Introduction
Lower eyelid plastic surgery, also known as lower blepharoplasty, has gained significant popularity in recent years, especially in a bustling city like New York City. People opt for this procedure to address issues such as puffiness, dark circles, wrinkles, and sagging skin under the eyes, which can make them look tired or older than they actually are. In New York City, there are several well - known hospitals and clinics where patients can receive high - quality lower eyelid plastic surgery. This article will introduce some of these prominent institutions and the experts behind them.
Overview of Lower Eyelid Plastic Surgery
Lower eyelid plastic surgery aims to rejuvenate the appearance of the lower eyelids. As we age, the skin around the eyes loses its elasticity, fat pads may become more prominent, and wrinkles and dark circles can develop. This procedure can involve removing excess skin, fat, or repositioning fat to create a smoother, more youthful appearance under the eyes. There are different surgical techniques, including transconjunctival blepharoplasty (incision inside the eyelid) and transcutaneous blepharoplasty (incision below the eyelashes).
The benefits of lower eyelid plastic surgery are not only cosmetic but can also have an impact on a person's self - confidence. A refreshed appearance under the eyes can make a significant difference in how one perceives themselves and how they are perceived by others.
Well - known Hospitals and Clinics for Lower Eyelid Plastic Surgery in New York City
Mount Sinai - New York
Mount Sinai offers expert plastic surgery services, including eyelid surgery. Their plastic surgeons are highly skilled and can perform cosmetic eyelid surgery with great precision. Eyelid surgery at Mount Sinai, also known as blepharoplasty, not only improves the appearance of the eyes by addressing puffiness, drooping, and fine lines but can also help with visual impairment. Excess skin over the eyes can obstruct vision, and the surgeons at Mount Sinai collaborate with vision specialists to determine if removing the sagging upper eyelids can restore vision. In some cases, with the recommendation of an eye doctor, patients may be eligible for insurance coverage for the procedure.
During the lower eyelid surgery, the plastic surgeon can place the incision in different locations. They can make it in the crease of the upper eyelid, along the lower eyelid's lash line, or completely hide it inside the lower eyelid, which helps to minimize the visibility of scars.
If patients are considering eyelid surgery at Mount Sinai, they may also be advised to consider other facial procedures, such as a face lift or eyebrow lift, to enhance the overall appearance of their face.
Dr. Barry Weintraub's Practice
Dr. Barry Weintraub is a top - NYC plastic surgeon who is board - certified and has an Ivy League education from the Weill - Cornell Medical Center. He has over two decades of experience and is a national spokesperson for the American Board of Plastic Surgery. Dr. Weintraub offers festoon removal, which is related to lower eyelid surgery.
Festoons, or eye bags of the lower eyelid skin, can make patients look tired and older. Dr. Weintraub can remove festoons in various ways depending on the severity of the condition. This can include the transconjunctival surgical approach, direct removal with microscopic magnification and fine sutures to create nearly invisible incisions, and sometimes the use of lasers to remove fine, crepey wrinkles over the festoons.
During the consultation process, Dr. Weintraub emphasizes the importance of finding a suitable plastic surgeon. Patients should check for board certification by the American Board of Plastic Surgery, ensure that the physician is affiliated with a major hospital and in good standing, confirm their reputation among other medical professionals, and speak to patients who have undergone similar procedures.
Dr. Weintraub performs festoon removal in a hospital - grade, state - of - the - art surgical center attached to his office at 800a Fifth Avenue. He insists on the highest standards of safety, with board - certified anesthesiologists and state - of - the - art monitoring equipment. He also takes his time during the surgery, as he understands that the results will be long - lasting for the patients.
Dr. Darrick Antell's Practice
Dr. Darrick Antell is a top New York plastic surgeon who is board - certified in plastic surgery, with an emphasis on aesthetic cosmetic surgery. He performs eyelid surgery, or blepharoplasty, which is designed to remove the excess fat, skin, and muscle from the upper and lower eyelids.
The goals of the eyelid plastic surgery at Dr. Antell's practice are to brighten the face, restore a more youthful appearance, and in some cases, improve vision by removing excessive upper eyelid skin that may interfere with peripheral vision.
The surgery is usually performed under local anesthesia and light intravenous sedation, commonly in an outpatient setting such as a doctor's office, outpatient surgical center, or in some cases, a hospital. The length of the procedure depends on the patient's cosmetic expectations and goals. For a double blepharoplasty (surgery on both upper and lower eyelids), it may take about 2 hours, while a single - eyelid procedure will be faster.
Dr. Antell carefully makes the incisions along the natural folds of the eyelids to minimize scarring. After the surgery, patients will experience some bruising and swelling for a few days, and there may be a temporary problem with eyelid closure or blurring of vision. However, when performed by a competent plastic surgeon like Dr. Antell, complications are infrequent and minor.
The cost of eyelid surgery depends on several factors, including the type of procedure, operational costs of the surgical facility, surgeon's fees, anesthesia costs, and additional tests and medications. Recovery time also varies, but patients are advised to follow their surgeon's recommendations for a smooth recovery.
Rapaport Plastic Surgery
Rapaport Plastic Surgery offers blepharoplasty (eyelid lift) procedures to improve the appearance of the aging upper and/or lower eyelids. Dr. Rapaport uses the most advanced techniques and tailors each procedure to the patient's specific needs.
For lower eyelid lifts, the main problem with aging lower eyelids is often excess fat or “bags.” Dr. Rapaport can reduce the excess fat either from within the eye (transconjunctival approach) or from outside the eye (open approach). However, removing excess skin from the lower eyelid is more complex, as it may lead to issues such as scleral show or ectropion. In some cases, a canthoplasty (tightening of the lower lid support structure) may be performed during lower eyelid blepharoplasty.
The procedure for a typical upper eyelid lift involves carefully marking the skin to determine the amount of excess skin to be removed, and the incisions are closed with fine sutures. For lower eyelid puffiness due to excess fat, the transconjunctival approach can be used, with no visible scar. In cases where there is excess skin on the lower eyelid, the incision is made along the lash line and smile creases.
Anesthesia options for blepharoplasty at Rapaport Plastic Surgery include local anesthesia for upper eyelid surgery, often with oral pre - medication, and most patients prefer IV sedation for lower eyelid surgery. After the surgery, patients are advised to rest with the head elevated for the first night, apply cold compresses intermittently for the first week, and avoid straining or bending over. Sutures are removed within a few days, and patients can gradually return to normal activities over time.
Dr. Andrew Jacono's Practice
Dr. Andrew Jacono is a double - board - certified plastic surgeon who specializes in facial cosmetic surgery and is considered one of the best facial plastic surgeons in New York City. He offers lower blepharoplasty to rejuvenate aging eyelids.
As people age, the lower eyelids can develop issues such as excess loose skin, puffy lower eyelids, excessive wrinkles, dark circles, and a change in the shape of the eyes. Dr. Jacono tailors each blepharoplasty to the patient's individual needs.
For younger patients, non - surgical options like injecting hyaluronic acid filler in the tear troughs and using Botox can be effective for a limited time. However, as the eyelid bags become larger and the skin looser, surgical blepharoplasty may be recommended. Dr. Jacono offers different types of lower eyelid lift incisions, including transconjunctival blepharoplasty and transcutaneous blepharoplasty. He also performs fat transposition lower blepharoplasty, where the orbital fat is moved into the tear trough to fill the hollows and remove the bags.
To maintain the shape of the eyelids, Dr. Jacono often performs a canthopexy to tighten the lateral canthal tendon of the lower eyelid and prevent drooping. In some cases, he also performs a lower blepharoplasty with fat transfer, where fat from other parts of the body is injected into the tear troughs for patients with eyelid hollowing.
The lower eyelid surgery at Dr. Jacono's practice is relatively quick, taking about one hour, and the recovery time is approximately ten days to two weeks. After recovery, the lower eyelids will look smoother and fuller.
Dr. John E. Sherman's Practice
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 offers blepharoplasty services in New York City.
Dr. Sherman offers different options for blepharoplasty, depending on the patient's age, the amount of fat in the upper and lower eyelids, and the elasticity of the lower eyelid. For younger patients with inherited puffiness in the upper and lower eyelids, he often performs transconjunctival blepharoplasty, where the incision is made inside the eyelid to avoid scarring. This procedure can remove the periorbital fat, and if a small amount of skin tightening is needed, a laser peel or “skin pinch” can be done simultaneously.
In older patients, the lower eyelid may need to be repositioned or tightened through a lower eyelid resuspension or canthopexy procedure. Laser resurfacing of the eyelids can also be performed to provide a younger, fresher look and minimize fine wrinkling.
During the consultation, Dr. Sherman meticulously examines the patient's eyelids to determine the best course of action. Patients need to follow certain preparations before the surgery, such as discontinuing blood thinners, quitting smoking, filling prescriptions, arranging transportation, and taking time off for rest. The blepharoplasty procedure is usually performed under intravenous sedation anesthesia, and the recovery period involves reducing bruising with ice compresses and managing swelling over a few weeks.
Dr. Westreich's Practice
Dr. Westreich performs lower eyelid surgery in New York City, targeting puffiness, eye bags, dark circles, and wrinkles under the eyes. His restorative lower eyelid procedures are designed specifically for each patient's individual anatomy.
Dr. Westreich offers different types of lower eyelid surgery. For horizontal eyelid creases, a skin pinch procedure can be used, which involves removing excess skin with a hidden incision underneath the eyelashes. This results in minimal bruising and swelling, and patients can return to social environments within one week. For younger patients with isolated lower eyelid puffiness, he can remove excess under - eye fat through an incision hidden inside the eyelid. When there is puffiness and hollows under the eyes, a fat transposition blepharoplasty or fat transfer can be performed to address the issues.
The best candidates for lower eyelid surgery at Dr. Westreich's practice are patients with relatively elastic skin that has become loose due to aging, sun exposure, or hormonal changes. The surgery typically takes 1 - 2 hours, and scarring is kept to a minimum. Dr. Westreich advises patients to take about a week off for recovery, and while the surgery can reduce shadows caused by under - eye bags, additional treatments may be needed for dark circles caused by pigmentation or thinning skin.
New York Group for Plastic Surgery
The New York Group for Plastic Surgery has a team of board - certified plastic surgeons who have been performing eyelid surgery for over 27 years. Many women and men in the New York City and surrounding areas trust this group to achieve their cosmetic surgery goals.
Eyelid surgery at this group, or blepharoplasty, can address issues such as lifting loose eyelids, correcting under - eye bags, restoring peripheral vision, and removing fatty deposits. In addition to cosmetic benefits, the surgeons also perform functional eyelid surgery to restore vision obstructed by sagging upper eyelids, and in some cases, insurance coverage may be available.
The surgery is performed under heavy sedation or general anesthesia in an on - site, outpatient facility. The procedure usually takes 1 - 3 hours, and patients need to arrange for someone to drive them home and help them for the first few days. After the surgery, cold compresses and keeping the head elevated are recommended to minimize bruising and swelling. Most patients can return to light activity in about 10 days and resume strenuous exercise after 3 weeks. The results of the eyelid surgery can be long - lasting, and the incisions are well - concealed to minimize visible scarring.
Comparing the Different Practices
| Practice | Surgeon's Expertise | Surgical Techniques | Recovery Time | Special Features |
|---|---|---|---|---|
| Mount Sinai - New York | Highly skilled plastic surgeons, collaboration with vision specialists | Incisions in various locations to minimize scarring | General recovery similar to standard blepharoplasty | Potential insurance coverage for vision - related cases |
| Dr. Barry Weintraub's Practice | Over two decades of experience, national spokesperson | Multiple approaches for festoon removal, use of lasers | Short - term swelling and bruising, following surgeon's instructions for best results | Emphasis on personalized care and high - end surgical facility |
| Dr. Darrick Antell's Practice | Board - certified, emphasis on aesthetic surgery | Incisions along natural folds for minimal scarring | Gradual return to normal activities based on procedure | Outpatient surgeries with experienced anesthesia team |
| Rapaport Plastic Surgery | Advanced techniques tailored to patients | Transconjunctival and open approaches for lower eyelids, canthoplasty | First - night rest with head elevated, follow - up suture removal | Attention to detail in maintaining natural appearance |
| Dr. Andrew Jacono's Practice | Double - board - certified, specialized in facial surgery | Fat transposition, canthopexy, fat transfer | Approximately ten days to two weeks | Custom - tailored procedures for individual needs |
| Dr. John E. Sherman's Practice | Over 40 years of experience, facial rejuvenation specialist | Transconjunctival, lower eyelid resuspension, laser resurfacing | Manage bruising and swelling over a few weeks | Comprehensive pre - and post - operative care |
| Dr. Westreich's Practice | Highly - rated, experienced in facial reconstructive surgery | Skin pinch, transconjunctival fat removal, fat transposition | About a week for initial recovery | Minimal scarring and personalized procedures |
| New York Group for Plastic Surgery | Team of board - certified surgeons, long - standing practice | Well - concealed incisions, cosmetic and functional surgery | Return to light activity in 10 days, strenuous exercise after 3 weeks | Combination procedures available, potential insurance coverage |
Factors to Consider When Choosing a Hospital or Clinic for Lower Eyelid Plastic Surgery
Surgeon's Qualifications
It is crucial to choose a board - certified plastic surgeon with extensive experience in lower eyelid plastic surgery. Look for surgeons who are affiliated with well - known medical institutions and have a good reputation among their peers and patients. Board certification by the American Board of Plastic Surgery ensures that the surgeon has met certain standards of education, training
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