previous surgery that removed too much fat, Dr. Jacono removes fat from the abdomen, hips, or thighs and injects it into the tear troughs. After that, the skin and muscle are tightened for optimal results.
Recovery and Results
Lower eyelid blepharoplasty surgery at Dr. Jacono's practice takes approximately one hour. The recovery period can take about ten days to two weeks. Bruising usually lasts between 7 and 10 days, and he prescribes special makeup to cover bruises. After a successful recovery, the lower eyelids will look much smoother and fuller, and the overall appearance of the eyes will be more youthful.
Patient Consultation and Contact
Patients can schedule an in - person consultation at one of his 2 New York locations. They can fill out an online consultation form, or call his New York City location at 212 - 570 - 2500, or his Long Island center at 516 - 773 - 4646.
2. The clinic of Dr. Darrick Antell
Surgeon Profile
Dr. Darrick Antell is a top New York plastic surgeon who is board - certified in plastic surgery, emphasizing aesthetic cosmetic surgery. He has a wealth of experience in performing blepharoplasty and is known for his precision and attention to detail in achieving natural - looking results.
Procedures Offered
- Upper and Lower Blepharoplasty: His blepharoplasty procedure is designed to remove the excess fat, skin, and muscle from the upper and lower eyelids. The goal is to brighten the face and restore a more youthful appearance. In some cases, it can also improve vision by removing the excessive skin of the upper eyelids that may interfere with peripheral vision.
Surgical Process
Eyelid surgery at Dr. Antell's clinic is usually performed under local anesthesia and light intravenous sedation, most often on an outpatient basis in his accredited state - of - the - art surgical facility in New York. The length of the procedure depends on the patient's cosmetic expectations and goals. A double blepharoplasty (surgery on both upper and lower eyelids) may take about 2 hours, while an upper or lower blepharoplasty may be completed faster.
Scarring and Risks
Dr. Antell carefully makes the incisions along the natural folds of the eyelids to ensure they are well - concealed. Immediately after surgery, the incision scars will be visible when the eyes are swollen or bruised, but as the swelling and bruising subside in a few days, the scars will fade and become practically invisible. The risks associated with the surgery are infrequent and minor when performed by Dr. Antell. Complications may include bruising, swelling, temporary problems with eyelid closure, temporary blurring of vision, and in rare instances, ectropion (the lower eyelid being pulled down). The theoretical complications of any surgical procedure, such as bleeding, infection, wound disruption, and heavy scarring, are also possible but rare.
Cost and Recovery
The cost of eyelid surgery depends on several factors, including whether it is an upper, lower, or double blepharoplasty, operational costs of the surgical facility, the surgeon's fees, anesthesia costs, additional tests, prescription medications, and surgical garment costs. After treatment, the eyelids will be swollen, and patients are advised to avoid physical activities for the day, sleep in an inclined position for the first few days, and avoid watching TV for the first 24 hours. The swelling and redness will gradually dissipate in a few days, and the discoloration around the eyes will resolve in 7 to 10 days. Patients can resume mild physical activities after about 10 days, be comfortable in public in about two weeks, and resume all physical activities after 4 weeks.
3. The practice of Dr. Barry Weintraub
Surgeon Profile
Dr. Barry Weintraub is a top NYC plastic surgeon who is board - certified and ivy league educated at the Weill - Cornell Medical Center. He has over two decades of experience and is a national spokesperson for the American Board of Plastic Surgery. He has a keen eye for natural - looking results and beauty, especially in festoon removal and lower eyelid surgery.
Procedures Offered
- Festoon Removal: Festoons, or eye bags of the lower eyelid skin, can make patients look tired and older. Dr. Weintraub can remove festoons in a variety of 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. Sometimes, lasers are used to remove fine, crepey wrinkles in the skin overlying the festoons.
Surgical Approach
Dr. Weintraub prefers his festoon removal patients to be in a comfortable state of twilight sleep during the surgery. He insists on the most sterile conditions in the New York City operating room, with board - certified anesthesiologists and state - of - the - art monitoring equipment. The surgery is always performed by himself with precision and care, and all wounds are sewn in multiple layers.
Patient Selection and After - care
The best candidates for festoon excision are those who are well - balanced, in good general and mental health, and have realistic expectations. They should be highly motivated to make the change, able to pause their daily responsibilities for the procedure, and have the financial means for the elective cosmetic surgery. After surgery, there may be a short period of very minimal swelling and bruising. Patients must follow all of Dr. Weintraub's instructions carefully. He believes in early showering for better wound healing and will advise patients on when they can return to their normal lifestyle and exercise routine.
What Sets Him Apart
Dr. Weintraub has a unique blend of medical science and artwork in his surgical practice. He is meticulous about every aspect from pre - op to post - op care. Over 60% of his practice is complex redos of surgeries performed by other surgeons, and he takes great pride in getting the best results for these challenging cases. He will not hesitate to turn away patients if he feels the surgery is not in their best interest.
4. The clinic of Dr. Adam R. Kolker
Surgeon Profile
Dr. Adam R. Kolker is a New York City plastic surgeon skilled in all nuances and techniques in the rejuvenation of the eye area. He brings vast experience, technical finesse, meticulous attention to detail, and artistry to achieve the most beautiful results in blepharoplasty. He emphasizes maintaining the natural shape and "personality" of the eyes during the treatment.
Procedures Offered
- Traditional Blepharoplasty: This may include the removal of excess upper eyelid skin, excess eyelid fat, and excess lower eyelid skin.
- Non - surgical Lower Eyelid Rejuvenation: Restoring volume to the tear trough and softening the lid - cheek junction with injectable facial fillers.
- Laser Resurfacing: Using laser treatments to improve color, texture, and tone of the eyelid area.
- Skin - pinch Blepharoplasty: Removing a small amount of excess skin of the lower eyelid with an inconspicuous incision beneath the lash line.
- Transconjunctival Blepharoplasty: The removal of excess lower eyelid fat without any external incisions.
- Fat Grafts for Tear Trough and Volume Loss: Transferring autologous fat harvested from the patient's own body to restore youthfulness to the eyelid area.
- Lower Eyelid Fat Repositioning: Tightening the lower lid support mechanisms to reduce puffiness and maintain youthfulness without removing fat.
Surgical Process and Anesthesia
An upper lid blepharoplasty may be performed under local anesthesia only, although light sedation may be elected. Skin - pinch blepharoplasty of the lower lid can also be done under local anesthesia, but many patients choose sedation. For lower lid blepharoplasty with more involved muscle, septum, and fat maneuvers, sedation is required. When necessary, anesthesia is administered by a board - certified anesthesiologist. The procedure duration can range from approximately 45 minutes to two hours, depending on the specific techniques planned, anatomic requirements, and goals.
Recovery and After - care
After blepharoplasty, patients will recover in the recovery room and be cared for by a registered nurse. They can go home with a friend or relative when fully awake and comfortable, usually one to two hours after the completion of surgery. Cold compresses are used to minimize bruising and swelling around the eyes. The primary swelling and bruising resolve in about one week, and most patients can return to work or resume social activities around this time. Dr. Kolker will see patients in follow - up periodically. Suture removal is generally at 5 to 7 days after blepharoplasty, and eye drops may be recommended for several weeks. He suggests light cardio exercises for approximately two weeks after blepharoplasty, after which unrestricted exercise and activity may be resumed.
5. The facility related to Dr. John E. Sherman
Surgeon Profile
Dr. John E. Sherman is a board - certified plastic surgeon and one of the most experienced plastic surgeons in New York, with over 40 years in the field. He specializes in facial rejuvenation and can use his skill and eye for facial aesthetics to ensure the blepharoplasty results look as natural as possible.
Procedures Offered
- Transconjunctival Blepharoplasty: Ideal for younger patients to those in their early forties who have inherited a family tendency for puffy upper and lower eyelids. The incision is made inside the eyelid, avoiding any external scar. The periorbital fat is carefully and conservatively teased out of the lower eyelid. If a small amount of skin needs to be tightened, a laser peel or “skin pinch” may be performed simultaneously. The operation for transconjunctival lower lid blepharoplasty takes roughly 30 minutes, and if upper eyelids are added, the procedure may take up to one hour.
- Lower Eyelid Resuspension or Canthopexy: For older patients whose eyelids are lax, this procedure repositions or tightens the lower eyelid, restoring its natural shape and tension. It is usually performed in conjunction with lower and upper eyelid blepharoplasty if needed.
- Laser Resurfacing of the Eyelids: This procedure resurfaces the eyelids to provide a younger, fresher look and minimize finer wrinkling caused by aging and/or sun damage. It can be performed as an outpatient and may be combined with blepharoplasty.
Patient Preparation and Recovery
Patients need to follow several preparation steps before surgery. They should discontinue any blood thinners, supplements, and medications that may interfere with the surgery or recovery process as instructed by Dr. Sherman. Smokers must stop using nicotine products in the weeks leading up to surgery and remain nicotine - free during recovery. They should also fill prescriptions for pain medication and antibiotics in advance, arrange transportation after surgery, and take time off from work and social commitments. After surgery, patients are advised to maintain an ice compress on the eyelids for several hours to reduce bruising. The procedure is usually characterized by minimal discomfort in the postoperative period. Bruising is typically gone within 10 days, and sutures, if present, are removed by the fourth or fifth day. Swelling usually lasts up to three weeks, and the final eyelid result is obtained in two months.
Cost and Consultation
The cost of blepharoplasty at Dr. Sherman's practice is determined by several factors, including the type of blepharoplasty and the amount of work required. During the initial consultation, he can inform patients about the expected cost and available payment options, including financing options. Patients can contact the plastic surgery and cosmetic surgery center in New York City at (212) 535 - 2300 to schedule a consultation.
Comparison of the Top 5 Hospitals
| Hospital (Surgeon) | Specialty Procedures | Recovery Time | Cost Considerations | Contact Information |
|---|---|---|---|---|
| Dr. Andrew Jacono | Fat transposition, canthopexy, fat transfer in lower blepharoplasty | About 10 days - 2 weeks | Cost determined by complexity of surgery, request consultation for exact price | NYC: 212 - 570 - 2500; Long Island: 516 - 773 - 4646; online consultation form available |
| Dr. Darrick Antell | Upper and lower blepharoplasty | Swelling and discoloration resolve in 7 - 10 days, resume full activities in 4 weeks | Depends on type of blepharoplasty, facility costs, surgeon's fees, etc. | Contact clinic for details |
| Dr. Barry Weintraub | Festoon removal | Minimal swelling and bruising, follow doctor's post - op instructions | Consultation needed for cost | Call New York City office for private consultation |
