Introduction
As we step into 2025, the pursuit of a youthful appearance continues to be a priority for many in New York City. One of the most common areas people look to improve is the upper eyelids. Over time, the skin on the upper eyelids can sag, creating a tired or aged appearance. Fortunately, there are numerous institutions and professionals in New York City that specialize in upper eyelid skin tightening procedures. In this article, we will explore some of the top institutions and their associated doctors, delving into the procedures they offer, patient considerations, and what sets them apart.
What is Upper Eyelid Skin Tightening?
Upper eyelid skin tightening, often referred to as an upper blepharoplasty, is a minimally invasive procedure that subtly tightens and contours the tissues above the eye. As we age, tiny pockets of fat and excess skin can droop over the eyelid, creating “hooded” eyes or a more tired, aged expression. Collagen and elastin fibers begin to degrade as early as our mid - 30s, resulting in the weakening of the dermis, the layer of skin beneath the epidermis. An upper blepharoplasty aims to reverse these signs of aging by removing excess skin and fat, and in some cases, tightening the underlying muscles.
The benefits of upper eyelid skin tightening include a more rejuvenated and youthful look, improved field of vision if sagging skin was obstructing it, and increased self - confidence. After the procedure, patients can expect warmer, more expressive eyes that appear more alert, more space in the upper eyelid region for makeup application, and less prominent fat pads protruding below the brows.
Top Institutions for Upper Eyelid Skin Tightening in New York City
Dr. John E. Sherman
Dr. John E. Sherman is a board - certified plastic surgeon with over 40 years of experience. His office is conveniently located to serve the areas of New York, NY. Throughout his career, he has performed thousands of surgeries and has achieved various recognitions for his expertise. He is also an active researcher in various medical journal publications.
Dr. Sherman offers a highly personalized approach to upper eyelid lifts. During the initial consultation, he discusses an individualized treatment plan that addresses the patient's specific upper eyelid concerns. He outlines his strategies for the unique procedure and the necessary steps for recovery. Patients also have the opportunity to ask questions and discuss the possibility of other procedures that will complement the results, such as Botox to relax crow’s feet wrinkles around the eyes.
The upper eyelid lift procedure at Dr. Sherman's office may be performed either under local anesthesia or supplemented with sedation administered by a board - certified anesthesiologist. The operation usually takes under 30 minutes. Dr. Sherman makes a tiny horizontal incision within the crease of the eyelid, so any scarring is easily hidden. A small portion of skin is removed, and a small amount of the orbicularis muscle (the muscle surrounding the eye) is removed. The two fat pockets of the upper eyelid are then trimmed, restoring a cleaner, youthful look.
Recovery from the procedure is relatively straightforward. All eyelid lifts are outpatient procedures that take 1 hour or less, so patients can return home the same day. Dr. Sherman prescribes an ointment to apply to the eyes to protect them from infection and aid in healing. In the first few days, it's normal to experience swelling and discomfort, but medications are provided to relieve these symptoms. For the first 24 hours, patients are encouraged to keep their head elevated and use an ice pack on their eyelids. Typically, patients can go back to desk work around 4 to 7 days post - procedure, and they can resume working out after about 1 month. The results of the eyelid lift usually last about 10 to 15 years, depending on the patient's rate of aging and other lifestyle factors.
Dr. William Lao
Dr. William Lao is a double - board certified plastic surgeon and one of the most popular choices for upper eyelid surgery in New York City. His world - class practice in NYC specializes in upper eyelid blepharoplasty, which is a surgical procedure created to rejuvenate the appearance of the eyes and correct severe eyelid sagging.
He has a sharp eye for facial aesthetics and utilizes his immense technical precision to deliver results that look amazingly natural and beautiful. Dr. Lao has performed numerous upper eyelid blepharoplasty procedures at his New York office and provides outstanding care to his patients.
The best candidates for upper blepharoplasty with Dr. Lao are patients who are in good overall physical health, don’t smoke cigarettes, and want to improve their upper eyelids. Many of his Asian patients request a “double fold” in their eyelids, and his surgery can achieve this desired look. There are two main categories of techniques for upper eyelid surgery: incisional and non - incisional blepharoplasty. The non - incisional procedure is more appropriate for younger individuals who do not have much excess skin and fat, whereas incisional blepharoplasty is often required for older patients with excess skin. The final decision is individualized after discussion with Dr. Lao.
Some swelling and bruising are expected after surgery, but these issues dissipate over the coming weeks. Most people take around one week off of work to allow time for a majority of the bruising and swelling to go down, and more strenuous activities should be avoided for around two weeks. The average cost of upper eyelid surgery in New York City with Dr. Lao typically starts at $3,000 and can range up to $10,000 or more, depending on factors such as the complexity of the procedure, anesthesia costs, and surgeon fees.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a New York City plastic surgeon 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 in eyelid surgery.
A traditional blepharoplasty with Dr. Kolker might include the removal of excess upper eyelid skin, excess eyelid fat, and excess lower eyelid skin. He also offers a variety of improvements, additions, and modifications for eyelid rejuvenation, such as 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 from the patient's own body to restore youthfulness to the eyelid area), and lower eyelid fat repositioning (tightening the lower lid support mechanisms to reduce puffiness and maintain youthfulness without removing fat).
An upper lid blepharoplasty with Dr. Kolker may be performed under local anesthesia only, although light sedation may be elected. The procedure duration may range from approximately 45 minutes to two hours, depending on the specific techniques planned, anatomic requirements, and goals. After the surgery, patients recover in the recovery room and are cared for by a registered nurse. They can go home with a friend or relative when fully awake and comfortable, generally 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 go back to work or resume social activities around this time. Light cardio exercises are suggested for approximately two weeks after blepharoplasty, after which unrestricted exercise and activity may be resumed.
Dr. Jennifer Levine
Dr. Jennifer Levine is a double board - certified facial plastic surgeon well - known as one of the best surgeons on the east coast. She has a reputation for delivering results that look natural and require little recovery time. She has performed countless blepharoplasty procedures in her New York City office and has extensive knowledge of eyelid lifts and other facial procedures.
Blepharoplasty with Dr. Levine can help improve a variety of eye - related concerns, such as eyes that look tired, droopy eyes, puffy or baggy eyes, dark eye circles, crow’s feet, and eyelids that lack an upper crease. During the eyelid lift procedure, she removes redundant skin and fat, as well as repositions and tightens any underlying muscles that contribute to eyelid laxity.
She also offers a non - surgical option called Sylfirm X RF microneedling treatment for patients who are starting to notice signs of aging around the eyes. This treatment specifically tightens the delicate skin of the eyelids, reduces fine lines, wrinkles, and sagging skin in the immediate area, and has minimal recovery time. Each session takes only about 10 minutes, and a full treatment typically involves 3 to 4 sessions. It provides effective results, precision and safety, and requires no downtime.
The recovery from upper and lower eyelid surgery with Dr. Levine is complete within seven to ten days. A small amount of lumpiness is usual at the corners of the eyes, and some patients may experience mildly blurred vision, but this resolves rapidly. Makeup can normally be worn within five days, and normal activity and exercise can resume three weeks after surgery.
Dr. David Cangello
Dr. David Cangello is one of the top board - certified plastic surgeons in New York City. His practice, Cangello Plastic Surgery, is known for providing top - notch results and unmatched expertise.
Ideal candidates for blepharoplasty with Dr. Cangello include men and women in NYC who are in good health, do not smoke, and are unhappy with the changes that age, genetics, or environmental factors have caused to their eyelid area. This may include excess, hanging skin on the upper eyelids or drooping lower lids, excess fat deposits surrounding the eye area, deep skin grooves under the eyes, or a hollowed appearance of the junction between the lower eyelid and cheek. However, patients with medical problems that affect their eyes, such as hypothyroidism, dry eyes, glaucoma, high blood pressure, cardiovascular disease, and diabetes, may need to obtain approval from their ophthalmologist before the surgery.
During the consultation, Dr. Cangello conducts a friendly and informative meeting where he addresses all of the patient's questions and concerns about eyelid surgery. He creates a treatment plan that is aligned with the patient's ultimate goals, which may include upper eyelid surgery, lower eyelid surgery, or both, and may also incorporate the use of laser resurfacing to smooth wrinkles and tighten excess skin. He also explains how to prepare for the blepharoplasty and what to expect during recovery.
For an upper eyelid blepharoplasty, the incision follows the natural crease in the eyelid, making any resultant scar virtually undetectable. A typical blepharoplasty is an outpatient procedure and takes about forty - five to ninety minutes to complete, depending on whether one or both sets of eyelids are being operated on. After the surgery, patients may experience tightness, achiness, dryness, or itchiness in the eyelids. Bruising and swelling are common, but can be reduced by using cold compresses and keeping the head elevated. External sutures are removed within one week after the procedure, and most patients can go out in public within ten days and resume regular activities three weeks after the surgery.
Dr. Lesley Rabach (LM Medical NYC)
Dr. Lesley Rabach is one of the best facial plastic surgeons in NYC and focuses her expertise on only the face. Her team at LM Medical NYC offers upper blepharoplasty at their state - of - the - art facilities in Manhattan.
An upper blepharoplasty with Dr. Rabach can remove the excess skin and fat on the upper eyelids, tightening the tissue to create a more youthful, open appearance to the eye. The incisions are carefully hidden for a discreet, natural appearance with little to no visible scars. Patients with loose, sagging, drooping, or folding skin on their upper eyelids are good candidates for the procedure. The drooping and folding can make the eyelids feel heavy and might impair the vision.
The upper blepharoplasty procedure at LM Medical NYC uses local anesthesia and is an in - office procedure that takes 2 - 4 hours depending on the patient's recovery post - procedure. Patients are recommended to have a designated friend or family member on - call to pick them up or meet them at home. Bruising and swelling are possible after the surgery, but these tend to resolve within 1 - 2 weeks with icing. The procedure is considered one of the most painless surgeries, and patients can return to work the day after if they can wear tinted glasses or don't mind the swelling and bruising. Regular exercise can be resumed after a minimum of 2 weeks, and it's okay to take a shower the night of the procedure. The cost of upper blepharoplasty starts at $10,000, but pricing varies depending on the complexity of the case and whether the patient needs an upper blepharoplasty, a lower blepharoplasty, or both. Exact costs can be obtained in a personal consultation with Dr. Rabach.
Patient Considerations
Candidate Requirements
Before undergoing upper eyelid skin tightening, it's important to determine if you are a suitable candidate. In general, candidates should be in good overall health, without a blood clotting disorder or another condition that slows down the healing process. Patients with diabetes should have their blood sugar levels well - managed before considering the procedure. Those with conditions that affect eye health, such as Graves’ disease, high blood pressure, and glaucoma, will need to be thoroughly evaluated by the surgeon.
Most upper eyelid lift procedures are performed on patients between 35 and 70 years old, but younger patients who have naturally hooded eyes can also undergo the procedure. It's essential for patients to have realistic expectations and be willing to follow aftercare instructions thoroughly.
Preparation
Prior to surgery, patients may need to take several steps to prepare. Surgeons often request medical clearance to ensure the patient's safety and may order blood tests to evaluate other aspects of health and address any major issues. If a patient smokes or consumes nicotine regularly, they should stop at least 1 month before the procedure appointment, as nicotine and other chemicals in cigarettes can slow down the healing processes by constricting blood vessels.
Patients will also need to stop taking any medications or supplements with blood - thinning properties, as this can reduce the likelihood of excessive bruising during recovery and complications during the procedure. Before the surgery, patients should pick up any necessary prescriptions and stock up on over - the - counter medications approved by the surgeon. It's also important to arrange for someone to pick them up and take them home after the outpatient procedure.
Cost
The cost of upper eyelid skin tightening in New York City can vary widely depending on several factors, including the complexity of the procedure, the surgeon's experience and reputation, anesthesia costs, and the specific techniques used. For example, Dr. William Lao's upper eyelid surgery typically starts at $3,000 and can range up to $10,000 or more, while Dr. Lesley Rabach's upper blepharoplasty starts at $10,000. A personal consultation with the surgeon is the best way to get an accurate estimate of the cost.
Some patients may explore financing options to cover the cost of the procedure. For instance, at Dr. John E. Sherman's office, patients interested in making affordable payments can explore financing options with PatientFi. A member of the staff can assist with filling out the loan application form.
Recovery and Aftercare
Recovery from upper eyelid skin tightening procedures typically involves some swelling, bruising, and discomfort in the first few days. Surgeons usually prescribe medications to relieve pain and discomfort and may also recommend using cold compresses and keeping the head elevated to reduce swelling. In the first 24 hours, patients should rest as much as possible and avoid activities that could increase blood flow to the head, such as bending over or lifting heavy objects.
Patients are usually advised to avoid sun exposure by wearing sunglasses when outside. They may need to take time off work, typically around 4 to 7 days for desk work and up to 1 month for more strenuous activities. Stitches are usually removed within one week after the surgery, and patients will receive detailed instructions on when it is safe to resume normal activities, including working out, wearing makeup, and using contact lenses.
Conclusion
In 2025, New York City offers a wealth of options for upper eyelid skin tightening procedures. From experienced surgeons like Dr. John E. Sherman, Dr. William Lao, Dr. Adam R. Kolker, Dr. Jennifer Levine, Dr. David Cangello, and Dr. Lesley Rabach, patients have access to a range of techniques and expertise. Each institution and surgeon has its own unique approach, patient care philosophy, and success stories.
When considering upper eyelid skin tightening, it's crucial for patients to do their research, schedule consultations with multiple surgeons, and ask plenty of questions. By carefully weighing the candidate requirements, preparation steps, cost, and recovery process, patients can make an informed decision that best suits their needs and expectations. Remember, the goal of upper eyelid skin tightening is not only to achieve a more youthful appearance but also to enhance self - confidence and improve overall well - being.
If you're interested in learning more about upper eyelid skin tightening in New York City, we encourage you to schedule a consultation with one of the