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Blepharoplasty

Brighter & Beautiful Eyes

The solution for tired-appearing eyes is an eyelid lift at RENATA Facial Cosmetic Surgery in New York

They say the eyes are the windows to the soul. But as you age, excess skin folds, under-eye bags, and shadows accumulate around the eyes and create the beginning of an aged appearance. For patients in New York Blepharoplasty offers a safe and effective solution to correct the tired appearance and sagging skin around the eyelids.

At RENATA Facial Cosmetic Surgery, located in the beautiful neighborhood of DUMBO in Brooklyn, NY, double board-certified facial cosmetic surgeon Dr. Renata Khelemsky offers Blepharoplasty (eyelid lift) to rejuvenate the eyes by reducing under-eye bags, lifting sagging tissues and removing excess eyelid skin. Because the eyes are central to the face and to social interactions, the results can dramatically improve the way you look and feel.

What is a
Blepharoplasty?

Blepharoplasty is a cosmetic surgery that rejuvenates the upper and lower eyelids.

Eyelid surgery, also known as Blepharoplasty, is designed to sculpt and lift the tissues around your eyes, including the skin, muscle, and fat. The primary purpose of an eyelid lift is to open and brighten the appearance of the eyes by removing and tightening sagging tissue. In severe cases, removing excessive upper eyelid skin can also improve peripheral vision. Eyelid skin is the thinnest skin of the body, and with time, this skin becomes stretched, leaving behind an uneven and crepey texture.

Upper eyelids tend to have folds of excess skin and occasionally excess fullness near the nasal region, while lower eyelids appear to have crepey folds of skin, puffy looking eye bags, and a prominent shadow emanating from the corner known as the “tear trough.” These are signs of eyelid aging, and they are addressed surgically through Blepharoplasty, which creates a smoother, tighter, and more youthful appearance for upper and lower eyelids.

Brooklyn blepharoplasty model with auburn hair

Aesthetic Issues Addressed by Blepharoplasty

As we age, the skin around the eyes often shows the first visible signs of aging. Upper eyelid aging typically manifests as sagging skin that folds over the natural crease, creating a hooded appearance. In more advanced cases, this excess skin can obstruct peripheral vision, making activities such as reading and driving more challenging. Additionally, the natural fat in the upper eyelid can bulge, leading to an uneven or fatigued appearance.

The lower eyelids also undergo age-related changes, often resulting in under-eye bags, puffiness, and the development of crepey skin. A visible tear trough can appear in both younger and older patients, manifesting as a dark shadow along the inner corner of the lower eyelid near the nose. This tear trough can be caused by puffiness above it, or a deep valley in the upper cheekbone area, or a combination of both.

These changes can create a tired, aged appearance and disrupt the smooth contours of the face, making the individual appear older or more worn than they feel. These concerns are often compounded by the thinning of the skin, which leads to fine lines and wrinkles, further contributing to an aged look.

Blepharoplasty (eyelid surgery) is designed to address these aesthetic issues by restoring the anatomy associated with aging. It restores the youthful contours of the eyelids by removing excess skin, addressing excess fat, and tightening the skin and muscles where necessary. By addressing these specific signs of aging, blepharoplasty not only rejuvenates the eyes but also significantly enhances the overall aesthetics of the face.

Types of Blepharoplasty

Blepharoplasty, or eyelid surgery, offers targeted solutions for rejuvenating both the upper and lower eyelids. Understanding the distinctions between upper and lower blepharoplasty can guide individuals seeking cosmetic improvements in these areas.

Upper Blepharoplasty

Upper blepharoplasty is a specialized eyelid surgery designed to precisely address concerns associated with the upper eyelids. This procedure involves the meticulous removal of excess skin, adjustment of fat and muscle, and customization based on individual features. The unique benefits of upper blepharoplasty include the elimination of drooping or hooding, reduction of puffiness, and a restoration of a more youthful and open-eyed appearance. Upper blepharoplasty can improve vision by correcting obstruction caused by excessive skin. With a focus on precision and customization, this procedure delivers both aesthetic rejuvenation and functional benefits.

Lower Blepharoplasty

Lower blepharoplasty is a specialized eyelid surgery meticulously tailored to address distinct concerns associated with the lower eyelids. This procedure focuses on refining the under-eye area by precisely addressing issues such as under-eye bags, wrinkles, puffiness, and skin laxity. Surgeons typically redistribute or remove excess fat, tighten the skin, and address muscle laxity to achieve a more youthful and rejuvenated appearance. The unique benefits of lower blepharoplasty include the reduction of tired-looking eyes, the smoothing of under-eye contours, and an overall improvement in facial harmony.

Blepharoplasty Benefits

Blepharoplasty, a minimally invasive procedure, is designed to address issues such as sagging skin, puffiness, and wrinkles around the eyes, contributing to a more youthful and refreshed facial appearance. The benefits of Blepharoplasty extend beyond aesthetics, playing a pivotal role in boosting self-confidence and self-esteem. When excess skin obstructs vision, the surgery can alleviate functional issues, enhancing eyesight and facilitating better daily functioning.

The advantages of Blepharoplasty are diverse, including a reduction in the tired or fatigued look associated with drooping eyelids, resulting in a more vibrant and energetic appearance. Surgeons also customize the procedure to complement individual facial features, ensuring natural-looking results that seamlessly integrate with the patient's overall aesthetic. With its long-lasting results and potential to positively impact both appearance and functionality, Blepharoplasty emerges as a holistic solution, improving not only the way individuals look but also how they feel and function in their daily lives.

Dr. Renata’s Approach to
Eyelid Rejuvenation

Customizing Upper Eyelid Blepharoplasty

Dr. Renata’s approach to upper eyelid surgery is customized to each patient’s unique anatomy, with the goal of restoring a more youthful appearance while avoiding any signs of surgical intervention. The ideal result is one where the eyelids appear naturally refreshed—so much so that it’s impossible to tell surgery was performed. Beautiful eyelid surgery leaves no visible mark of the surgeon's touch. The key is to respect the natural structure of the eyelids and avoid unnecessary procedures that don’t align with the patient’s aesthetic goals, ensuring the results look both natural and effortless.

  • Excess Skin Removal: Only the necessary amount of skin is removed to create a well-defined eyelid crease, giving the eyes a more open, refreshed look. The focus is on removing sagging skin without over-tightening, ensuring a natural appearance.
  • Upper Eyelid Fat Repositioning and Contouring: Rather than always removing fat from the upper eyelid, Dr. Renata focuses on repositioning and contouring the fat within the upper eyelid crease to restore a smooth, natural contour. Youthful eyes should never appear over-sculpted or hollowed, a mistake often made by inexperienced surgeons. By repositioning the fat, Dr. Renata avoids hollowing and maintains the natural shape of the eyelid, ensuring a refreshed and balanced look without an artificial or “overdone” appearance.
  • Ptosis Correction: If the upper eyelid exhibits a mild droop due to weakened internal muscles (a clinical finding known as “ptosis”), Dr. Renata addresses this by surgically lifting the eyelid margin, restoring a more open, youthful eye opening while preserving the eyelid’s natural movement. In more severe or complex cases where muscle function is significantly affected, a referral to an oculoplastic surgeon may be necessary for further evaluation and specialized treatment.
  • Brow Lifting: In some cases, upper eyelid heaviness is caused by brow sagging and forehead descent, which cannot be fully addressed with blepharoplasty alone. A comprehensive facial and eye examination allows Dr. Renata to assess each contributing factor and determine the best approach for restoring youthful anatomy. Overzealous eyelid surgery cannot compensate for brow heaviness, nor can a brow lift replace the need for eyelid surgery. The correct procedure for the correct diagnosis is essential for achieving a natural, balanced result. If brow lifting is necessary to address upper eyelid heaviness, patients will be advised on the most suitable brow lift technique for their anatomy.

Multi-Layered
Lower Eyelid Blepharoplasty

Blepharoplasty is a cosmetic surgery that rejuvenates the upper and lower eyelids.

Dr. Renata’s four-layered approach to lower eyelid surgery is a highly specialized technique that addresses every layer of the lower eyelid anatomy—skin, fat, muscle, and ligament support—ensuring comprehensive rejuvenation. This powerful method restores the youthful contours of the lower eyelid while maintaining the structural integrity of this delicate feature.

  • Lower Eyelid Fat Repositioning: Rather than removing fat from the lower eyelids, Dr. Renata prefers to reposition the fat to smooth the contours and eliminate the “tear trough” or “tear valley” that forms along the inner corner of the eye. This technique utilizes the patient’s natural lower eyelid fat and redistributes it to fill the tear trough area, effectively acting as a “long-term filler.” Unlike traditional fat removal techniques, which can create a sunken, hollowed look, fat repositioning preserves volume and avoids the need for future fat grafting or dermal fillers to correct the hollowed effect.
  • Skin and Muscle Tightening: As the skin around the lower eyelid ages, it can sag and lose elasticity, contributing to a tired or aged appearance. Dr. Renata combines skin removal with muscle tightening to restore a firmer, smoother lower eyelid. This method follows fat repositioning and targets the external layers of the lower eyelid for a comprehensive rejuvenation. Since the lower eyelid is composed of multiple layers, addressing each layer's contribution to aging is essential for achieving optimal and lasting results. By tightening both the skin and muscle layers, patients benefit from a more secure, rejuvenated look while minimizing the risk of complications such as lower eyelid retraction and malposition after surgery.
  • Canthopexy and Canthoplasty: To provide additional support and stability to the lower eyelid, Dr. Renata performs a canthopexy or canthoplasty in conjunction with lower eyelid blepharoplasty as needed. These techniques strengthen the ligaments around the outer corner of the eye to ensure the lower eyelid is securely lifted and properly positioned. This step further prevents complications such as lower eyelid malposition or “rounding” of the lower eyelids and ensures that the results remain stable over time.

Addressing Fine Lines and Wrinkles: For patients with advanced skin aging or UV damage, Dr. Renata may combine CO2 laser resurfacing with lower eyelid surgery. This improves the skin’s texture, smoothing fine lines and wrinkles for a more rejuvenated, youthful appearance.

Brooklyn blepharoplasty model with black hair

How do I know if a Blepharoplasty is right for me?

Dr. Renata is a valuable resource for questions about your blepharoplasty surgery.

An eyelid lift is a powerful anti-aging solution that removes excess skin around the eyes, reduces puffiness or under-eye bags, and lifts sagging tissues that contribute to an aged and tired appearance. In some of our New York Blepharoplasty patients, treating the excessive upper eyelid skin may also improve their peripheral vision. In such cases, patients are also advised to see their ophthalmologist to thoroughly evaluate their vision and other related eyelid concerns. Patients considering Blepharoplasty must be in overall good health, avoid smoking, and manage any chronic conditions affecting their health before having surgery.

If you have an uncontrolled medical illness or ongoing treatments with your eye doctor, you may not be a candidate for Blepharoplasty until your conditions are well managed. It is also important to evaluate the health and condition of your eyes before any cosmetic surgery. At RENATA Facial Cosmetic Surgery, patients receive exceptional customer service, a welcoming environment, scheduling flexibility, and an unparalleled level of personal attention to their needs and wishes.

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"Dr. Khelemsky brings the "art" of medicine to a whole new level. She is a perfectionist that took her time with my procedure. I couldn't be more pleased with my results. My surgery was on a Friday morning, and Dr. Khelemsky came in on both Saturday and Sunday to ensure that I was healing appropriately and my pain was being managed… I can't tell you how pleased I am with the results even now."

—Facelift patient | RealSelf

"Dr. Renata Khelemsky did an amazing job with my rhinoplasty. In the consultation, she identified what changes would be made to best work for my face and listened to my concerns. I am so happy with the results and would highly recommend her to anyone interested in this procedure."

—Rhinoplasty patient | RealSelf

"Dr. Khelemsky is an amazing doctor and artist. She did my filler and I am so happy with it. I will recommend her to everyone I know. She explains everything so that you can understand."

—Dermal filler patient | RealSelf

"Dr. Khelemsky is an outstanding physician... She herself is very calming and makes you feel at ease and confident in the decision you are making. I am overjoyed with the results of my facelift, and would definitely do it again. If someone is thinking about a facelift or any procedure and is apprehensive... Dr. Khelemsky will give you great reassurance… When I look in the mirror, in Zoom, in selfies - I now love my jawline and my whole face in general."

—Surgical Facelift patient | RealSelf

"Awesome! She was patient and very quick with no pain. She explained everything thoroughly with me and definitely knows her skill set! I trusted her expertise in natural-looking adjustments and it turned out fantastic!"

—Dermal filler patient | RealSelf

"I love coming to see Dr. Khelemsky! She has the patient's best interest in mind and I always feel Dr. Khelemsky addresses what look I am going for and is right on the money. I walk out of the office feeling much more confident than when I came in. I will always trust Dr. Khelemsky and she most definitely has a patient for life. She does both my Botox and lip fillers and both procedures have always been flawless."

—Lip filler patient | RealSelf

"Dr. Khelemsky did an outstanding job on my nose. She explained everything in detail from the very first consultation. She's professional, caring and her attention to detail makes her the absolute best surgeon! I'm extremely happy with my results and highly recommend her to anyone."

—Rhinoplasty patient | RealSelf

"I had a wonderful experience from start to finish. She was extremely professional, answered all my questions before my Botox and injectable treatment. There was very little discomfort and hardly any bruising at all. I am thrilled with the results and will use her again for future treatment. I would highly recommend her."

—Botox patient | RealSelf

"My experience was great! Dr. K is very good at explaining her vision for results with injectable fillers. She is warm and friendly and a delight to chat with. It has been years since I have had a "real" Doctor sit and talk and do an almost painless procedure."

—Dermal filler patient | RealSelf

"I recently had eyelid surgery performed by Dr. Khelemsky… From the moment I saw her in the surgery center I felt at ease and knew everything was going to be OK. The surgery went well… Referred by my eye doctor, my eyesight is better already. I look forward to recommending my family and friends to Dr. Khelemsky, she has the qualities that everyone seeks out in a true medical professional."

—Blepharoplasty patient | RealSelf

Preparing for Blepharoplasty Surgery

Take time to prepare for surgery to experience optimal recovery.

Blepharoplasty is a delicate surgery that will create a youthful and more toned appearance in the eyes. Preparing for the day of surgery ensures that you will have adequate support and a smooth recovery. Here are several tips you can do to ensure success before and after Blepharoplasty:

One to Two Weeks Before

  • Follow instructions about taking or avoiding certain medications
  • Avoid smoking because it decreases blood flow and can impede healing
  • Wear sunscreen and avoid direct exposure to the sun around the eyes
  • Fill your prescriptions and obtain the necessary eye care products
  • Review your post-operative instructions with your caregiver
  • Set up voice assistance on your electronics
  • Pre-download books or music you enjoy to keep you company

Surgery Day

  • Assign a friend or family member to drive you home
  • Wear comfortable, loose-fitting clothes and shoes
  • Give your surgical folder to your caregiver
  • Bring sunglasses to protect your eyes on the ride home after your surgery

Right before your Blepharoplasty New York Facial Cosmetic Surgeon, Dr. Renata, will answer any further questions and review your surgical plan.

Blepharoplasty Procedure

providing a smooth and youthful contour

New York Blepharoplasty Surgeon, Dr. Renata, uses highly advanced surgical techniques, including fat-preservation of the lower eyelids to erase the lower eyelid tear-trough and provide a smooth and youthful contour. Blepharoplasty is an outpatient surgery, and patients return home the same day. Upper eyelid blepharoplasty can be performed in the office while awake. However, lower eyelid surgery most often requires sedation anesthesia in an operating room.

Upper Eyelid Lift: For an upper blepharoplasty, the incision is made along the crease of the upper eyelid. Excess skin is removed, and fat deposits may be sculpted or reduced. Some patients will require additional steps that address droopy eyelids caused by dysfunction of the eyelid muscles. This condition is known as ptosis. Ptosis repair is a delicate and technically challenging surgery. Dr. Renata is a double board-certified facial cosmetic and reconstructive surgeon and has extensive experience in the diagnosis and treatment of eyelid ptosis. Using delicate techniques to ensure safety and accuracy, Dr. Renata specializes in both cosmetic and functional eyelid surgery, which are performed at the same time depending on the needs of each patient.

Lower Eyelid “Fat-Preserving” Lift: Lower eyelid blepharoplasty often requires sedation anesthesia to ensure comfort for the patient and safety in surgery. Using a unique and multi-layered surgical approach, New York Facial Cosmetic Surgeon, Dr. Renata, performs her signature fat-preserving technique to rejuvenate the lower eyelid. An incision is made inside the lower eyelid, also known as a trans-conjunctival incision, in order to access the fat of the under-eye bags. In this procedure, Dr. Renata carefully isolates and repositions the lower eyelid fat into a pocket along the cheek that lessens the shadow of the tear trough. While many surgeons choose to remove the fat of the lower eyelid, Dr. Renata preserves the natural and youthful fat to blend and erase the shadow of the under-eye region.

Additional Reading

Additionally, a delicate skin incision hidden just beneath the lower lashes is used to remove excess skin, tighten the muscles, and support the ligaments of the lower eyelid, creating a multi-layer lift that is key to this procedure. Lower eyelid fat-preserving blepharoplasty is most commonly performed with an upper eyelid lift to obtain a complete and natural rejuvenation of the eyes.

Blepharoplasty Recovery

An optimal healing experience. Recovery from eyelid surgery tends to be a smooth and pleasant experience. Most often, suture removal is not required because your sutures are self-dissolving. After your Blepharoplasty surgery, you will need to use cool ice compresses over the eyes and keep your head elevated in bed. Strenuous activities are strictly prohibited for two weeks. It is advised to avoid direct sun exposure and wear sunglasses for several weeks when outdoors or driving. Swelling, bruising, and the sensation of dry eyes may occur, but these symptoms usually subside within several weeks. Patients can generally expect to return to work after two weeks. However, some elect to take an additional week of recovery. Avoid the use of contact lenses and strenuous exercise for six weeks after surgery. Dr. Renata provides specific post-operative instructions to ensure you know the necessary precautions for optimal healing and results.

Blepharoplasty Results

Your results are immediately noticeable; however, after a Blepharoplasty New York patients will have swelling and bruising that will be apparent. It is normal to experience blurry vision for several days due to swelling and the use of eye ointments. It is important to remember that swelling varies from patient to patient, and some will have more swelling than others. However, swelling is a normal event and will not affect your final results provided you follow along with your post-operative instructions. For patients who have upper eyelid surgery alone, most can return to their daily routine within one week. For lower eyelid surgery, most patients are ready to return to work and social activities after two to four weeks. Your results are permanent; however, over time, natural aging still occurs. Therefore, it is important that you apply sunscreen every day and treat your eyes with gentle care to maintain your aesthetic results.

Aftercare & Scar Management
for Blepharoplasty

Recovery from blepharoplasty requires proper aftercare and attention to details. Swelling and mild bruising are expected for the first one to two weeks but begin to subside after several days. Most patients feel comfortable returning to work and social activities within 10 to 14 days.

To optimize healing and minimize swelling:

  • Keep your head elevated while sleeping.
  • Use cold compresses for the first 48-72 hours to reduce swelling.
  • Avoid strenuous activity or any physical exertion for at least two weeks.
  • Follow all post-operative instructions to ensure the best results.
Brooklyn blepharoplasty model smiling at the camera

Scar Care & Healing

Eyelid skin is delicate and highly vascular, allowing it to heal efficiently compared to other regions of the face and body. The incisions for both upper and lower eyelid surgery are carefully placed along the natural contours of the eyelids, ensuring that any resulting scars are discreet and virtually unnoticeable once healed.

For upper eyelid surgery, the incision is hidden within the natural upper eyelid crease, with a slight extension into the lateral crease of the crow’s feet region. This placement ensures that, once healed, the scar remains faint and nearly invisible, even when the eyes are closed.

For lower eyelid surgery, the fat repositioning technique typically involves a transconjunctival approach, with the incision made inside the lower eyelid to avoid any external scars. For most patients, however, the external component of the surgery, which involves an incision along the lower lash line, is necessary to provide an optimal result. Once healed, this incision blends seamlessly with the natural shadows of the lashes and extends into the crow’s feet area, ensuring a smooth and inconspicuous outcome.

To promote optimal scar healing:

  • Apply medical-grade scar gel when directed to do so.
  • Wear sunglasses when outdoors, especially in the first few weeks after surgery.
  • Avoid direct sun exposure and always wear sunscreen to prevent pigmentation changes.
  • Refrain from rubbing or pulling at the incisions to prevent premature stretching.
  • Consider post-operative laser treatments to further refine the appearance of healing scars as recommended.

Why choose RENATA Facial Cosmetic Surgery?

We offer surgeon-based care focused on highlighting your unique beauty. Possessing a keen eye, gentle touch, and deft technical skill, Dr. Renata stays at the forefront of aesthetic medicine to bring you the highest level of care available, tailoring every service to your unique needs.

Our state-of-the-art facial aesthetic clinic is located in DUMBO, Brooklyn, in New York City. We cater to the local areas, including Downtown Brooklyn, Brooklyn Heights, Park Slope, Williamsburg, Long Island City, and Cobble Hill, as well as Manhattan and New York City at large. Patients can expect a premium experience in our luxury office setting, where attention to privacy and one-on-one care create a professionally tranquil and high-quality visit.

A double-board-certified facial cosmetic and reconstructive surgeon, Dr. Renata Khelemsky specializes in enhancing natural beauty. A Fellow of the American Academy of Cosmetic Surgery and diplomate of the American Board of Facial Cosmetic Surgery, her personalized approach begins with a comprehensive analysis of your facial features, ensuring each transformation celebrates your unique individuality.

Learn More About Dr. Renata
New York Surgeon, Dr. Khelemsky

Schedule your Blepharoplasty Consultation

at RENATA Facial Cosmetic Surgery Today

Call (646) 558-3757 or complete our online form to schedule your consultation for blepharoplasty. Our tailored approach to eyelid lifting (blepharoplasty) and advanced surgical techniques set us apart from other providers, ensuring a naturally beautiful outcome as well as a top-notch experience. Schedule your personalized consultation with New York Facial Cosmetic Surgeon, Dr. Renata Khelemsky, today.

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Blepharoplasty (Eyelid Lift)

Frequently Asked Questions

Depending on the specifics of your surgery, you will receive local anesthesia and possibly sedation anesthesia. This ensures that you will remain comfortable and relaxed, with no discomfort or anxiety during the procedure. For office-based procedures, a light sedative may be provided to help you feel more at ease before the surgery begins.

Recovery after blepharoplasty is typically not painful, though you may experience mild discomfort for a few days. During this time, cool compresses and over-the-counter medications are usually sufficient to manage any discomfort and support your recovery.

Blepharoplasty is a safe and effective procedure, and choosing a board-certified facial cosmetic or reconstructive surgeon will ensure that you are in the best of hands. Common though treatable risks after surgery include prolonged eye dryness and irritation, prolonged swelling and bruising, as well as suture reactions. Severe complications are uncommon and include infection, bleeding, poor cosmetic results, and changes in vision. Dr. Renata has extensive experience in cosmetic, functional, and revision eyelid surgeries, and your specific needs will be met with the highest level of excellence, training, and personal care.

Upper blepharoplasty addresses excess skin on the upper eyelids that causes a hooded appearance, restoring a youthful and defined upper eyelid platform. Lower eyelid blepharoplasty, on the other hand, targets under-eye bags, wrinkles, and sagging, crepey skin in the lower eyelid region.

Since aging affects both the upper and lower eyelids, many patients with signs of aging in both areas benefit from a combination of upper and lower eyelid procedures performed at the same time. This approach provides comprehensive rejuvenation, ensuring a balanced result and preventing an unbalanced or “unfinished” appearance by leaving one eyelid untreated.

Yes, upper blepharoplasty can improve vision in cases where sagging eyelids obstruct peripheral vision. Peripheral vision can be tested by an ophthalmologist before and after surgery to measure the improvement.

While some insurance companies may cover upper eyelid blepharoplasty for patients who qualify based on peripheral vision testing, our practice does not participate with insurance providers. However, cosmetic upper blepharoplasty offers the same benefit of enhancing peripheral vision while also rejuvenating the upper eyelid. This procedure focuses on creating a youthful, natural upper eyelid crease, paying attention to nuanced cosmetic details that are often overlooked in strictly functional eyelid surgeries.

Upper eyelid surgery is typically performed in-office under local anesthesia, though patients may choose sedation anesthesia for added comfort during the procedure. For those undergoing in-office eyelid rejuvenation, anxiety-relieving medication is provided to help minimize discomfort and ensure a relaxed experience.

Lower eyelid surgery, especially when addressing under-eye bags or fat repositioning, usually requires sedation anesthesia to provide the most precise and comfortable experience.

Patients should avoid wearing makeup for at least two weeks following blepharoplasty to prevent irritation or infection. Additionally, it is recommended to refrain from using contact lenses for three to six weeks, depending on the type of surgery performed.

For patients who have undergone canthopexy or canthoplasty as part of a comprehensive approach to the lower eyelids, the tightness and swelling may temporarily restrict the ability to comfortably insert or remove contact lenses. During this healing period, it's best to use reading glasses instead, as the swelling may also affect the fit of the lenses.

To minimize scars after blepharoplasty, it's important to follow proper scar care practices, including using silicone-based scar gel, avoiding sun exposure, and carefully adhering to all post-operative care instructions. This helps prevent excessive bleeding and swelling, which can affect healing. Since incisions are placed within natural creases of the eyelids, scarring is typically minimal and fades gradually over time.

Yes, blepharoplasty is often combined with other procedures, such as a brow lift. Many patients discover that the heaviness of the upper eyelids is not solely due to excess skin, but also the result of brow aging and descent, which can contribute to crowding along the upper eyelid crease. In these cases, combining blepharoplasty with a brow lift can offer a more comprehensive rejuvenation.

One of the most common brow lifts is the temporal brow lift, which conservatively restores the natural arch of the brow without aggressively lifting it. This approach gently “resets” the brows to a more youthful position, providing a natural, rejuvenated look. It does not create an overly dramatic or artificial appearance, making it a highly effective and subtle solution for addressing brow sagging.

If a brow lift is delayed for a future time, upper eyelid blepharoplasty alone can still provide significant cosmetic improvement. However, patients should understand that the final result might not be as optimal as if both procedures were performed together. It is important to note that more aggressive upper eyelid lifting cannot fully compensate for the effect of heavy brows.

Yes, especially for patients undergoing lower eyelid surgery or those with underlying ocular conditions. An ophthalmologist’s clearance, baseline examination, and recommendations are often recommended to ensure that there are no existing eye health issues that could affect the outcome of the procedure or hinder the healing process. If you have any pre-existing eye diseases, such as dry eye or glaucoma, it's important to have these managed before undergoing blepharoplasty. This ensures a safe procedure and optimal results for your blepharoplasty.

No, blepharoplasty does not change the natural size of the eyes. However, by removing excess skin and puffiness that can obscure the natural almond shape, it can create the illusion of more open, rested, and youthful eyes. Many patients notice that their eyes look more awake and larger after the procedure, similar to the shape and size of their younger years.

While blepharoplasty is primarily a restorative procedure, it enhances the appearance of the eyes by revealing and rejuvenating the eyelid area rather than altering the fundamental shape of the eyes. In contrast, overly aggressive or complex surgeries that stretch, pull, or cause downward migration of the skin can change the eye shape. Dr. Renata has extensive experience in performing both cosmetic and reconstructive eyelid surgeries, using techniques that prevent such complications and respect the natural eyelid anatomy. In fact, she frequently corrects issues caused by overly aggressive surgeries in patients seeking revision procedures.

Yes, blepharoplasty, particularly lower eyelid surgery, can effectively address under-eye bags. The procedure works by removing or repositioning herniated eyelid fat that has protruded forward, creating the appearance of bags. Lower eyelid blepharoplasty can smooth out these bags and reduce the shadows that contribute to the look of dark circles.

However, if pigmentation is the primary concern, additional treatments such as laser therapy or topical medication may be recommended to improve skin tone and discoloration. It's also important to note that some dark circles are caused by the visibility of vascular structures beneath the thin, delicate eyelid skin. Unfortunately, this condition can be challenging to treat, and it may not respond well to treatments like laser therapy.

Fat repositioning in lower blepharoplasty involves redistributing the naturally occurring fat to smooth out the tear trough region, rather than simply removing it. This technique helps prevent a hollowed-out appearance, which can occur when fat is removed without addressing volume loss in the midface. By repositioning the fat, the procedure restores a more youthful and refreshed look, without leaving behind deep hollows.

Some surgeons may prefer to remove fat and then perform a secondary fat grafting procedure to achieve the desired contour. While this is a viable approach, it carries additional risks and complications due to the need for two surgeries. In contrast, fat repositioning provides a more holistic and anatomically sensible approach, as it keeps the fat’s natural blood supply intact. This allows the fat to thrive in its new location along the tear trough with a higher rate of success, avoiding the potential complications associated with grafted fat in the thin skin region of the lower eyelid.

Yes, younger patients can benefit from fat repositioning in lower eyelid surgery if they have early signs of under-eye bags or a naturally occurring tear trough deformity. The decision to undergo any surgery is based on eyelid anatomy and a patient’s specific concerns, rather than age. Instead of removing fat, fat repositioning restores volume to the hollow and flattened tear trough area using natural lower eyelid fat, creating a smoother, more rested appearance.

While this technique is similar to using dermal fillers for under-eye bags, fat repositioning offers a true anatomical change, while fillers are simply a temporary camouflage. Fat repositioning also has the advantage of being a long-lasting solution. Fillers, though effective, can cause water retention, prolonged swelling, or contour issues over time. Fat repositioning offers a permanent solution by successfully rearranging the anatomical components that make up the tear trough, making it an excellent option for those seeking long-term improvement in the appearance of under-eye bags and dark circles.

For upper eyelid surgery, incisions are placed within the natural eyelid crease, making them virtually invisible. For lower eyelid surgery, incisions are typically hidden inside the lower eyelid (transconjunctival approach) or placed just below the lash line for seamless healing. If incisions extend beyond the lateral corner of the eye, they follow the natural creases in the crow’s feet area, which blend well into the skin creases upon healing. Dr. Renata prefers to finesse all healing incisions early on with a CO2 laser to assist with fading and smoothing of the texture.

When selecting a blepharoplasty surgeon, it’s crucial to consider certain qualifications to ensure a safe and successful outcome. Blepharoplasty can be performed by various types of surgeons, including general plastic surgeons, ophthalmologists, oculoplastic surgeons, and facial surgery specialists such as facial plastic surgeons who focus on cosmetic surgery of the face.

The surgeon should be board-certified in their respective specialty, as this indicates they have completed extensive training and meet high standards of care. Experience is another critical factor, so it’s important to choose a surgeon who specializes in eyelid surgery and has a proven track record of successful procedures.

In addition to the surgeon's qualifications, positive patient reviews and testimonials, as well as before-and-after photos, can offer valuable insight into their skill and patient satisfaction. It's also important to ensure that the surgeon operates in an accredited medical facility and that you feel comfortable and confident in their care during the consultation process. Finally, don't hesitate to ask the surgeon to connect you with previous patients who have had similar procedures and are at different stages of recovery. Many satisfied patients are happy to share their experiences and provide helpful perspectives for prospective patients.

Some patients may be candidates for non-surgical eyelid rejuvenation using neuromodulators, dermal fillers, and laser skin resurfacing. For mild cases of lower eyelid bags or puffiness, dermal fillers can help improve the appearance of the tear trough and reduce the prominence of under-eye bags. However, when the skin becomes excessively loose, fillers may lead to water retention and are not always the best option.

Regular use of neuromodulators around the crow’s feet area, combined with laser skin resurfacing, can significantly improve the quality and texture of the skin, addressing fine lines and wrinkles that contribute to an aged appearance. These non-surgical treatments often complement blepharoplasty but can also provide minor improvements when performed alone.

Unfortunately, there is no non-surgical alternative for upper blepharoplasty. This is because the primary concern is often excess, hooded skin, which requires a reductive procedure, such as skin removal, to restore the youthful crease and contour of the upper eyelid.

Several factors influence the cost of blepharoplasty, including the surgeon’s experience, the type of procedure performed, and the geographical location. For example, in New York City, prices are typically higher due to the area's living and operating costs. Additional expenses, such as anesthesia, operating room fees, and post-procedure care, can also contribute to the overall cost.

The average cost of blepharoplasty in New York City varies based on the complexity of the procedure and the surgeon's expertise. Typically, the surgeon’s fee ranges from $5,000 to $15,000, depending on whether the procedure involves upper and/or lower eyelids, and if additional treatments like canthopexy, excessive skin removal, ptosis repair, brow lifting, or other adjunctive procedures are necessary for optimal results.

For a more accurate and personalized estimate, it’s best to consult with a board-certified cosmetic or plastic surgeon who can assess your individual needs and goals. During your consultation, you’ll receive a detailed breakdown of costs tailored to your specific procedure. While the initial investment may seem significant, many patients find the long-term, natural-looking results to be well worth it. Additionally, financing options are often available to help make the procedure more affordable.

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upper eyelid lifts
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in office eyelid lift
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// Preferred patient scheduling

Life can be demanding, and we understand. For patients who may be traveling, preparing for a last-minute occasion, or simply looking for a more exclusive experience without any inconvenience or delays, we are pleased to offer preferred patient scheduling. Patients may undergo a personal consultation as well as tailored cosmetic treatments during evening hours or weekends. Appointments are required and premium rates apply. Please call our office to inquire about preferred patient scheduling and allow us to create an exceptional experience just for you.

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A Luxury Cosmetic Practice

At RENATA Facial Cosmetic Surgery, patients receive excellent customer service, communication, personal attention, and scheduling flexibility. Located in the historical and breathtaking waterfront neighborhood of DUMBO, Brooklyn in New York City, our office serves local neighborhoods including Brooklyn Heights, Park Slope, Williamsburg, and Cobble Hill, as well as Manhattan and New York City at large.

Our office location is:
58 Prospect Street, Brooklyn, NY 11201

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