Introduction

In New York City, the demand for internal incisional eye - bag removal is on the rise. Many people seek this procedure to enhance their appearance, reduce the tired - looking appearance caused by eye bags, and achieve a more youthful look. There are numerous experts in the city who specialize in this area, each with their own unique skills, experiences, and approaches to the surgery. In this article, we will explore some of the top experts for internal incisional eye - bag removal in New York City and the projects they carry out.

What are eye bags and why do people opt for internal incisional removal?

Eye bags occur when the under - eyes look puffy and tired, and there is bulging lower - eyelid fat. The under - eye fat pouches consist of normal fat cells that surround the eye to act as a cushion. If this fat is overly abundant or the fat pouches are exposed by hollowing of the upper cheeks, one will appear to have bags under the eyes. Sometimes, eye bags are inherited from parents.

Internal incisional eye - bag removal, also known as trans - conjunctival blepharoplasty, has several advantages. It is a “scarless” procedure as the incision is hidden on the inside of the eyelid (on the mucous membrane called the conjunctiva). This approach can preserve the integrity of the orbicularis oculi muscle, which supports the lower eyelid like a hammock, and better preserves the natural shape of the eye. It also causes minimal trauma to the fragile support network of the eyelid structure.

Top experts for internal incisional eye - bag removal in New York City

Dr. Brett Kotlus

Dr. Brett Kotlus is a cosmetic oculoplastic surgeon in New York City. He has significant experience in eye bag surgery. Most of the eye bag removal surgeries he performs in New York are through the trans - conjunctival approach, which is an internal incisional method. In a consultation, he can determine the best approach for each patient, taking into account factors such as the amount of fat, skin condition, and the presence of under - eye and cheek hollowing.

For some patients, a successful eye bag removal by Dr. Kotlus may consist of fat removal only. But if there is under - eye and cheek hollowing, additional measures are taken. He can shift fat from the lower eyelids down to fill the under - eye hollows or perform fat injections with cells taken from another part of the body. This way, the bulging fat pouches are lowered, and the sunken areas are filled, creating a more level, smooth shape along the eyelid and cheek.

When consulting with Dr. Kotlus, patients are advised to ask about how often he performs the procedure, how he chooses a certain approach, to see photographic examples of different approaches, how often revisions are needed, and if similar results can be achieved with a non - surgical procedure.

Dr. Amiya Prasad

Dr. Amiya Prasad is an oculofacial plastic surgeon based in New York City. He has over 20 years of experience in practicing routine and specialized eyelid surgery. He is board - certified with the American Board of Cosmetic Surgery and a fellow of the American Society of Oculofacial Plastic and Reconstructive Surgery (ASOPRS). He has received special training in eye microsurgery as well as cosmetic surgery of the eyelids and the orbit.

Dr. Prasad is well - known for his artistic, precise, and natural - looking approach to under - eye bag surgery. When it comes to internal incisional eye - bag removal (transconjunctival blepharoplasty), he has a deep understanding of the delicate structures close to the eye. This approach offers benefits such as no external incision, better preservation of the eye shape, and minimal trauma to the eyelid support network.

He has also developed his own approach to IV sedation combined with local anesthesia called Lite™ anesthesia. This method allows patients to recover faster from the surgery and return to normal life quickly. His patients often report a comfortable and quick recovery after the eye - bag removal surgery. People come from all over the world for Dr. Prasad's services, as he is able to address various issues related to under - eye bags, including those caused by lower eyelid fat prolapse, loose skin, and wrinkled skin.

For loose skin, he may use the natural tightening effect of the orbicularis oculi muscle after the fat removal. For wrinkled skin, he avoids the complications of traditional skin - excision methods and instead uses non - surgical treatments like lasers and injectables to improve skin quality.

Dr. Barry Weintraub

Dr. Barry Weintraub is a board - certified plastic surgeon and Ivy League educated at the Weill - Cornell Medical Center. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience.

When performing blepharoplasty, which includes internal incisional eye - bag removal, Dr. Weintraub aims for a conservative approach to return the eyes to their natural shape and attractiveness. He prefers, whenever possible, to remove the lower - eyelid fat pads or “bags” through the backside of the lower eyelid so as not to leave a scar. After removing the fat, he may deal with the lower skin, which can be crepey and redundant, with a moderate - depth peel or laser.

Dr. Weintraub ensures patient safety during the surgery. He prefers his patients to be in a comfortable state of twilight sleep, and he insists on the most sterile conditions in the operating room, with board - certified anesthesiologists and state - of - the - art monitoring equipment. He has been recognized by several publications for his expertise and dedication. In 2024, he was named one of America’s best plastic surgeons by Newsweek in the categories of facelift and eyelid surgery.

Projects carried out by these experts

Case - by - case analysis of internal incisional eye - bag removal

Each expert tailors the internal incisional eye - bag removal procedure to the specific needs of the patient. Here is a breakdown of how they approach different cases:

• Minimal eye - bag cases: In cases where the eye bags are not very prominent, Dr. Kotlus may simply focus on the precise removal of the excess fat. Dr. Prasad might also choose this approach, and in addition, he could assess if non - surgical treatments like dermal fillers are also appropriate to enhance the overall look. Dr. Weintraub would take a conservative approach, ensuring that only the necessary fat is removed to maintain the natural shape of the eyes.
• Eye - bag cases with under - eye and cheek hollowing: For patients with both eye bags and under - eye/cheek hollowing, Dr. Kotlus may shift fat from the lower eyelids to fill the hollows. Dr. Prasad has a comprehensive approach, using fat injection techniques along with internal incisional fat removal. He may also address the skin quality of the area. Dr. Weintraub would plan a combination of fat removal and soft - tissue contouring to achieve a balanced and natural look.
• Complex cases with skin issues: When there are issues such as loose or wrinkled skin along with eye bags, Dr. Prasad has specialized non - surgical solutions. He uses lasers to tighten, tone, and resurface the lower skin and injectables like platelet - rich plasma (PRP) or platelet - rich fibrin (PRF) to improve skin quality, texture, and thickness. Dr. Weintraub may use a moderate - depth peel or laser on the lower skin after fat removal to address the crepey appearance, while still being careful to maintain the natural appearance of the eyes.

Combination projects

These experts may also recommend combination projects for a more comprehensive facial rejuvenation. For example:

• Eye - bag removal with upper eyelid surgery: Many patients who consider lower eyelid surgery also choose to have upper eyelid surgery. All three experts can perform both procedures simultaneously to create a more harmonious and refreshed look. They can address issues such as drooping upper eyelids, excess upper - eyelid skin, and puffy lower eyelids in one surgical session.
• Eye - bag removal with other facial procedures: In some cases, they may suggest combining eye - bag removal with a face lift or eyebrow lift. Dr. Weintraub, with his extensive experience in facial plastic surgery, can plan and execute these combination projects to achieve an overall improvement in the facial aesthetic. Dr. Prasad and Dr. Kotlus can also provide professional advice on whether such combinations are suitable for the patient based on their individual needs and goals.

How to choose the right expert for internal incisional eye - bag removal

Choosing the right expert for internal incisional eye - bag removal is a crucial decision. Here are some factors to consider:

Qualifications and certifications

Look for experts who are board - certified. For example, Dr. Amiya Prasad is board - certified with the American Board of Cosmetic Surgery, and Dr. Barry Weintraub is board - certified by the American Board of Plastic Surgery. These certifications indicate that the surgeon has met certain standards of education, training, and experience in the field.

Experience

Experience matters greatly in this type of surgery. Dr. Kotlus, Dr. Prasad, and Dr. Weintraub all have extensive experience in eyelid surgery and eye - bag removal. Dr. Prasad has over 20 years of experience in routine and specialized eyelid surgery, while Dr. Weintraub has more than two decades of experience in plastic surgery, including eyelid procedures.

Reputation

Check the reputation of the expert. You can look for patient reviews and testimonials. For instance, Dr. Prasad has patients coming from all over the world, which is a testament to his high - quality services and good reputation. Dr. Weintraub has been recognized by publications like Newsweek, which also reflects his expertise and standing in the field.

Technique and approach

Understand the surgeon's technique and approach. Ask about the type of anesthesia they use, the specific steps of the internal incisional procedure, and how they handle potential complications. Dr. Prasad's use of Lite™ anesthesia for faster recovery is an example of a unique approach that may be appealing to some patients.

Communication and consultation

During the consultation, pay attention to how well the surgeon communicates with you. A good surgeon will listen to your concerns, answer your questions, and develop a personalized treatment plan. Dr. Kotlus advises patients to ask detailed questions during the consultation, and Dr. Weintraub emphasizes the importance of building a trusting relationship with the patient during this process.

Cost and financing options

The cost of internal incisional eye - bag removal can vary depending on several factors, such as the surgeon's fee, anesthesia, facility fees, and the extensiveness of the surgery. Each of the experts mentioned may have different pricing structures.

Dr. Prasad offers financing options for qualified candidates at his state - of - the - art surgical facilities. For other surgeons like Dr. Weintraub, the cost can only be accurately determined after a consultation, as each patient's case is unique. He can also arrange phone consultations for patients who live overseas or outside the New York metropolitan area based on photographs sent to his office.

Recovery process

The recovery process after internal incisional eye - bag removal is an important aspect to consider. Here is a general overview based on the practices of these experts:

• Immediate post - surgery: After the surgery, minimal swelling and some bruising are typical. Most patients will be given specific instructions on how to care for the eyes, such as using cold compresses and taking prescribed medications to reduce swelling and prevent infection. Dr. Prasad's patients may experience a relatively quick recovery due to his use of Lite™ anesthesia.
• Short - term recovery: Swelling and bruising usually diminish within a week to ten days. Most patients can return to work about one week after surgery. However, strenuous activities should be avoided during this time. Dr. Weintraub's patients are advised to shower on the second post - operative day, and the single suture in the upper eyelid (if any) is generally removed on the fifth postoperative day.
• Long - term recovery: Temporary swelling from surgical healing may be present for weeks to months, but it gradually fades. The final results of the surgery become more apparent over time. Patients can usually resume their normal activities, including wearing contact lenses, after about a week.

Potential risks and complications

Although internal incisional eye - bag removal is generally a safe procedure, there are potential risks and complications:

• Swelling and bruising: These are common side effects and usually subside over time. However, in some cases, they may be more severe or last longer than expected.
• Infection: As with any surgical procedure, there is a risk of infection. Surgeons take precautions such as using sterile techniques and prescribing antibiotics to reduce this risk.
• Changes in eyelid position: In rare cases, there may be changes in the position of the eyelids, such as lower eyelid retraction or scleral show (where too much of the white of the eyes is visible). This can be a result of improper surgical technique or tissue damage.
• Scarring: While internal incisional surgery is “scarless” externally, there may be some internal scarring. However, experienced surgeons like Dr. Kotlus, Dr. Prasad, and Dr. Weintraub are skilled at minimizing these effects.
• Unsatisfactory results: There is a possibility that the patient may not be completely satisfied with the final results. This can be due to factors such as unexpected changes in the appearance of the eyes or failure to meet the patient's expectations. A good surgeon will work with the patient to address these concerns and, if necessary, perform revisions.

Conclusion

Internal incisional eye - bag removal is a popular and effective procedure for improving the appearance of the eyes and reducing the signs of aging. In New York City, experts like Dr. Brett Kotlus, Dr. Amiya Prasad, and Dr. Barry Weintraub offer high - quality services with their unique skills, experiences, and approaches. When considering this procedure, it is essential to do thorough research, choose the right expert based on various factors such as qualifications, experience, and reputation, and have realistic expectations about the results and recovery process.

If you are interested in internal incisional eye - bag removal, we encourage you to schedule a consultation with one of these experts. Take the time to discuss your concerns, ask questions, and make an informed decision. By doing so, you can take a step towards achieving a more youthful and refreshed appearance.