Blepharoplasty Archives - Jessica Lattman, MD

Combining Upper and Lower Blepharoplasty for a Full Eye Rejuvenation

Jessica Lattman, MD — Wed, 07 Jan 2026 23:41:20 +0000

You may have heard of eyelid surgery (blepharoplasty) and its ability to improve the appearance of the eyelids/eye area. But did you know that the procedure is split between two distinct approaches: upper eyelid surgery and lower eyelid surgery? These transformative aesthetic procedures can be performed individually or as part of a more comprehensive combined approach.

Patients seek out Dr. Jessica Lattman for this combined approach not only for the beautiful, balanced results, but because they know they are receiving care from a board-certified oculoplastic surgeon with over 25 years of experience and a reputation for the highest standard of patient care. Her unmatched expertise in eyelid anatomy allows her to enhance aesthetics while protecting the health, function, and integrity of the eyes.

What Can Upper Blepharoplasty Improve?

Upper eyelid surgery helps restore a lighter, more open look to the eyes by addressing excess skin that may droop, fold, or rest on the lashes. Many patients notice that their upper lids make them look more tired than they feel, or that applying eye makeup has become increasingly difficult.

What Can Lower Blepharoplasty Improve?

Lower blepharoplasty revitalizes the area beneath the eyes by reducing puffiness, smoothing lax skin, and improving the shadows or hollows that can contribute to a worn or stressed appearance. The outcome is a smoother, more awake look that aligns with your natural energy and expression.

Can Upper and Lower Blepharoplasty be Done at the Same Time?

Yes, upper and lower blepharoplasty can safely and effectively be performed during the same procedure. Combining both surgeries allows Dr. Lattman to rejuvenate the entire eye area in a harmonious, balanced way and often provides the most natural, refreshed result.

Many patients appreciate the convenience of a single recovery period, as well as the confidence boost that comes from seeing both the upper and lower lids improved together. Dr. Lattman will guide you honestly during your consultation to determine whether a combined approach is the best option for your goals.

When Should Upper and Lower Eyelid Surgery Be Combined?

If you want to improve the appearance of both the upper and lower portions of your eye area, you are a great candidate for both upper and lower eyelid surgery with Dr. Lattman.

Candidates for a combined approach will have conditions such as:

Drooping or hooded upper lids that make the eyes appear heavy or tired
Under-eye puffiness or bags that persist regardless of sleep or skincare
Loose or crepey skin affecting both the upper and lower eyelids
Shadowing or hollowing under the eyes that contributes to a fatigued look
A desire for comprehensive rejuvenation rather than isolated improvement
Changes related to aging that involve multiple areas of the eyelids simultaneously

Dr. Lattman carefully evaluates each patient during a private consultation, considering anatomy, goals, and overall facial balance before recommending a combined procedure. Her goal is always to guide you toward the safest, most natural-looking result without ever altering the unique characteristics of your eyes.

What Qualities Should I Look for in an Upper and Lower Blepharoplasty Surgeon?

When choosing a surgeon for upper and lower eyelid surgery, it’s essential to look for a specialist with advanced training in both the aesthetics and function of the eyes.

An oculoplastic surgeon (someone who is first trained as an ophthalmologist and then completes additional fellowship training in cosmetic eyelid surgery) possesses a level of precision, anatomical understanding, and safety that is especially valuable when operating near the eyes.

It’s also crucial to find a surgeon who prioritizes natural results, takes adequate time to listen carefully, and fosters a calm, unhurried, and welcoming environment. With Dr. Lattman, you will feel heard, supported, and confident that she understands your goals and will only recommend the most appropriate course of action. Many patients also rely on genuine patient reviews, before-and-after photos, and a practice culture that values warmth, responsiveness, and thorough follow-up care.

A surgeon who embodies expertise, artistry, and compassion, qualities patients consistently attribute to Dr. Lattman, will help ensure that your experience and your results are both exceptional.

“After meeting with a few oculoplastic surgeons, I chose Dr Lattman because she listened to my concerns and had a solid plan. She showed me pictures of similar cases she had done to the upper lid issues that I had, and the results were remarkable. After meeting her caring staff, I just had a really good experience and knew this was the right choice for the upper blepharoplasty. The surgery could not have been easier, zero pain afterwards, and the anesthesia was so mild for this particular procedure that I didn’t have any grogginess or nausea after. It’s been over a year, and my results have stayed beautiful. No scars! Highly recommend Dr. Lattman if you’re considering eye surgery.”

– Review from Google

Schedule Your Consultation for NYC Eyelid Surgery with Dr. Jessica Lattman

If you’re considering blepharoplasty in New York City, we invite you to experience the thoughtful, expert care that Dr. Lattman is known for. Call our office at (212) 832-5456 or contact us online to schedule your consultation. We welcome patients from the tri-state area, across the country, and around the world.

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Under Eye Bags – Case Study

Jessica Lattman, MD — Thu, 17 Jul 2025 17:01:30 +0000

This 54-year-old woman had been bothered by her under-eye bags for years. She finally couldn’t take them anymore and decided to have cosmetic eyelid surgery. I performed an upper and lower eyelid blepharoplasty on her 6 weeks ago. She is absolutely thrilled with her new eyelids.

I used a subciliary approach to do the surgery of her lower lids. This allowed me to recontour the lower eyelids and also tighten the skin and deeper muscle to give her a perfectly smooth lower eyelid with a natural look.

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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I Hate The Way I Look On Zoom

Jessica Lattman, MD — Thu, 17 Jul 2025 17:27:25 +0000

Life for all of us has changed. We are spending much more time on video platforms such as Zoom, Skype and FaceTime. Whether it be for social connection or work obligations we are all seeing more of ourselves. I have seen this reflected in conversations I have with patients daily in my office.

Patients often come into my office saying that they don’t like looking at their heavy upper eyelids, wrinkles or lower eyelid bags on video calls. It gives me great joy to offer both surgical and non-surgical options to improve the way my patients look and feel about themselves.

One of the most common procedures I have been performing lately is the upper eyelid blepharoplasty. This corrects heavy upper lids, removing skin that is drooping. It is a simple procedure that can be done with local anesthesia. Most patients are back to work within a few days.

I have also been combining the upper eyelid blepharoplasty with the endoscopic brow lift. This is helpful for patients who have a low brow, especially for those with heavy skin and drooping in the outer corners of the eyelids. The endoscopic brow lift gives a natural rejuvenation to the brow with hidden incisions and a fast recovery.

Lower eyelid surgery has also been extremely popular lately. With the lower eyelid blepharoplasty I am able to remove bags, tighten skin and lift lose muscle tissue under the eyes.

Overall it has been a busy time, keeping my patients feeling and looking good. I love helping patients keep their “cameras on” with confidence and feeling great about how they look.

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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Help, I Look Tired All The Time!

Jessica Lattman, MD — Thu, 17 Jul 2025 00:00:00 +0000

As an oculoplastic surgeon I spend many days talking to patients about how to improve the appearance of their eyelids. This can be a confusing topic. Patients often come to the office saying that they look “tired” all the time but don’t know exactly how to fix the problem. They tell me that no matter how much they sleep, they still wake up with dark circles and a tired appearance.

A tired appearance can be caused by several different issues. In this blog I am going to focus on the lower eyelids. Under eye bags and dark circles make the whole face look tired. No amount of sleep will help to improve the bags. Also, loose and wrinkled lower eyelid skin can give a “tired” appearance.

The non-surgical treatment for lower eyelid bags and dark circles is to use an injectable filler to smooth out the contour of the lower eyelid. I use Restylane in the lower eyelids. Filler can help to improve the couture of the lower lids and remove dark circles. Not everyone is a good candidate for lower eyelid filler. So it is important that I evaluate all aspects of the eyelid before choosing the best treatment.

The surgical treatment for under eye bags and dark circles is a lower eyelid blepharoplasty. In this procedure I remove and reposition fat pockets in the lower eyelid to improve the contour of the lid. If needed, I also tighten the deeper layers of the eyelid and trim the skin to give a smooth appearance to the eyelid. Often I will also resurface the eyelid skin with a CO2 laser to smooth out fine lines and improve the elasticity of the skin.

Call us at (212) 832-5456 Or request online that we call you back by submitting our online request form here.

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Cosmetic Eyelid Surgery In Men

Jessica Lattman, MD — Thu, 17 Jul 2025 19:35:16 +0000

Cosmetic eyelid rejuvenation for men has always been a part of my surgical practice. I see men of all ages who want to optimize the appearance of their eyes and upper face. In this blog I will go by age group and describe the most common procedures and how they are tailored for the male aesthetic.

20’s-30’s

Men in this age group will often be reaching out to me for cosmetic evaluations for the first time. Usually I help them achieve their goals with neurotoxins (Botox, Xeomin, Dysport, Jeuveau) and fillers. Cosmetic blepharoplasty is not that common in this age group, but sometimes I will treat lower eyelid bags with a lower eyelid blepharoplasty. For men in their 20s and 30s I almost always approach these bags through a transconjunctival approach. This means that the incision is on the inside of the eyelid so there are no visible scars.

A common surgery I do for men in their 20s and 30s is the repair of congenital ptosis. This is a condition when a child is born with a droopy eyelid which stays droopy as they grow. Often only one eye is affected but sometimes both lids can be droopy. If the droop is severe enough to interfere with the development of vision then it is always repaired in the first few years of life. However, if the droop is mild, then it is usually not repaired until later.

Men in their 20s and 30s often come into my office for repair of a mild droop. Thes surgery to repair this droop or “Ptosis” is simple and done as an outpatient procedure. I tighten the muscle that opens the eye to give it more pulling power. I do this from the backside of the eyelid so there is no incision on the skin and no visible scar.

40’s-50’s

Men in this age group often come to see me for non-surgical treatment of aging changes. This includes softening wrinkles with neurotoxin (Botox, Xeomin, Dysport, Jeuveau) and/or using fillers to soften contour issues. These non-surgical procedures are done in the office with no down time.

I also see men in this age group who have aging changes of the eyelids that need surgery. Most common are lower lid bags. Some men develop lower lid bags even in their 20s and 30s. Often there is a family history of developing early eyelid bags. In many cases I can approach these bags through a “trans-conjucntival” approach. This means that the incision is on the inside of the eyelid so there are no visible scars. I find this a very nice option, especially for men.

50’s and beyond

In this age group I treat patients with neurotoxins (Botox, Xeomin, Dysport, Jeuveau) and fillers, but surgery is often what brings patients first into my office. Heavy upper eyelids and lower lid bags are common complaints. I commonly perform upper and lower eyelid blepharoplasty. In men I take extra care to keep the eyelid looking “masculine.” This is achieved by the placement and shape of the upper eyelid lid crease and also carefully tailoring how much skin I remove from the upper eyelids.

Call us at (212) 832-5456 Or request online that we call you back by submitting our online request form here.

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Puffy Eyes: What causes them and what to do about them

Jessica Lattman, MD — Mon, 28 Jul 2025 09:21:38 +0000

A swollen eyelid occurs when excess fluid builds up in the loose connective tissues around your eyes, Typically a swollen eyelid will resolve on its own in a day or two. But if it lasts longer than then it is important to have it evaluated and treated.

There are several reasons that you may experience a swollen eyelid. They include:

Allergies – This is the most common cause of a swollen eyelid, especially this time of year. Most allergies are due to seasonal pollen, but the swelling can also be due to a reaction to food, chemicals or other irritants that get in contact with your eyelid skin.

Conjuntivitis – More commonly known as “pink eye,” this is an infection that causes swelling, redness and discharge from the eye. It can be caused by a virus, bacteria or allergens.

Chalazion – A blockage of a tear gland in your eyelid can cause a red bump that may be tender to the touch. This may cause swelling of the affected eyelid.

Orbital Cellulitis – This is an infection of the eyelid and the tissues around the eye. This can be caused by bacteria spreading from a sinus infection or trauma to the eyelid skin. It causes redness and painful swelling of the eyelids. This is a true emergency and needs to be treated with antibiotics.

Thyroid Related Eye Disease – Also known as “graves disease,” this is an autoimmune condition that causes inflammation around the eyes.

Orbital Tumors – This is a rare cause of eyelid swelling, but needs to be considered in cases when the swelling is persistent or causes other visual symptoms.

If your swollen eyelids don’t improve in a few days then they need to be evaluated and treated.

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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Coronavirus and Your Eyes

Jessica Lattman, MD — Thu, 17 Jul 2025 20:31:24 +0000

How can Coronavirus affect your eyes?

The coronavirus can spread through your eyes, just as it does through your nose or mouth. When someone who has coronavirus coughs or sneezes, virus particles spray from their mouth or nose onto your face. You may then breathe these tiny droplets in through your nose or mouth. The virus can also enter your body through your eyes. You can also become infected by touching your eyes after touching something that has the virus on it.

It may be possible for the viru to cause pink eye infection (conjunctivitis), but this is extremely rare. At this time, we do not believe that coronavirus causes chalazions or other eyelid conditions.

Protecting Your Eyes

Covering your eyes with glasses or a face shield can help to slow the spread of coronavirus. Here are some ways to keep your eyes safe and healthy.

If you wear contact lenses try switching to glasses for a while. Contact lens wearers touch their eyes more often than the average person. So consider wearing glasses for a while especially when you are out of the house. Also wearing glasses may add a layer of protections. But remember that glasses do not provide 100% security. If you are caring for a sick person consider wearing goggles or a face shield.

Avoid rubbing your eyes. Especially as allergy season gets into full swing, it can be hard to not rub your eyes. If you feel the urge to rub your eyes, consider using a tissue instead of your fingers. Dry eyes can also lead to more rubbing, so consider adding an artificial tear drop to your routine. There are also many good over the counter allergy drops that can help to stop the itch. If you must touch your eyes, first wash your hands with soap and water, and then wash them again after touching them.

If you have other questions or concerns please reach out to my office. I am currently seeing urgent patient issues in the office and also doing remote consultation.

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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Tips for taking care of your Eyelid Skin

Jessica Lattman, MD — Thu, 17 Jul 2025 20:41:06 +0000

The eyelid skin is often the first area on the face to show signs of aging. I see many patients who are bothered by the skin under their eyes, but are not yet candidates for cosmetic eyelid surgery. Many patients often ask what they can do to rejuvenate the delicate eyelid skin, and how they can prevent aging.

First, the skin around your eyes is thinner and more delicate than the skin on any other part of your body. Because the eyelid skin is in constant motion, blinking, smiling etc, it gets a lot of wear and tear. Also the eyelid skin is exposed to UV rays more than other areas of the body. Genetic predisposition can also lead to early aging around the eyes.

Common issues related to the eyelid skin are, fine lines, discoloration, dark circles and puffiness. No matter what your age, it is never too soon, or too late to start caring for your eyelid skin. Here are a few of my favorite tips:

Sun Protection:

Sun exposure is the eyelid skin’s biggest enemy! Apply sunscreen everyday, and protect your eyes with sunglasses that block UVA and UVB rays. I love Elta MD SPF 46 clear facial sunscreen. I keep it next to my toothbrush and put it on every morning. I also keep a bottle in my office and reapply before I go home.

Stay Hydrated:

Keeping well hydrated improves skin elasticity and hides fine lines. Drinking water and avoiding excess salt reduces water retention and can help to bring down puffiness.

Eat Well:

Avoiding processed foods is a must. An anti-inflammatory, plant based diet can help the eyelid skin to stay more youthful. My favorite anti-aging foods are spinach, almond milk, hummus and blueberries.

Skin Cream:

I use skin better, rejuvenate smoothing daily treatment eye cream. It helps to treat fine lines and improves the overall quality of my skin.

Botox, Xeomin, Dysport:

Neuromodulators help to decrease fine lines and wrinkles by relaxing the muscles of facial expression. So not only do they work to make you look better now, they also prevent the skin from prematurely aging by reducing the wear and tear on it.

Laser Resurfacing:

In my office I have a Co2 laser that I treat the eyelid skin with. This is a great way to rejuvenate the eyelid skin. In only a single treatment the laser can reduce fine lines, give the skin a more firm and smooth appearance, improve scars, reduce sun damage, reduce skin blotches and improve pigmentary changes.

Filler to the Lower Eyelids:

In some patients, hollow areas on the lower lid can cause the skin to appear dark and shadowed. Filler to the lower lids can improve contour issues and give the eyelid and the eyelid skin a smoother appearance

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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How to Prepare for Your Eyelid Surgery

Jessica Lattman, MD — Thu, 17 Jul 2025 20:44:27 +0000

A blepharoplasty, or cosmetic eyelid surgery, is a great way to rejuvenate the entire appearance of the face. The procedure corrects droopy, sagging, puffy eyelids that have been affected by aging, gravity, and genetics. Preparing for your recovery can make that first week a breeze. Here are a few tips to prepare for a successful recovery after cosmetic eyelid surgery.

Get ready for your surgery in the week before it happens.

Leading up to your surgery, check off the things on your to do list that are pressing so that you don’t have to worry about them in the days after your surgery. Download audiobooks and podcasts onto your iPhone for easy listening while you are icing in the first 48 hours. My office will provide detailed written instructions for the week before and after the surgery. Review these to make sure you understand what you will need to do. My staff and I are always available for questions.

Be ready to take it easy the first few days

Following your blepharoplasty surgery, you should expect some swelling and bruising around the eyes. During the first 48 hours after your surgery, getting enough rest and applying cold compresses to the area is key to an easy recovery. Also keeping your head slightly elevated will help reduce swelling. Typically your first post-op appointment with me will be at 7 days to have your stitches removed.

Get lots of sleep, eat well and drink plenty of fluids

After surgery it is a great idea to give your body what it needs to heal. That would include eating a well balanced diet with lots of fresh veggies and protein. This will provide your body with the macronutrients it needs to heal. Also limiting sodium intake and drinking lots of fluids will help to reduce swelling.

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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What can I do to rejuvenate my eyes?

Jessica Lattman, MD — Thu, 17 Jul 2025 20:47:55 +0000

As an eyelid specialist, I see patients every day who are bothered by aging changes of their eyelids. I am often asked, “What can I do to rejuvenate my eyes?” Some of my patients come to see me with a procedure in mind and others are interested in simply knowing what’s possible. Below are surgical and non-surgical options for improving the appearance of the eyelids:

Cosmetic Blepharoplasty: Cosmetic Blepharoplasty is a surgical procedure where the upper and/or lower eyelids are rejuvenated. This involves the removal of excess skin and the tightening of the underlying muscle. Fat pockets are also trimmed and/or repositioned to improve the contour of the eyelid.
Injectable Filler to the Lower Eyelids: Injectable fillers such as Restylane can be injected into depressions of the lower eyelid to improve contour. This can help to improve the appearance of lower eyelid bags and dark circles.
Laser Skin Resurfacing: In my office I use a fractionated CO2 laser to improve the appearance of the eyelid skin. This laser reduces fine lines, gives the skin a firmer, smoother appearance, improves scars, reduces sun damage such as brown spots and reduces skin blotches. The laser can be used to treat just the eyelid skin or the whole face.

Endoscopic Brow Lift: Sometimes a heavy-appearing upper lid can be exacerbated by a low brow. The upper lid appearance is very much impacted by the eyebrow position. Eyebrows that have fallen with age can give a tired and heavy appearance to the upper eyelids. An endoscopic brow lift surgically repositions the eyebrows back to a youthful and natural position.
Botox, Xeomin, Dysport (Neuromodulators): When strategically placed, neuromodulators can help to rejuvenate the eyelids. Neuromodulators can be used to subtly raise the eyebrows and decrease eyelid wrinkles. Neuromodulators are a great option for men and women to both improve the eyelid appearance and prevent wrinkles from developing.

Call us at (212) 832-5456 or request online that we call you back by submitting our online request form here.

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