Blepharoplasty

Eyelid Surgery / Eye Lift

When the eyelid loosens or falls, patients often feel a disconnect between the way they look and how they feel. Dr. Lattman’s eyelid rejuvenation and repair provides the muscle support required to reduce this common look of fatigue.


The eyelids often can be the first area of the face to show signs of aging.  Over time, the upper eyelids develop excess hanging skin which causes the lids to drop and the eyelids to be obscured.  Under eye bags develop when the fat pads under the eyes bulge and expand, making the lids look puffy and tired. Under eye hollows can also form from and make dark circles under the eyes impossible to hide with cover-up.  

The brows also play a role in the aging of the upper eyelids.  Low brows contribute to eyelid “hooding” especially on the outer corners of the eyelids.  Dr. Lattman has specific expertise as an oculplastic surgeon to treat these aging changes of the eyelids and brows.

Upper Blepharoplasty

When folds of skin appear on the upper eyelids, patients feel a disconnect between the way they look and how they feel. Dr. Lattman’s eyelid rejuvenation and repair reverses these aging changes,while maintaining the natural shape of each individual’s eyelids.  The goal of upper eyelid surgery is to restore a youthful and energetic look to the eyes while maintaining a natural aesthetic.

During an upper lid blepharoplasty, a small incision is made across the upper eyelid and the excess skin is removed.  Fat is strategically sculpted to improve the contour of the upper eyelid.  The incision is placed in the natural crease of the upper eyelid, so that it is hidden from view.

Upper eyelid blepahroplasty can be performed simply with local anesthesia in the office. For patients that desire to have more sedation, the surgery is done in Dr. Lattman’s private surgical center, with anesthesia.  Patients go home after the surgery and resume most activities the next day.  Healing time is about a week.

Lower Blepharoplasty

When eyelid bags develop, patients often complain of looking tired all the time even after a good night’s rest. No matter what they do, they can’t get rid of the bags and tired look to the eyes. Dr. Lattman takes great care to individually tailor her approach for patients seeking natural-looking lower eyelid rejuvenation.

Since each person’s eyelids are unique, Dr. Lattman will use one of several different approaches for eyelid surgery, based on your own needs. For the lower-lid blepharoplasty, she will use either a trans-conjuctival approach or a subcillary approach. The first provides safe and easy access to the bags to be removed, without an external incision. This is often indicated for younger patients with small eyelid bags. The subcillary approach is used when there is excess skin and muscle that needs to be tightened and supported.

Dr. Lattman has developed and published scientific articles about an innovative technique that allows her to tighten the deeper structures in the eyelids. This is known as an orbicularis muscle flap and suspension. Often, the lower eyelid muscle called the orbicularis oculi loosens and falls, further accentuating the appearance of bags and hollows. In these cases neither traditional transcutaneous or transconjunctival blepharoplasty can achieve optimal rejuvenation. Instead, an orbicularis muscle suspension provides a more complete correction. Re-supporting the muscle sheet helps to better define the cheeks, sustain the natural shape of the lids, and reduces the tired appearance of the eyes. Read More about this procedure: Article 1  Article 2

Elevation of the orbicularis muscle to support the eyelid.

Elevation of the orbicularis muscle to support the eyelid.

Development of the orbicularis muscle flap.

Development of the orbicularis muscle flap to support the eyelid.

What to Expect

During your consultation, Dr. Lattman will evaluate the contours and individual characteristics of your entire face so that your eyelid rejuvenation blends perfectly with the rest of your face. She will also evaluate the position of your eyebrows, as the descent of the brows often crowds the upper lids, thus reducing the distance from the eyebrow to the eyelashes. Dr. Lattman will also evaluate your skin and make suggestions for addressing wrinkles and contour issues, if necessary. A typical blepharoplasty, usually performed as an outpatient procedure, takes about an hour and you will go home the same day. All forms of blepharoplasty may also be combined with an endoscopic brow lift, laser resurfacing and injectable fillers for best results.

Consult with Dr. Lattman to see what type of blepharoplasty is right for you.

Please reach out to Sophia, our Patient Coordinator, with your photos and questions, via email at Sophia@nyplasticmd.com or by phone at 212-832-5456.

 

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