Eyelid Surgery Westchester (Blepharoplasty)

Hooding of the Eyelids 

When the excess skin of the upper eyelids droops over the eyelashes, it can impair vision and create a tired or heavy appearance. Upper blepharoplasty can correct this condition by removing the excess skin and improving the eyelid contour.  This should be differentiated from true eyelid ptosis where the lid itself is drooping because of an intrinsic issue with the muscles of the eyelid.

During upper lid blepharoplasty, incisions are typically made along the natural crease of the upper eyelid, allowing for a hidden scar. The excess skin and fat is removed. The incisions are then closed with fine sutures.

What is a Lower Lid Blepharoplasty? 

The lower lid blepharoplasty procedure addresses concerns related to the lower eyelids and is commonly performed to improve the appearance of under-eye bags, wrinkles, and sagging skin. The indications for a lower lid blepharoplasty include:

Under-Eye Bags 

The lower eyelids can develop fat deposits or puffiness, commonly known as under-eye bags. Lower blepharoplasty can remove or reposition the excess fat, resulting in a smoother and more youthful contour. Sometimes the puffiness is related to fluid which cannot be corrected surgically. The lower eyelid bags should be differentiated from malar festoons with which they are often confused

Excess Skin and Wrinkles 

With age, the lower eyelid skin can become lax and wrinkled. Lower blepharoplasty can remove the excess skin and tighten the lower eyelid, reducing the appearance of wrinkles and creating a more refreshed look.

Tear Trough Deformity 

The tear trough is the groove that extends from the inner corner of the eye to the cheek. In some individuals, this area can become hollow or depressed, creating a tired or aged appearance. Lower lid blepharoplasty can address this concern by filling in or repositioning the fat and tissue, restoring a smoother transition between the lower eyelid and cheek.

During the lower lid blepharoplasty, the surgeon makes incisions either just below the lower lash line (transcutaneous approach) or inside the lower eyelid (transconjunctival approach). The choice of incision depends on the specific needs of the patient. Excess fat, muscle, and skin are then adjusted or removed as required to achieve the desired result.

Recovery Time 

It’s important to note that each blepharoplasty procedure is highly individualized, and during your consultation, we will assess your specific concerns, discuss your goals, and recommend the most appropriate technique (including nonsurgical options such as laser, radiofrequency and plasma) for you. Recovery time can vary depending on various factors but our certified plastic surgeon recommends planning for 7-10 days. 

Please feel free to ask any further questions you may have. We are here to address your concerns and guide you through the process.

Make an Appointment with our Westchester Blepharoplasty Surgeon 

Dr. Rothaus is on staff at The New York Presbyterian Hospital-Weill Cornell and at The Hospital for Special Surgery.  His Manhattan office and office-based surgery center are located on the Upper East side of Manhattan.  Dr. Rothaus has, however, maintained for his Westchester and Connecticut patients a conveniently located Westchester office for almost two decades. He and his staff are available in their White Plains office to provide consultations and take care of all your pre-operative and post-operative care. If you have any questions or concerns about the blepharoplasty procedure, we are here to address them and guide you through the process. Contact our Westchester office to schedule your consultation.