Cosmetic Surgery 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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The Different Types of Ptosis

Jessica Lattman, MD — Wed, 07 Jan 2026 23:26:01 +0000

What Are the Different Types of Ptosis?

When the upper eyelid begins to droop lower than normal, it can affect not only your appearance but also your vision and eye comfort. This condition, known as ptosis, is more common than many people realize, and it can occur at any age.

As a board-certified oculoplastic surgeon in New York City, Dr. Jessica Lattman specializes in all types of ptosis repair, from mild to complex. Understanding the different types of ptosis is the first step in determining the right treatment and restoring both function and symmetry to the eyes.

What Is Ptosis of the Eyelid?

Ptosis (pronounced toe-sis) refers to a drooping of the upper eyelid caused by weakness, stretching, or damage to the muscles and tendons responsible for lifting the lid. The condition can affect one or both eyes and may develop gradually or appear suddenly.

Common signs and symptoms include:

One eyelid sitting noticeably lower than the other
A tired, heavy, or asymmetrical appearance in photos
Partial obstruction of vision or a “shadow” in the upper field
Habitually raising the eyebrows or tilting the chin to see more clearly

The Main Types of Ptosis

Ptosis can result from a variety of underlying causes, each requiring a different approach to diagnosis and treatment. Below are the most common types of ptosis Dr. Lattman sees in her practice.

1. Aponeurotic Ptosis (Age-Related Ptosis)

The most common form of eyelid drooping in adults is aponeurotic ptosis, sometimes called involutional ptosis. It occurs when the levator aponeurosis (the tendon-like structure that connects the levator muscle to the eyelid) stretches or weakens over time.

This age-related change can happen naturally with aging or after years of contact lens use, rubbing the eyes, or prior eye surgery.

Key features include:

Gradual onset in adulthood
Drooping that worsens later in the day
Normal eye movement and pupil function
Excellent response to surgical correction

Dr. Lattman performs a delicate repair that reattaches and tightens the levator muscle, restoring the lid to its proper height and symmetry. The result is a natural, refreshed appearance.

2. Congenital Ptosis

Congenital ptosis is present at birth and results from an underdeveloped or weakened levator muscle. The eyelid may cover part of the pupil, causing vision obstruction or the need for a compensatory head tilt in children.

Common signs include:

One eyelid drooping since infancy
The child raising their eyebrows or lifting their chin to see
Possible differences in eyelid crease height

Early evaluation is important because congenital ptosis can affect visual development. Dr. Lattman carefully assesses each child’s muscle strength and eye health before planning surgery. 3. Neurogenic Ptosis

Neurogenic ptosis occurs when a problem in the nerves controlling the eyelid muscles prevents normal lifting. Conditions such as Horner’s syndrome, third cranial nerve palsy, or myasthenia gravis can lead to this form of drooping.

Typical signs:

Sudden eyelid drooping, sometimes with double vision
Unequal pupils or decreased eye movement
Fatigue that worsens throughout the day

The first step is identifying and treating the underlying neurological condition. Once the cause is stabilized, surgical or nonsurgical correction may be considered. As both an oculoplastic surgeon and trained ophthalmologist, Dr. Lattman is uniquely qualified to evaluate these complex cases safely and comprehensively.

3. Mechanical Ptosis

In mechanical ptosis, the eyelid droops because of excess weight or obstruction, such as from a tumor, inflammation, swelling, or heavy skin and fat.

Symptoms include:

Eyelid heaviness or fullness
Reduced ability to open the eye
Visible mass or swelling above the lid

Dr. Lattman’s approach focuses on removing or treating the underlying cause, whether that means excising a benign lesion, addressing inflammation, or performing an upper blepharoplasty to lift excess skin. Once the mechanical weight is removed, eyelid position and function usually improve dramatically.

4. Traumatic or Myogenic Ptosis

Traumatic ptosis can occur after direct injury or previous eyelid surgery, damaging the muscles or tendons that lift the eyelid. Myogenic ptosis, on the other hand, stems from a disease or degeneration of the levator muscle itself, such as in muscular dystrophy or chronic progressive external ophthalmoplegia.

These forms of ptosis often require highly customized surgical repair to strengthen or reposition the affected muscle. Dr. Lattman tailors every procedure to the patient’s unique anatomy to ensure safety and symmetry while preserving natural eye movement.

Diagnosing the Different Types of Ptosis

Proper diagnosis is crucial, as each type of ptosis has different causes and treatments. During your consultation, Dr. Lattman performs a detailed evaluation that includes:

Eyelid height and symmetry measurements
Assessment of levator muscle function
Pupil examination and eye movement testing
Review of medical and surgical history

This precise analysis allows her to identify not only which type of ptosis you have but also why it developed, ensuring that your treatment plan addresses both form and function.

Treating Ptosis: Restoring Balance and Vision

Treatment for ptosis is almost always surgical, but the approach varies depending on the cause and muscle strength. In some mild cases, nonsurgical options, such as prescription eye drops (Upneeq®), may provide temporary elevation.

For most patients, however, ptosis repair surgery provides the best long-term correction. Dr. Lattman performs these procedures in her state-of-the-art accredited surgery center on East 64th Street in Manhattan and uses the most advanced, minimally invasive techniques to restore the eyelid’s normal position and contour.

Her goal is simple: to deliver exceptional results, preserve the health and function of the eyes, and ensure every patient feels comfortable and cared for at every step.

Why Choose Dr. Jessica Lattman for Ptosis Surgery in NYC

Ptosis repair requires not only surgical precision but also a deep understanding of eye anatomy and function. As a fellowship-trained oculoplastic surgeon with over 25 years of experience, Dr. Lattman combines medical expertise with an artistic eye for balance and symmetry.

Patients trust her for her calm, compassionate approach and her commitment to achieving results that look natural and feel effortless. She personally performs every consultation and surgery, and she fosters a standard of care that is rare to find at any other practice.

Ready to Get Started? Contact Our NYC Practice Today

Call (212) 832-5456 or contact us online to schedule your private consultation at her Park Avenue practice. Dr. Lattman and our friendly team of experts look forward to hearing from you soon.

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Podcast: Eye Rejuvenation with Dr. Jessica Lattman

Jessica Lattman, MD — Mon, 17 Nov 2025 15:53:12 +0000

Expert Insights on Eye Rejuvenation with Dr. Jessica Lattman

A new episode of eHealth Radio is live, featuring renowned oculoplastic surgeon Dr. Jessica Lattman, a board-certified specialist with over 25 years of experience in cosmetic and reconstructive eyelid surgery. Based in New York City, Dr. Lattman brings her signature blend of surgical precision and artistic vision to a thoughtful conversation on how the eyes age—and what modern treatment options can do to help.

In this episode, Dr. Lattman breaks down the differences between cosmetic and functional eyelid surgery, explains how she customizes treatment plans for each individual, and walks listeners through today’s approach to lower eyelid blepharoplasty with fat transfer. She also offers valuable guidance for anyone considering eye rejuvenation but feeling hesitant about where to begin.

Tune in as host Eric Michaels explores:

How the eyes naturally change over time
How surgeons determine the right surgical or non-surgical approach
When cosmetic vs. functional blepharoplasty is appropriate
What to expect from modern lower eyelid blepharoplasty with fat transfer
Encouraging advice for first-time patients seeking a refreshed, natural look

Don’t miss this insightful conversation with one of Manhattan’s leading oculoplastic surgeons.

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Top 5 Reasons to Choose Oculoplastic Surgeon Dr. Jessica Lattman for Refreshed Eyes in NYC

Jessica Lattman, MD — Thu, 13 Nov 2025 23:40:33 +0000

Choosing the right surgeon for eyelid rejuvenation will shape both your results and your experience. In NYC, Dr. Jessica Lattman focuses on natural, rested eyes without a “done” look. Her upper blepharoplasty surgeries are precise, clear, and tailored to restore a refreshed, youthful look to your eyes.

1) Expertise in NYC Upper Blepharoplasty

Q: What experience does Dr. Jessica Lattman have in upper blepharoplasty?
Upper blepharoplasty is a core focus of Dr. Lattman’s oculoplastic practice. She blends aesthetic judgment with expertise in eyelid anatomy to protect function while refreshing appearance. This blends the best of both worlds for your upper blepharoplasty with:

Focus on conservative tissue removal to avoid hollowing
Attention to eyelid crease height and symmetry for a natural lid fold
Judgment about skin-only versus skin-muscle approaches
Precise fat pad contouring to soften heaviness without over-resection

This depth of focus helps upper blepharoplasty look effortless and awake, not surgical. Dr. Lattman’s goal is to help you understand each choice and how it supports refreshed, balanced eyes.

2) Customized Planning for Your Upper Blepharoplasty

Q: How will Dr. Lattman tailor upper blepharoplasty to your eyes and goals?
Your evaluation will focus on skin excess, crease position, brow support, and dry-eye tendencies. From there, Dr. Lattman will develop a plan that aligns with your lifestyle and desired downtime. Your upper blepharoplasty plan may include:

Matching your ideal crease height and natural lid contour
Skin pinch or skin-muscle flap based on tissue quality and fold definition
Targeted fat contouring where fullness causes hooding
Coordination with brow position to avoid over-tightening the lid
Timing that fits work, events, and contact lens use

You will leave with a step-by-step roadmap for upper blepharoplasty that fits your schedule and the level of change you want to see.

3) Incision Design, Tissue Management, and Scar Strategy in Upper Blepharoplasty

Q: Which techniques shape upper blepharoplasty results and crease definition?
Incisions are carefully placed in the future crease so scars are nearly invisible, blending into a fine line in the lid fold. Closure is layered to support smooth drape and stable definition. Dr. Lattman plans the upper blepharoplasty steps from:

Crease-line incisions placed to hide in your natural fold
Gentle tissue handling to reduce swelling and bruising
Secure fixation to maintain the planned crease height
Ointment, eye care, and a simple at-home routine you will follow
Early scar care and long-term fading guidance as healing matures

These details protect expression and blink function while refining the fold. Dr. Lattman aims for an upper blepharoplasty that looks natural at rest and in motion.

4) Upper Blepharoplasty Recovery and Results Timeline in NYC

Q: What will recovery look like after upper blepharoplasty with Dr. Lattman?
Recovery is straightforward and mapped out in plain language. You will receive written instructions, early check-ins, and clear milestones. During upper blepharoplasty recovery, you can expect:

Head elevation and cool compresses during the first 48 hours
Temporary dryness, tightness, and light sensitivity as swelling peaks
Suture removal typically occuring around the end of week one
Makeup and contacts resuming only when advised at follow-up
Return to social activities as bruising fades over one to two weeks

Most patients notice their eyes look more open as swelling settles in the second week. Full refinement of upper blepharoplasty continues over the following weeks as the crease softens and the line fades into the fold.

5) Oculoplastic Safety and Patient-First Support for Upper Blepharoplasty

Q: What will your experience be like during upper blepharoplasty with Dr. Lattman?
Dr. Lattman and her team offer warm, organized, and efficient care. Visits are thorough yet never rushed, with eyelid-specific guidance before and after surgery. Throughout upper blepharoplasty, you can expect:

Candidacy screening that considers dry eye, medications, and healing history
Local anesthesia with comfort measures discussed in detail
A garment-free recovery with simple eye care you can manage at home
Realistic downtime planning that fits work and events
Regular follow-ups that track crease symmetry, swelling, and comfort

You will feel heard and supported from consultation to final results, with a focus on precision and subtlety for your upper blepharoplasty. Dr. Jessica Lattman brings eyelid-focused expertise, meticulous technique, and calm guidance to upper blepharoplasty in NYC. Ready to explore upper blepharoplasty in NYC? Schedule a consultation with Dr. Lattman today.

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Awake Upper Blepharoplasty NYC: Natural Results with Less Downtime

Jessica Lattman, MD — Thu, 30 Oct 2025 08:00:00 +0000

For many people, eyelid surgery (upper blepharoplasty and lower blepharoplasty) marks a turning point a chance to finally look as refreshed and vibrant as they feel. Traditionally performed under sedation in an operating room, upper blepharoplasty can now be safely and comfortably performed awake under local anesthesia, thanks to advances in surgical precision and patient care.

Dr. Jessica Lattman, a board-certified oculoplastic surgeon in New York City, has helped pioneer this refined approach. She recently authored a ScienceDirect publication on awake upper blepharoplasty, offering insight into the technique’s advantages, patient selection, and optimal outcomes.

Read Dr. Lattman’s article on awake upper blepharoplasty here.

What Is Awake Upper Blepharoplasty?

Awake upper blepharoplasty is a procedure performed under local anesthesia to remove excess skin, muscle, or fat from the upper eyelids. The technique addresses both cosmetic and functional concerns, such as drooping lids or heaviness, while maintaining the patient’s natural eye shape and expression.

Unlike traditional surgery under full sedation, the awake method allows patients to remain conscious and relaxed throughout the procedure. This in-office approach reduces downtime, minimizes risk, and provides an enhanced sense of comfort and control.

As detailed in Dr. Lattman’s recently published article in ScienceDirect, careful patient selection and pre-operative evaluation are key to ensuring a safe and positive experience. During the consultation process, Dr. Lattman takes the time to assess each patient’s anatomy, comfort level, and goals before recommending the best approach for their needs.

The Advantages of Staying Awake During Eyelid Surgery

For many patients, the idea of remaining awake during surgery sounds surprising at first, but the benefits are significant.

1. Lower Risk, Greater Safety
Awake blepharoplasty uses local anesthesia provides targeted numbing around the eyelids, ensuring a completely pain-free experience.

2. Faster Recovery and Less Downtime
Since there is no systemic sedation, recovery begins immediately after surgery. Most patients return home shortly afterward and resume light activity within a few days.

3. Comfort in a Familiar Setting
The procedure takes place in Dr. Lattman’s fully accredited, state-of-the-art surgical center, where patients are surrounded by a highly trained, compassionate team they already know.

Patients often describe the experience as “surprisingly easy” and say they appreciate how present and calm Dr. Lattman keeps them throughout. Her gentle, reassuring communication style helps even nervous patients feel safe and confident.

How NYC Awake Upper Eyelid Surgery Works

The process begins with meticulous pre-operative planning. While seated upright, patients have delicate markings placed to outline the natural eyelid crease. The area is then numbed using local anesthesia, which takes effect within minutes.

Once fully comfortable, Dr. Lattman removes the precise amount of excess skin and fat needed to restore a smooth, lifted contour to the upper eyelids. Her technique, honed through more than 27 years as an oculoplastic surgeon, prioritizes both aesthetic beauty and functional safety to ensure the eyes close properly and the shape remains natural.

Tiny sutures are placed along the eyelid crease, where they are virtually invisible. The entire procedure typically takes less than an hour, and patients are able to return home the same day.

Who Is a Good Candidate for Awake Eyelid Surgery in NYC?

Awake upper blepharoplasty is ideal for patients with mild to moderate eyelid laxity who want a rejuvenated, natural look without the downtime of general anesthesia.

Good candidates include individuals who:

- Can remain still and relaxed during the procedure

- Have minimal anxiety about being awake

- Are in good overall health

- Have realistic expectations for their results

During your consultation, Dr. Lattman will carefully evaluate your anatomy, medical history, and comfort level to determine whether an awake approach is best for you. If mild sedation or an alternative plan would ensure a better experience, she will discuss those options openly and honestly.

Recovery After Awake Blepharoplasty

Recovery from awake upper blepharoplasty is typically smooth and manageable. Most patients experience only mild swelling and bruising for the first several days. Icing, gentle wound care, and rest are recommended during this time.

Patients often return to light activity within three to five days and to social or work settings in about a week. Since there is no general anesthesia involved, many find they feel alert and clear-headed immediately after surgery.

Dr. Lattman and her team provide personalized follow-up care and remain available every step of the way. As one patient shared, “I never felt alone during recovery; Dr. Lattman checked in personally and made sure I was comfortable every step of the way.”

Upper Eyelid Surgery While Awake – Results That Look Effortless

Awake blepharoplasty achieves the same level of artistry and refinement as traditional eyelid surgery, often with faster recovery and less disruption. The outcome is subtle yet transformative: eyes that look brighter, smoother, and more rested, while remaining unmistakably yours.

Dr. Lattman’s patients often describe hearing compliments like, “You look amazing; did you just get back from vacation?” The change is noticeable, but never obvious. Her results speak to her philosophy: rejuvenation that restores confidence, not recognition.

Why Choose Dr. Jessica Lattman for Awake Eyelid Surgery in NYC

Choosing a surgeon for eyelid surgery is one of the most important decisions you can make. The eyes are delicate, expressive, and central to your identity, and they deserve the hands of a true specialist.

Dr. Jessica Lattman is a board-certified oculoplastic surgeon who has dedicated her career exclusively to cosmetic and reconstructive eyelid surgery. Her dual training in ophthalmology and facial aesthetics gives her a unique understanding of how to preserve eye health while enhancing beauty.

Every consultation is performed personally by Dr. Lattman. She listens carefully to each patient’s concerns, explains every step clearly, and ensures that they feel confident in their choice. Her reputation extends far beyond New York City, with patients traveling from across the U.S. and internationally for her expertise, warmth, and natural results.

Her reviews consistently reflect the same experience: expert care, compassionate communication, and results that exceed expectations.

Awake Upper Blepharoplasty: A Modern, Patient-Centered Approach

If you’ve been considering eyelid surgery and want to learn whether you’re a candidate for the awake approach, we invite you to contact our office today. Call (212) 832-5456 or contact us online to schedule your private consultation today. Dr. Lattman is well-known for her unmatched expertise and standard of care. She and our staff look forward to hearing from you!

Awake Eyelid Surgery in NYC – FAQs

How long does awake blepharoplasty take?
Most awake upper eyelid surgeries take about 45 minutes to an hour, depending on the complexity of the case.

Will I be able to drive myself home after awake eyelid surgery?
If you receive a mild sedative, such as a benzodiazepine, you’ll need someone to drive you home. Patients who have only local anesthesia and feel completely comfortable can usually go home without an escort.

Can I combine upper blepharoplasty with other treatments?
Yes. Dr. Lattman may combine upper blepharoplasty with complementary procedures, such as laser skin resurfacing, brow lift, or non-surgical treatments, for a more comprehensive result.

When can I return to wearing contact lenses?
Patients should wait about two weeks before resuming contact lens wear to allow the eyelids to heal fully.

Are the results permanent?
While eyelid aging continues naturally over time, most patients enjoy their results for 15 to 20 years or longer. Maintaining good skin care and overall health helps preserve the refreshed appearance.

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Case Study – Congenital Ptosis

Jessica Lattman, MD — Fri, 25 Jul 2025 21:37:02 +0000

This is a case study of a 24 year old woman who was born with a droopy right eyelid. As you can see in the “before” photo, her right eyelid is sitting lower than her left by about 2 millimeters. The ptosis has been present her whole life, but it has started to bother her over the past several years. The patient was given upneeq by her general ophthalmologist which helped the droop, but the upneeq would wear off as the day went on and she was looking for a permanent solution to the asymmetry.

I performed an internal ptosis repair on her right upper eyelid. The procedure was done in my surgery center and took about 30 minutes. She went home an hour later and was back at work the next day. There was some mild swelling and bruising that resolved over the next week. The procedure was done completely from the back side of there eyelid, so there was no visible incision on the skin and no scar. Ptosis surgery is delicate and requires specialized training as an oculoplastic surgeon and years of experience.

The after photo was taken about 6 weeks after the surgery. You can see perfect symmetry with the height and contour of the eyelid. She is thrilled with the beautiful result and excited to enjoy her new eyelid!

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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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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Droopy Eyelids Ptosis – Case Study

Jessica Lattman, MD — Thu, 17 Jul 2025 19:05:16 +0000

This is a fantastic case study of a young man who was born with droopy eyelids. He was bothered by his constantly tired appearance. Even after a good night’s sleep, his droopy eyelids still made him look tired which was affecting his work. It began to bother him more recently with the constant Zoom calls and close-up video.

I performed a joint case with Dr. Benjamin Paul. I did a bilateral ptosis repair and Dr. Paul performed a chin implant, neck liposuction and buccal fat removal.

In the post op views you can see the patient’s eyelids are in a great position. He looks awake and the eyelids are perfectly symmetrical. I maintained his eyelid shape and natural appearance.

Dr. Paul’s work gave him a defined jawline and more of a V-shape to his face. Overall, the patient was thrilled and returned to work and zoom calls with more confidence and a bright-eyed appearance.

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

Full Ptosis Gallery

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