Introduction

New York City is a global hub for plastic surgery, offering a plethora of options for those seeking epicanthus excision procedures. Epicanthoplasty, a surgical technique aimed at altering the epicanthal fold, is becoming increasingly popular among individuals looking to enhance the appearance of their eyes. In this article, we will explore the top five plastic surgery institutions in New York City renowned for their expertise in performing excision of epicanthus of the eyes. We will delve into the details of the procedures, the surgeons' qualifications, and the patient experiences at each hospital.

Understanding Epicanthoplasty

The epicanthal fold, also known as the “mongolian fold,” is a skin fold that stretches across the inner corner of the eye, partially covering the inner canthus. This fold is a characteristic feature in many individuals, particularly those of Asian descent. While it is a natural and common feature, some people may wish to modify it for aesthetic or functional reasons. Epicanthoplasty is a surgical procedure designed to create larger, more aesthetically pleasing eyes by lengthening the visible part of the eye. This is achieved by modifying the inner or outer corners of the eyes. There are two primary types of epicanthoplasty:

• Medial Epicanthoplasty: This approach focuses on the inner corners of the eyes. The surgeon makes precise incisions to remove excess skin and tissue, exposing more of the inner eye. The result is a broader, more open appearance, making the eyes look larger and more symmetrical. This type of epicanthoplasty is particularly effective for individuals with prominent skin folds that obscure the inner corners of their eyes.
• Lateral Epicanthoplasty: This procedure targets the outer corners of the eyes. The surgeon removes or repositions tissue at the outer edges to elongate the eye horizontally. This can reduce droopiness or slanting of the eyes, giving them a more youthful and alert appearance. Lateral epicanthoplasty is ideal for those looking to improve their eyes’ overall shape and contour, making them appear broader and more proportionate.

Benefits of Epicanthoplasty

Epicanthoplasty offers several benefits, both aesthetic and functional. Some of the key advantages include:

Top Five Plastic Surgery Hospitals in New York City for Epicanthus Excision

1. Plastic Surgery at Columbia

Columbia University's plastic and reconstructive surgery department is one of the best in New York City and the world. Their mission is to deliver the highest quality care for anyone in need of a cosmetic or reconstructive procedure. The clinical staff consists of plastic surgeons proficient in multiple areas of specialization, including routine non - surgical cosmetic procedures, complex reconstructive operations, and body contouring surgery after significant weight loss.

For epicanthus excision, the team at Columbia has the necessary skills and experience. The surgeons are trained to perform procedures with precision, ensuring natural - looking results. They take into account each patient's unique facial features and aesthetic goals. The department is also at the forefront of clinical and laboratory research in plastic surgery, which means patients can benefit from the latest advancements in the field.

One of the key surgeons at Columbia is Christine Rohde, MD. She is a highly skilled clinician, researcher, and teacher, trained in the diagnosis and treatment of the full range of plastic reconstructive and aesthetic surgery, specializing in microsurgery, abdominal wall reconstruction, body contouring, cosmetic surgery, and breast, trauma, and cancer reconstruction. Another notable surgeon is Jeffrey A. Ascherman, MD, who has published over 75 scientific articles and chapters and has been included multiple times in Castle Connolly’s list of America’s top doctors and in New York magazine’s annual list of best doctors.

2. Doctor Lao - Asian Eyelid Surgery

Dr. William Lao, based on 5th Avenue in New York City, is well - known for his expertise in Asian eyelid surgery. Asian double eyelid surgery is his most popular procedure, but he also performs epicanthoplasty. Dr. Lao has performed numerous surgeries for patients in Manhattan over the course of his career and focuses on providing beautiful results that look incredibly natural.

Good candidates for surgery at Dr. Lao's practice should be in good overall health and prefer the appearance of a double eyelid or improved eye shape over the one created by an epicanthic fold. They should have realistic expectations for the procedure. During the initial consultation, Dr. Lao will go over the patient's medical history, evaluate their current health, and discuss their aesthetic desires.

The procedure at Dr. Lao's practice can be performed under general or local anesthesia with sedation depending on the patient's preferences and other factors. After the surgery, the patient will receive pre - and postoperative instructions to ensure safety and the best possible outcome. The sutures will need to remain in place for around four to six days, and some mild swelling and bruising are to be expected. On average, it will take around one week to recover from surgery, though strenuous activity should be avoided for a few more weeks.

3. Esk MD - Asian Eyelid Surgery

Dr. Kwak at Esk MD is a double - board - certified facial plastic surgeon in NYC with a comprehensive understanding of all aspects of Asian eyelid surgery. In addition to his extensive training at some of the most elite hospitals in the US, he has studied with some of the busiest plastic surgery clinics in Korea and continues to hone his skills alongside the nation’s most revered physicians.

For epicanthoplasty, Dr. Kwak takes a customized approach. He understands the unique anatomy of the Asian eye and considers the cultural and ethnic identities of each patient. The surgery is typically performed under local anesthesia and takes approximately one hour. There are two main approaches, one with incisions and one without, and the choice depends on the patient's unique anatomy and age.

Dr. Kwak has also performed hundreds of revision Asian blepharoplasties, which can be relevant for patients who have had previous procedures that did not yield satisfactory results. He understands the difficulties of working with scar tissue and is able to correct irregularities in eyelid appearance.

4. Dr. Jessica Lattman - Asian Blepharoplasty

Dr. Jessica Lattman is an expert in eyelid surgery, with specific training in Asian lid anatomy. This makes her an ideal choice for epicanthus excision procedures. She has extensive experience and expertise operating on Asian eyelids and has developed her own techniques for operating on them over the past 18 years.

Dr. Lattman is able to customize the surgery to each individual eyelid, satisfying each patient’s vision of how they want their eyelids to look. Patients can reach out to Elizabeth, the patient coordinator, with their photos and questions via email or phone. Patient testimonials attest to her skill and the positive experience of undergoing surgery with her. One patient stated, “You can trust your eyes to Dr. Lattman! … After blepharoplasty I had no bruises or pain. I am so happy I had the surgery, I feel so much relief as I was suffering from heavy eyelids and had obstruction of view. Now, I have my eyes back and feel younger and energized.”

5. Wave Plastic Surgery - Epicanthoplasty

Wave Plastic Surgery & Aesthetic Laser Center specializes in performing epicanthoplasty and a wide range of other aesthetic and anti - aging procedures. Led by Dr. Peter Lee, the team of board - certified plastic surgeons is dedicated to delivering natural - looking results using cutting - edge technology.

At Wave Plastic Surgery, patients considering epicanthoplasty will first go through a comprehensive consultation. The pre - surgery preparations include informing the doctor about medications, existing medical conditions, and previous surgeries. Smoking should be avoided for at least three weeks before the surgery, and blood - thinning medications may need to be discontinued. The procedure is usually done under local anesthesia, and it typically lasts about 30 minutes, or up to an hour if combined with other surgeries.

After the surgery, the recovery process is closely monitored. Most people experience some swelling and bruising around the eye, which begins to subside after one week. Stitches are usually removed four to six days post - surgery. The surgeons at Wave Plastic Surgery provide detailed aftercare instructions, including using a cold compress, taking prescribed pain medication, and avoiding certain activities to ensure a smooth recovery.

Patient Selection and Considerations

When considering epicanthoplasty, patients need to meet certain criteria to be good candidates. These include:

• Desire to Improve Eye Appearance: Patients who wish to enhance the overall look of their eyes, making them appear larger, more open, and vibrant, are suitable candidates. This surgery can specifically address issues such as eyes that look tired or less alert, helping to create a more youthful and awake appearance.
• Natural Look Preservation: Those who seek larger eyes but wish to maintain their identity and natural look will find epicanthoplasty a balanced solution. The procedure can enhance eye appearance without compromising ethnic characteristics, ensuring the results are natural and harmonious with the overall facial features.
• Pronounced Epicanthal Folds: Individuals with strong epicanthal folds that cover the inner corners of the eyes may find this surgery particularly beneficial. These folds can make the eyes look smaller and more closed. By reducing the folds, epicanthoplasty can uncover the eyes’ natural shape and beauty, making them appear more open and attractive.
• Complementary Eyelid Surgeries: Epicanthoplasty is often performed with other eye - enhancing surgeries, such as double eyelid surgery. If a patient has had or plans to have double eyelid surgery, epicanthoplasty can further enhance the results, creating a more defined and aesthetically pleasing eye contour.
• Overall Good Health: Being in good overall health is essential for any surgical procedure. Potential candidates should be free from significant health issues that could impair healing or increase surgical risks. A thorough medical evaluation by the surgeon will help confirm the patient's fitness for the surgery. Smokers should consider quitting if they plan to undergo the procedure.
• Realistic Expectations: It is crucial to have realistic expectations about the results of epicanthoplasty. While the surgery can significantly enhance eye appearance, understanding the limitations and achievable outcomes is necessary. Discussing goals and expectations with the surgeon during the consultation will help align the patient's vision with the possible results.
• Fully Developed Facial Structures: Generally, candidates for epicanthoplasty should be adults with fully developed facial structures. This ensures that the surgical modifications will be stable and long - lasting. However, younger individuals with pronounced epicanthal folds and realistic expectations about the surgery may also be considered.
• Psychological Readiness: Undergoing any surgical procedure requires psychological readiness. Candidates should have a positive outlook on the potential changes and be emotionally stable. A clear understanding of the surgical process, recovery, and possible outcomes is vital for a successful result.

Recovery and Aftercare

The recovery process after epicanthoplasty is an important part of the overall experience. While it varies from person to person, there are some general guidelines that patients can follow:

• Immediate Post - Surgery Care:
  • Cold Compress: Using a cold compress on the eyes helps reduce swelling and bruising. It should be applied gently for short intervals during the first 48 hours.
  • Medications: Patients should take prescribed pain medication to manage discomfort and apply antibiotic cream as directed by the surgeon to prevent infection.
• Long - Term Recovery Tips:
  • Avoid Smoking: Continuing to avoid smoking for at least three weeks post - surgery supports healing.
  • Dietary Caution: Avoiding hot foods and drinks immediately after surgery can prevent increased swelling.
  • Makeup and Contact Lenses: Patients should refrain from wearing makeup for a few days after stitch removal and avoid contact lenses and fake lashes for at least two weeks.
  • Activity Restrictions: Avoiding saunas, swimming pools, and strenuous activities for two weeks helps prevent complications and promotes healing.
• Managing Side Effects and Complications:
  • Swelling and Bruising: Swelling and bruising are common and typically subside within a week. The remaining swelling will gradually reduce over the next eight to twelve weeks.
  • Stitch Removal: Stitches are usually removed four to six days post - surgery during a follow - up appointment with the surgeon.

Cost Considerations

The cost of epicanthoplasty can vary depending on several factors, including the surgeon's experience, the complexity of the procedure, the location of the hospital, and whether it is combined with other surgeries. In New York City, the average cost of Asian eyelid surgery, which may include epicanthoplasty, can start at around $3,000 and go up to around $8,000. However, the best way to get an accurate cost estimate is to schedule a consultation with a surgeon. During the consultation, the patient coordinator can provide a detailed quote based on the individual's specific needs and treatment plan.

Conclusion

In conclusion, New York City offers a wide range of excellent plastic surgery hospitals for the excision of epicanthus of the eyes. Each of the top five hospitals mentioned - Plastic Surgery at Columbia, Doctor Lao, Esk MD, Dr. Jessica Lattman, and Wave Plastic Surgery - has its own unique strengths, experienced surgeons, and a proven track record of delivering satisfactory results. When considering epicanthoplasty, patients should carefully evaluate their own needs, preferences, and goals, as well as the qualifications and reputation of the surgeons. By doing so, they can make an informed decision and choose the hospital and surgeon that is best suited for them.

If you are interested in learning more about epicanthoplasty or are considering undergoing the procedure, we encourage you to schedule a consultation with one of the surgeons at these top - rated hospitals. Take the time to discuss your concerns, ask questions, and view before - and - after photos to get a better understanding of what to expect. Don't hesitate to take the first step towards achieving the eye appearance you've always desired.