Introduction

Trans - conjunctival blepharoplasty is a popular and effective procedure for enhancing the appearance of the eyes. In New York City, a bustling metropolis with a high demand for cosmetic procedures, finding the right hospital for this surgery is crucial. This article will introduce you to the top three hospitals for trans - conjunctival blepharoplasty in New York City in 2025, along with a detailed overview of the procedure, its benefits, candidates, and more.

What is Trans - Conjunctival Blepharoplasty?

Trans - conjunctival blepharoplasty is a type of eye bag surgery. Eyelid surgery, or blepharoplasty, is consistently one of the most popular facial cosmetic surgery procedures in the United States. A lower blepharoplasty can be done from either an external (transcutaneous or “through the skin”) approach or an internal (transconjunctival or “through the conjunctiva”) approach. Trans - conjunctival blepharoplasty is performed without any external incisions, which means that when expertly performed, the eyes look completely natural without any visible sign of surgery such as scars or the “over - pulled” look.

The eyelids are composed of delicate layers of tissue including skin and muscle and are related to the eye and the bone structure around the eye called the “orbit”. Fat pockets which are part of the orbit can prolapse or herniate forward, resulting in under - eye bags. Trans - conjunctival blepharoplasty improves the appearance of these herniated eye bags from behind the eyelid without creating an external scar.

Causes of Eye Bags

The problem of puffy or enlarged under - eye bags is frequently a genetic issue, which means that younger patients, even as early as their teens, can be candidates for lower eyelid blepharoplasty. The cause of puffy eye bags is the naturally occurring fat pockets around the eyes pushing forward and creating a bulge (aka lower eyelid fat prolapse, or herniated fat). Frustrated with ineffective creams, many people seek a solution for getting rid of puffy eyes. Remarks about looking tired, weary, and lacking energy are often based on the appearance of the eyes, and this is one of the most common reasons for inquiring about eyelid procedures.

Candidates for Trans - Conjunctival Blepharoplasty

You may be a candidate for trans - conjunctival blepharoplasty if you have lower eye bags, look tired, and have good lower eyelid muscle and skin tone. Lower eyelid surgery or lower eyelid blepharoplasty performed through a trans - conjunctival approach is very popular at some clinics, with a cost lower than many facial procedures and can have a dramatic impact on your appearance.

Benefits of Trans - Conjunctival Blepharoplasty

The goal of a blepharoplasty is to maximally rejuvenate the eyes with long - lasting results. The trans - conjunctival incision offers various benefits compared to traditional lower eyelid surgery:

• No outside scars: Since the incision is made inside the eyelid, there are no visible scars on the external skin, resulting in a more natural look.
• Better preservation of eye shape: The internal approach allows for more precise fat removal and repositioning, which helps in maintaining the natural shape of the eye.
• Faster recovery: Patients typically experience a quicker recovery compared to the transcutaneous (external approach) blepharoplasty, with less time off work and fewer restrictions on daily activities.
• Less trauma around the eyes: There is reduced trauma to the surrounding tissues, which leads to less bruising and swelling.
• Reduced bruising and swelling: The internal approach minimizes the disruption of blood vessels and tissues, resulting in less bruising and swelling post - surgery.

Top Three Hospitals for Trans - Conjunctival Blepharoplasty in New York City in 2025

1. Prasad Cosmetic Surgery

Dr. Amiya Prasad at Prasad Cosmetic Surgery is an expert in performing both types of lower eyelid blepharoplasty, including trans - conjunctival blepharoplasty. He has a unique approach and extensive experience in the field of oculoplastic and facial plastic surgery.

Procedure at Prasad Cosmetic Surgery

During the trans - conjunctival blepharoplasty procedure at Prasad Cosmetic Surgery, the lower eyelid is approached from the inside, and the fat pockets are sculpted and repositioned. Dr. Prasad evaluates the results throughout the procedure to ensure that the shape and contour of the eyes are created as desired. If needed, he may also tighten any loose skin after the fat is removed, usually using lasers such as the fractional CO2 laser. This method typically results in quicker recovery.

Dr. Prasad performs the surgery under local anesthesia with lite IV sedation (twilight anesthesia), so there is no need for general anesthesia. To improve the eyelid skin quality and dark circles in some patients, he often uses PRP (platelet - rich plasma) derived from the patient’s blood. The platelets and many growth factors are separated from the plasma by centrifugation, and the PRP is then placed under the skin to enhance the skin quality and the appearance of dark circles.

Patient Testimonials

Many patients have reported excellent results and high satisfaction with the procedures performed at Prasad Cosmetic Surgery. One 53 - year - old woman from South America, who was frustrated with applying makeup to hide the bags under her eyes, came to Dr. Prasad and underwent lower eyelid trans - conjunctival blepharoplasty. She appreciated Dr. Prasad’s familiarity with the concerns of people of all skin types in terms of scars and keloids.

Cost and Financing

The cost of trans - conjunctival blepharoplasty at Prasad Cosmetic Surgery is based on the surgeon’s fee, anesthesia fee, facility fees, and the extensiveness of the surgery. Dr. Prasad performs his surgeries at a state - of - the - art surgical facility to provide the highest level of safety for his patients. Financing options are also available to help patients manage the cost.

2. Lara Devgan, MD, MPH, FACS

Dr. Lara Devgan is well - known for her expertise in blepharoplasty procedures in New York City. Her focus is on achieving beautiful, natural results for her patients.

Procedure at Lara Devgan's Practice

A blepharoplasty (upper or lower, or both) at Dr. Devgan’s practice is a short outpatient procedure. She performs blepharoplasties under sedation administered by a board - certified anesthesiologist and uses protective corneal shields to keep the eyes safe. The procedure is relatively painless, and all scars are either hidden inside the pink part of the eyelids or camouflaged along a skin crease.

After surgery, patients are able to go home the same day once they are feeling well. They may wear their eyeglasses immediately, but contacts should not be used for the first several days while swelling subsides. Patients can usually resume normal activities such as shopping, walking, reading, and even working 1 - 2 days after surgery, although swelling and bruising typically do not go away for at least one week.

Patient Testimonials

Dr. Devgan has received numerous positive testimonials from her patients. One patient said, “I feel transformed and feel that I look at least ten years younger than I did. You are, in my experience, an outstanding surgeon.” Another patient commented, “I give her a 100 - - from 1 to 10. She made me feel safe and happy throughout the process.”

Contact Information

If you are interested in learning more about blepharoplasty or scheduling a consultation with Dr. Devgan, you can email her office at info@laradevganmd.com or call (212) 452 - 2400. Her NYC practice accommodates out - of - town and international patients who fly in for surgery, as well as those who are local to Manhattan.

3. Dr. Adam R. Kolker

Dr. Adam R. Kolker is a New York City plastic surgeon with vast experience, technical finesse, meticulous attention to detail, and artistry in eyelid rejuvenation and blepharoplasty procedures.

Procedure at Dr. Kolker's Practice

The trans - conjunctival blepharoplasty at Dr. Kolker’s practice focuses on removing excess lower eyelid fat without any external incisions. He uses a variety of eyelid rejuvenation techniques, which may be used alone or in combination, such as non - surgical lower eyelid rejuvenation, laser resurfacing, skin - pinch blepharoplasty, fat grafts for tear trough and volume loss, and lower eyelid fat repositioning.

An upper lid blepharoplasty may be performed under local anesthesia only, although light sedation may be elected. Skin - pinch blepharoplasty can also be performed under local anesthesia, but many select sedation for this procedure as well. For lower lid blepharoplasty with more involved muscle, septum, and fat maneuvers, sedation is required. When necessary, anesthesia is administered by a board - certified anesthesiologist.

Patient Testimonials

Patients have expressed high satisfaction with Dr. Kolker’s work. One patient said, “I could not believe my eyes. Dr. Kolker had done something all other surgeons had told me was not possible. He made the impossible, possible.” Another patient stated, “Thank you Dr. Kolker and your professional staff. I had very high expectations for having facial plastic surgery, and I received an excellent outcome.”

Planning and Consultation

The blepharoplasty planning process at Dr. Kolker’s practice begins with a comprehensive discussion and examination in his office on Park Avenue in New York. He will guide you through all steps of the decision - making process and formulate an eyelid rejuvenation treatment strategy tailored to your unique requirements. You are invited to schedule a consultation to discuss blepharoplasty in NYC with Dr. Kolker.

Comparing the Top Three Hospitals

Preparing for Trans - Conjunctival Blepharoplasty

Preparing for trans - conjunctival blepharoplasty is an important step to ensure a successful procedure and a smooth recovery. Here are some general tips:

• Medical Evaluation: Consult with your primary care physician and an ophthalmologist to assess your overall health and eye condition. Inform them about any pre - existing medical conditions, medications, or allergies you have.
• Medication Management: Discontinue any blood - thinning medications, supplements, and medications that may interfere with the surgery or recovery process, as instructed by your surgeon. This is crucial to minimize the risk of excessive bleeding during and after the procedure.
• Smoking and Nicotine: If you are a smoker or use nicotine products, stop their use in the weeks leading up to your surgery. Nicotine can impair healing and increase the risk of complications. Remaining nicotine - free throughout your recovery period is equally important for optimal results.
• Prescription Fill - up: Prior to your surgery, make sure to fill any prescriptions for pain medication and antibiotics that your surgeon has provided. Having these medications ready in advance will save you valuable time and ensure a seamless recovery.
• Transportation and Support: Arrange for a trusted companion to drive you home after surgery and stay with you for at least the first night. You may be drowsy and not able to drive or take care of yourself immediately after the procedure.
• Home Preparation: Set up a comfortable recovery area at home with plenty of pillows to keep your head elevated, ice packs to reduce swelling, and easy - to - prepare meals.

Recovery After Trans - Conjunctival Blepharoplasty

The recovery process after trans - conjunctival blepharoplasty is an important part of achieving the best results. Here is what you can expect:

Immediate Post - Surgery

After the surgery, you will be taken to a recovery room where you will be monitored by medical staff until you are fully awake and stable. An ice pack may be placed over your eyes to reduce swelling and bruising. You may feel some mild discomfort, pressure, or a sense of tightness in the eyelids, but pain is usually minimal and can be managed with over - the - counter pain medication as prescribed by your surgeon.

First Few Days

For the first few days after surgery, it is important to keep your head elevated while sleeping or resting to reduce swelling. You should avoid strenuous activities, bending over, or lifting heavy objects. Apply ice packs to your eyes as directed, usually for 10 - 15 minutes at a time, several times a day. You may also need to use eye drops or ointment to keep your eyes lubricated and prevent dryness.

Swelling and Bruising

Swelling and bruising are common after trans - conjunctival blepharoplasty and usually peak within the first 2 - 3 days. They will gradually start to subside over the next week or two. Most patients can expect the swelling to go down significantly within one week, but it may take up to two weeks for the bruising to completely fade. You can wear sunglasses to camouflage the bruising if you need to go out in public.

Returning to Normal Activities

You can usually return to work and light activities within 1 - 2 weeks after surgery, depending on your individual healing process and the nature of your job. However, you should avoid strenuous exercise, swimming, and contact sports for at least 2 - 3 weeks. Your surgeon will provide you with specific instructions on when you can resume these activities.

Final Results

The final results of your trans - conjunctival blepharoplasty will become more apparent as the swelling and bruising subside. It may take several months for the tissues to fully heal and for you to see the complete aesthetic improvement. You should continue to follow up with your surgeon for post - operative check - ups to ensure that your recovery is progressing smoothly.

Conclusion

Trans - conjunctival blepharoplasty is a popular and effective procedure for enhancing the appearance of the eyes, reducing eye bags, and achieving a more youthful look. In New York City, Prasad Cosmetic Surgery, the practice of Dr. Lara Devgan, and the office of Dr. Adam R. Kolker are among the top choices for this procedure, offering experienced surgeons, advanced techniques, and excellent patient care. Before deciding on a hospital, it is important to do your research, schedule consultations with the surgeons, and discuss your goals and expectations. By choosing the right hospital and surgeon, you can increase your chances of a successful procedure and a satisfactory outcome.