EYELID SURGERY (BLEPHAROPLASTY) By Joshua Zuckerman, MD, FACS in New York City

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Frontal view of an eyelid surgery outcome by Dr. Zuckerman. Patient underwent an upper blepharoplasty and fat grafting to the lower eyelids. Images were taken before surgery and one month after surgery.

Frontal view of an eyelid surgery outcome by Dr. Zuckerman. Patient underwent an upper blepharoplasty and fat grafting to the lower eyelids. Images were taken before surgery and one month after surgery.


Introduction to Eyelid Surgery (Blepharoplasty)

The skin around the eyes is sensitive to sun damage, gravity and age-related atrophy of youthful fat. With either upper or lower cosmetic eyelid surgery, or blepharoplasty, Dr. Zuckerman can help you address signs of aging, stress or fatigue. He can address a hollowed appearance, dark under-eye circles, drooping upper eyelids, puffiness, and other aesthetic issues. Eyelid surgery is a safe, effective and popular procedure. With over 200,000 procedures performed in the United States in 2017, it is the second most popular cosmetic surgery of the face after rhinoplasty. In addition, one of Dr. Zuckerman’s favorite techniques to achieve a subtle, rejuvenated-looking result involves small volume fat grafting to the tear trough, the junction between the lower eyelid and cheek, or lower eyelids. Grafted fat replaces youthful volume lost and also contains stem cells. He is highly experienced in eyelid surgery and trained at some of most respected medical institutions in the world, including Brown University and New York University. He strives to achieve a natural-looking, subtle result.


Eyelid Surgery (Blepharoplasty)

Am I A Candidate For Eyelid Surgery?



Candidates for upper eyelid surgery or lower eyelid surgery are those who are dissatisfied with the appearance of the periorbital area, both above and below the eyes. Both men and women of varying ages choose to undergo blepharoplasty with Dr. Zuckerman. The procedure is a safe, effective way to address one or more of the following:

  • Ptosis (sag) of the upper eyelids (In severe cases, this can affect vision.)
  • Drooping lower eyelids (In severe cases, this may cause overly dry eyes.)
  • Crows’ feet
  • Lines and wrinkles of the lower eyelid
  • Hollowed, tired appearance
  • Dark under-eye circles
  • Fat deposits that appear as puffiness around the eyes

For milder conditions, Dr. Zuckerman may be able to perform non-surgical tear trough rejuvenation.

Candidates for blepharoplasty must be able to obtain medical clearance and be in both good overall health and good eye health. Before eyelid surgery, Dr. Zuckerman refers prospective patients to an opthalmologist for evaluation of dry eye, because blepharoplasty can in some cases make this condition worse. Patients should also have good skin elasticity.




Eyelid Surgery (Blepharoplasty)

Eyelid Surgery in Detail



An illustration of the addressable areas in Eyelid Surgery (Blepharoplasty)

An illustration of the addressable areas in Eyelid Surgery (Blepharoplasty). Model, not a patient.

Upper eyelid surgery is a distinct surgical procedure from lower eyelid surgery but can be performed in combination as a single operation.

Upper Eyelid Surgery (Upper Blepharoplasty)

Upper eyelid surgery is the less intensive of the two possible operations. Dr. Zuckerman excises a crescent of skin from the upper eyelid and if necessary a thin strip of muscle. In addition, he will excise fat from one of the two fat compartments in the upper eyelid if needed. The incision scar is made to hide in the natural crease of the upper eyelid and is barely perceptible once healed. This procedure can be done under local anesthesisa as a office procedure.

Lower Eyelid Surgery (Lower Blepharoplasty)

Lower eyelid surgery can involve several different surgical techniques depending on the aesthetic issues at hand. Dr. Zuckerman typically makes an incision on the back side of the lower eyelid and if needed removes fat from one of the three fat compartments to address under-eye bags or puffiness. He may also remove a small, conservative strip of skin from the lower eyelid. The procedure can also involve a canthopexy, a stitch in the deep tissues in the lateral corner of the eye to pull the eyelid tighter and to address lower eyelid laxity. Dr. Zuckerman does not perform lower eyelid surgery under straight local anesthesia in an office setting. For the safety and comfort of the patient, he performs this procedure in the operating room under local anesthesia with sedation or under general anesthesia.

Lower Eyelid Fat Grafting

To address under-eye hollows or atrophy of fat, Dr. Zuckerman can perform small volume liposuction to harvest fat from donor sites in the abdomen, flanks (love handles) or thighs. He then grafts this donor fat to fill in the tear trough, smoothing the junction between the cheek and lower eyelid. This procedure can be paired with upper or lower eyelid surgery and creates a subtle, rejuvenated, natural-looking result. In addition, fat contains stem cells and is therefore rejuvenative in and of itself. Patients’ results tend to improve for several months after the procedure through this rejuvenative stem cell effect.

If an operating room setting is required, you may undergo blepharoplasty on an out-patient basis at Dr. Zuckerman’s state-of-the-art, in-office, fully equipped operating room in midtown Manhattan. This operatory facility has been certified by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF), certifying it as a facility that offers an equally high standard of care as a hospital. The privacy, discretion, and convenience of Dr. Zuckerman’s private in-office operating room facility is an exclusive benefit of Zuckerman Plastic Surgery that many patients appreciate. Should you desire, you may also undergo surgery with Dr. Zuckerman at Manhattan Eye, Ear & Throat Hospital, a major hospital in Manhattan in the Northwell system where all types of breast, body, and face cosmetic surgery procedures are performed. Dr. Zuckerman is on staff in the department of plastic surgery for Northwell system hospitals in Manhattan among others.



Eyelid Surgery (Blepharoplasty)

Eyelid Surgery Recovery



Upper and lower eyelid surgery requires little downtime. For upper eyelid surgery, stitches remain in place for four to five days and are removed relatively painlessly in the office by Dr. Zuckerman. Patients should expect mild bruising and swelling, which will resolve by two weeks after surgery. Most patients can return to work within a couple days. Lower eyelid surgery requires a slightly longer recovery and often involves more swelling. Patients should expect to be swollen for up to two weeks. Patients should limit heavy lifting or other intensive activities for a few weeks after surgery. Dr. Zuckerman will prescribe pain medication if needed to manage postoperative discomfort and may recommend a special post-procedure ointment to lubricate the eyes in the days after surgery.



Eyelid Surgery (Blepharoplasty)

Eyelid Surgery Before and After by Dr. Zuckerman



Right oblique view of an eyelid surgery outcome by Dr. Zuckerman. Patient underwent an upper blepharoplasty and fat grafting to the lower eyelids. Images were taken before surgery and one month after surgery.

Right oblique view of an eyelid surgery outcome by Dr. Zuckerman. Patient underwent an upper blepharoplasty and fat grafting to the lower eyelids. Images were taken before surgery and one month after surgery.

Left oblique view of an eyelid surgery outcome by Dr. Zuckerman. Patient underwent an upper blepharoplasty and fat grafting to the lower eyelids. Images were taken before surgery and one month after surgery.

Left oblique view of an eyelid surgery outcome by Dr. Zuckerman. Patient underwent an upper blepharoplasty and fat grafting to the lower eyelids. Images were taken before surgery and one month after surgery.

More Before & Afters

Dr. Zuckerman publishes many of his previous eyelid surgery (blepharoplasty) results with patient consent. The before and after image gallery has pairs of high resolution images from three to four angles for each patient. Many prospective patients enjoy finding a similar case to their own that Dr. Zuckerman has performed in the past. Take a look through the gallery by clicking on the button below.

BEFORE AND AFTER IMAGE GALLERY



Eyelid Surgery (Blepharoplasty)

Risks of Eyelid Surgery



Eyelid surgery is overwhelmingly safe when performed by a board-certified plastic surgeon. Dr. Zuckerman takes the utmost care to minimize risk, but all surgery has potential complications. These may include:

  • Eyelid numbness
  • Dry eyes
  • Mild blurred vision
  • Hematoma

Patients should also be aware of the risks and the signs of serious complications such as infection, hematoma, or vision loss, which although rare are possible.



Eyelid Surgery (Blepharoplasty)

Frequently Asked Questions About Eyelid Surgery



Below are the answers to some questions Dr. Zuckerman most frequently receives from prospective patients. If you don’t see your question below, feel free to contact Dr. Zuckerman’s office, and a member of his staff will be glad to reach out to you.

Are there non-surgical options for eyelid and eye area rejuvenation?

Yes, Dr. Zuckerman can offer you several non-surgical options to rejuvenate the eye area. He can treat you with Restylane-L to perform tear trough rejuvenation, ameliorating a hollowed or tired under-eye appearance. He can also achieve a raising of the eyebrows with Botox injections for his non-surgical brow lift. Dr. Zuckerman can also use Botox to treat transverse lines on the forehead, lines between the brows, and crow’s feet.



Eyelid Surgery (Blepharoplasty)

Request Your Eyelid Surgery Consultation



Are you ready for your eyelid surgery (blepharoplasty) consultation with Dr. Zuckerman? He will perform a thorough evaluation of your desired outcome and needs based on your anatomy and medical history. Dr. Zuckerman will also address any questions or concerns you may have about the surgery and discuss with you the details of his approach: incision location(s), procedure length and techniques, likely operative outcome, etc. Contact his office by clicking the button below or by calling 212-231-9897. Dr. Zuckerman also offers consultations via Skype and a process for out-of-town patients to visit New York City to have surgery with him.

REQUEST YOUR CONSULTATION


Dr. Zuckerman speaks with a cosmetic surgery patient.

OTHER LINKS


ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.



Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


For Mothers' Day, Dr. Zuckerman introduced two of his patients to the New York Post who were interviewed and said how much they enjoy their experience at Dr. Zuckerman's office.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.



Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.



Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


About Us

Zuckerman Plastic Surgery Logo
Zuckerman Plastic Surgery is the cosmetic surgery practice of board-certified plastic surgeon Dr. Joshua D. Zuckerman, MD, FACS located in New York City. Dr. Zuckerman specializes in tummy tuck surgery, liposuction, buttock augmentation, and cosmetic breast surgery. Zuckerman Plastic Surgery also offers an array of non-surgical treatments including musculoparalytics such as Botox, lip augmentation, tear trough rejuvenation for dark eye circles, laser resurfacing, microneedling, medical grade skincare and more. Zuckerman Plastic Surgery is a d.b.a. name for Joshua D. Zuckerman, MD, FACS, P.C., a Professional Corporation registered in the state of New York (DOS ID #: 5192265)
800A Fifth Avenue Suite 101
New York, NY 10065
Phone: 212-231-9897
Specialty: Plastic Surgery
Joshua D. Zuckerman, MD, FACS, P.C.
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