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Blepharoplasty (Eyelid surgery) in Manhattan

I have seen some people after they have had their eyes done and have noticed that they have too much of the white part of their eye showing? How do you avoid this?
This may happen as the result of poor lower eyelid tone. Preoperatively, patients are examined for this potential deformity. Sometimes a tightening procedure called a canthopexy or canthoplasty is performed to provide better support to the lower lid. This is performed by suspending the corner of the eye at the lateral canthus to prevent “the white of the eye” or sclera from showing too much.

Should I have a brow lift instead?

Some patients request eyelid surgery, when in fact they are better off having a brow lift first. They often complain about hooding of the upper lids. Commonly, the eyebrows are too low and require elevation. The elevation of the brow that is performed during a brow lift procedure also can treat the hooding of the upper eyelid and may preclude the need for eyelid surgery completely.

I’ve seen people with very hollow looking eyes after their surgery. How do you prevent it from happening?

It is very important to perform a conservative upper eyelid procedure. The goal is to preserve the soft tissue so that the upper eyelid does not appear “hollow” but yet looks rejuvenated.

I have very puffy lower lids; can you treat them without adding scars to my face?

The puffy lower lids are usually due to pockets of fatty tissue. Sometimes the puffiness may be due to edema, or swelling, like that, which can occur in the lower legs. If it is due to fat then I can perform surgery using an incision on the inside of the lower lid. This eliminates any scar on the outer skin of the lower lid. Pockets of fat can be removed conservatively or redraped over the orbital rim to improve the contour.

What can I do about the fine wrinkles and loose skin of my lower lid?

Often the lower lid skin can be treated conservatively by direct excision. If there are only fine lines these can be treated by chemical peeling or by laser treatment.

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