Which Hospital is Good for Endonasal Blepharoplasty in New York City in 2025
Endonasal blepharoplasty, a popular cosmetic procedure, aims to enhance the appearance of the eyes by addressing issues such as excess skin, fat deposits, and drooping eyelids. In New York City, a hub of advanced medical facilities and top - notch plastic surgeons, finding the right place for this procedure is crucial. This article will explore some of the leading hospitals and surgeons in New York City for endonasal blepharoplasty, along with important information about the procedure itself.
Understanding Endonasal Blepharoplasty
What is Endonasal Blepharoplasty?
Endonasal blepharoplasty, also known simply as blepharoplasty, is a surgical operation designed to improve the appearance of the upper and/or lower eyelids. Signs of aging like excess skin, bulging fat pockets, and drooping eyelids can make a person look tired or older than their actual age. This procedure helps to rejuvenate the eye area, resulting in a more rested, youthful, and refreshed appearance.
Benefits of Endonasal Blepharoplasty
- Enhanced Appearance: It can lift loose and sagging eyelids, correct under - eye bags, and remove fatty deposits from the upper and lower eyelids, making the eyes look more vibrant and younger.
- Improved Vision: In cases where excess skin on the upper eyelids is obstructing peripheral vision, blepharoplasty can help restore better sight.
Types of Blepharoplasty
There are two main types of blepharoplasty: upper eyelid blepharoplasty and lower eyelid blepharoplasty. These can be performed separately or together, depending on the patient's needs.
| Type of Blepharoplasty | Main Concerns Addressed | Procedure Details |
|---|---|---|
| Upper Eyelid Blepharoplasty | Excess skin, drooping skin, and puffiness on the upper eyelids. This can be due to aging, heredity, sun damage, or smoking. | The surgeon carefully marks the skin to determine the amount of excess skin to be removed. Incisions are made in the natural crease of the upper eyelid to minimize scarring. The incisions are then closed with fine sutures. |
| Lower Eyelid Blepharoplasty | Excess fat (under - eye bags) and sometimes excess skin. As we age, the fat around the lower eyelids can bulge, and the skin may lose its elasticity. | For fat removal, an incision can be made inside the lower eyelid (transconjunctival approach) or along the lash line. If there is excess skin, the surgeon may remove it carefully while also considering the risk of complications such as scleral show or ectropion. |
Top Hospitals and Surgeons in New York City for Endonasal Blepharoplasty
Mount Sinai - New York
Mount Sinai offers high - quality eyelid surgery. Their expert plastic surgeons perform cosmetic eyelid surgery with precision. They can improve the appearance of the eyes by addressing issues like puffiness, drooping, and fine lines. In addition to the aesthetic benefits, they also collaborate with vision specialists to determine if the procedure can help improve visual impairment caused by sagging upper eyelids. Insurance coverage may be available with the recommendation of an eye doctor. The surgeons at Mount Sinai are skilled at camouflaging incisions, either in the upper eyelid crease, along the lower eyelid's lash line, or even completely hiding the incision inside the lower eyelid.
Doctors Recommended by Healthgrades
Healthgrades lists many doctors in New York who perform blepharoplasty. Some of the top - rated doctors include:
| Doctor's Name | Rating | Location |
|---|---|---|
| Dr. David Freilich, MD | 4.30 out of 5 stars | 14 E 96th St Apt C, New York, NY 10128 |
| Dr. I Rodgers, MD | 4.30 out of 5 stars | 229 E 79th St, New York, NY 10075 |
| Dr. Bryan Winn, MD | 4.60 out of 5 stars | 880 3rd Ave Fl 2, New York, NY 10022 |
| Dr. Adam Jacoby, MD | - | 515 6th Street, Brooklyn, NY 11215. On staff at New York - Presbyterian/Weill Cornell Medical Center. |
| Dr. Lisa Gfrerer, MD | 5.00 out of 5 stars | 515 6th Street, Brooklyn, NY 11215. On staff at New York - Presbyterian/Weill Cornell Medical Center. |
| Dr. Michael Kazim, MD | 4.50 out of 5 stars | 630 W 168th St, New York, NY 10032 |
| Dr. Lora Dagi Glass, MD | 5.00 out of 5 stars | 880 Third Avenue, New York, NY 10022 |
| Dr. Elena Geller, MD | 5.00 out of 5 stars | 309 W 23rd St, New York, NY 10011 |
These doctors have received high ratings from past patients, indicating their experience and the quality of their work.
Park Avenue Plastic Surgeon
At Park Avenue Plastic Surgeon, Dr. Rapaport is highly skilled in performing blepharoplasty. He offers both upper and lower eyelid blepharoplasty procedures. For upper eyelid blepharoplasty, he carefully marks the skin to avoid excessive removal and ensures a natural appearance. In lower eyelid blepharoplasty, he assesses each case individually. He can use a transconjunctival approach for fat removal, which leaves no visible scar. He also considers the risk of complications such as scleral show and ectropion when dealing with excess skin in the lower eyelids. Anesthesia options are carefully considered, with upper eyelid blepharoplasty often done under local anesthesia with oral pre - medication, while lower eyelid blepharoplasty is usually performed with IV sedation. Post - operative care instructions, such as keeping the head elevated and using cold compresses, are provided to ensure a smooth recovery.
Lara Devgan, MD, MPH, FACS
Dr. Devgan is well - known for performing blepharoplasty in New York City. Her procedures aim to make the eyes look more refreshed, awake, large, and youthful. She can address a variety of issues such as tired - looking eyes, drooping eyelids, thin or crepe - y skin of the eyelids, dark circles under the eyes, puffy bags under the eyes, and more. Before performing the surgery, she conducts an in - person consultation to determine the patient's candidacy. The surgery is a short outpatient procedure performed under sedation by a board - certified anesthesiologist. All scars are either hidden inside the pink part of the eyelids or camouflaged along a skin crease. After the surgery, patients can usually go home the same day and gradually resume normal activities as the swelling and bruising subside.
Philipp Franck M.D.
Dr. Franck is a board - certified plastic and reconstructive surgeon. He is an expert in facial plastic surgery, including advanced blepharoplasty. He assesses each patient's anatomical structure and facial features to determine the most suitable approach for blepharoplasty. The procedure is performed with meticulous attention to detail, with careful marking of the areas around the eyelids, proper incision placement (concealed in natural creases for upper eyelid surgery and either below the lash line or inside the lower lid for lower eyelid surgery), and tissue removal or repositioning. He offers a variety of benefits, including enhanced appearance, improved vision, removal of under - eye bags, and long - lasting results. He also discusses the consultation process, which includes assessing the eyelids, reviewing the patient's medical history, explaining the procedure in detail, and answering any questions the patient may have.
Natural Look Institute
Dr. Yoel S. Shahar at the Natural Look Institute is experienced in eyelid surgery. He understands the importance of achieving natural - looking results by determining the appropriate amount of skin, muscle, and fat to be removed. He has vast experience with Asian eyes as well. The recovery time after his blepharoplasty procedures is relatively short, with most patients able to return to work within 3 to 5 days. He provides detailed after - care instructions and answers all patients' questions during the consultation process.
Dr. Adam R. Kolker
Dr. Kolker is a skilled plastic surgeon in New York City for eyelid rejuvenation. He offers a wide range of techniques for blepharoplasty, including non - surgical lower eyelid rejuvenation, laser resurfacing, skin - pinch blepharoplasty, transconjunctival blepharoplasty, fat grafts for tear trough and volume loss, and lower eyelid fat repositioning. He emphasizes the importance of maintaining the natural shape and "personality" of the eyes during the procedure. From the consultation to the post - operative follow - up, he and his team provide thorough and attentive care to patients.
Dr. Darrick Antell
Dr. Antell is a board - certified plastic surgeon who performs blepharoplasty in his accredited state - of - the - art surgical facility in New York. His blepharoplasty procedures aim to brighten the face and restore a more youthful appearance, and in some cases, improve vision. He carefully makes incisions along the natural folds of the eyelids to minimize scarring. He also provides information about the length of the procedure, risks involved, recovery process, and cost factors.
Preparing for Endonasal Blepharoplasty
Consultation
The first step in preparing for endonasal blepharoplasty is to schedule a consultation with a qualified plastic surgeon. During the consultation, the surgeon will assess your eyelid condition, including the amount of excess skin, fat, and muscle. They will also review your medical history, including any existing eye conditions, medications you are taking, and previous surgeries. You should openly discuss your goals and expectations for the procedure, and the surgeon will explain the most suitable approach for you, including the type of blepharoplasty, anesthesia options, and expected results.
Medical Tests
Depending on your medical history and the surgeon's recommendation, you may need to undergo some medical tests before the surgery. These can include blood tests, eye exams, and electrocardiograms. For individuals with pre - existing ocular issues or those prone to dry - eye, a pre - operative evaluation by an ophthalmologist may be required.
Lifestyle Changes
To ensure a smooth recovery and reduce the risk of complications, you may need to make some lifestyle changes. For example, you should stop smoking at least 1 week before the surgery and refrain from smoking for at least 1 week after. You should also avoid consuming alcohol 1 week before surgery and for at least 72 hours after. Some medications and food supplements, such as those containing aspirin, may need to be stopped a week before the surgery.
The Endonasal Blepharoplasty Procedure
Anesthesia
The choice of anesthesia depends on the type of blepharoplasty and the patient's preference. Upper eyelid blepharoplasty can often be performed under local anesthesia with oral pre - medication to help with relaxation. However, most patients prefer IV sedation, where they have no memory of the procedure and have a rapid recovery. Lower eyelid blepharoplasty is almost always performed with IV sedation.
Surgical Steps
- Marking: The surgeon carefully marks the areas around the eyelids to determine the amount of skin and fat to be removed or repositioned.
- Incision Placement: For upper eyelid surgery, incisions are typically made in the natural crease of the upper eyelid. For lower eyelid surgery, incisions can be made inside the lower eyelid (transconjunctival approach) or along the lash line.
- Tissue Removal or Repositioning: Excess skin, fat, and sometimes muscle are removed or repositioned to create a more youthful contour of the eyelids.
- Closing the Incisions: The incisions are closed with fine sutures. Some sutures may be removed as early as 2 days post - operatively to minimize scar visibility.
Recovery after Endonasal Blepharoplasty
Immediate Post - operative Care
After the surgery, you will be advised to rest with the head of the bed elevated about 30 degrees for the first night. Cold compresses should be applied intermittently for the first week to reduce swelling and bruising. You should avoid any straining or bending over during this time. Sutures, if used, are usually removed on or around the second and fifth days after surgery.
Returning to Normal Activities
Most patients can return to non - straining activities within 1 or 2 days, but many choose to take 5 - 7 days off work due to the common bruising. Makeup can usually be applied one week after the surgery. Light cardio exercises can be started approximately two weeks after the surgery, and unrestricted exercise and activity can be resumed after a few weeks, depending on the individual's healing rate.
Long - term Results
As the swelling gradually subsides, you will start to see the refreshed and youthful appearance of your eyes. Full healing may take a few months, but visible changes are noticeable much sooner. While natural aging continues, the results of blepharoplasty often last for many years.
Risks and Complications
Like any surgical procedure, endonasal blepharoplasty carries certain risks and potential complications. However, these are relatively rare when performed by a qualified and experienced surgeon. Some of the possible risks include:
- Infection or Bleeding: Proper wound care and following post - operative instructions can help minimize this risk.
- Dryness or Irritation: The eyes may feel dry or irritated after surgery, but this can usually be alleviated with prescribed eye drops.
- Temporary Changes in Vision: Blurred or double vision can occur but typically resolves on its own.
- Scarring: Although scars are usually discreet and well - concealed, some individuals may experience more visible scarring.
- Ectropion: In rare instances, the lower eyelid may be pulled down, causing an outward turning of the lower lid border. If this does not resolve on its own, further surgery may be necessary.
Conclusion
New York City offers a plethora of excellent options for endonasal blepharoplasty. Whether you choose a well - known hospital like Mount Sinai or one of the top - rated surgeons recommended by Healthgrades, or other specialized practices, it's essential to do thorough research. Consider the surgeon's experience, expertise, patient reviews, and the overall quality of the medical facility. During the consultation process, be sure to ask all your questions and understand the procedure, its risks, and the expected results. Endonasal blepharoplasty can be a life - changing procedure, helping you achieve a more youthful and refreshed appearance. If you're considering this procedure, take the first step and schedule a consultation with a qualified professional in New York City today.
