Non-Surgical Archives - Jessica Lattman, MD

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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The Guide to Natural Looking “Botox”

Jessica Lattman, MD — Thu, 17 Jul 2025 20:06:59 +0000

Wrinkle-smoothing botulinum toxin type A injections are the most common non-invasive aesthetic procedure in the U.S. While they are commonly called “Botox,” there are actually four different injectables. The four neurotoxins FDA-approved for cosmetic use are Botox®, Dysport®, Jeuveau®, and Xeomin®.

While each neurotoxin is slightly different, some patients respond better to one over the other. Knowing this, I keep all 4 on hand in my office and choose the best one based on the patient and their goals. Most doctors and patients refer to neurotoxins as “Botox,” much like we call adhesive bandages, band-aids and tissues, Kleenex even though there are the 4 different companies that now manufacture botulinum toxin type A.

As an Oculoplastic surgeon, I have a deep understanding of the anatomy of the eyelids and how the muscles around the eye work. This knowledge of the anatomy of the eyelids, eyebrows and upper face allows me to expertly use botox to achieve my patient’s goals.

When I meet with a new patient who is requesting Botox, I first evaluate their entire face. We then discuss the specific areas that brought them to the office, and what they would like to do to correct them. Then I realistically explain what Botox can achieve.

The main areas I treat with Botox are the forehead, glabella (from lines), around the eyes (crows feet), masseter muscle (jawline) and mouth lines. Botox can be used to smooth dynamic wrinkles, lift the eyebrows, and smooth mouth lines. I also use it to relax the masseter muscle which can help with teeth clenching, migraines and improves an overly square or thick jawline.

The main areas I treat with botox are the forehead, glabella (from lines), around the eyes (crows feet), masseter muscle (jawline) and mouth lines. Botox can be used to smooth dynamic wrinkles, lift the eyebrows, and smooth mouth lines. I also use it to relax the masseter muscle which can help with teeth clenching, migraines and improves an overly square or thick jawline.

Botox®, Dysport®, Jeuveau®, and Xeomin® are fantastic tools to improve your overall look, and in the right hands will give an entirely natural result. In my opinion the best “Botox” treatment is one that makes you look great while no one can figure out exactly what you did.

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

Learn more about BOTOX

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Laser skin resurfacing is a great adjunct to cosmetic blepharoplasty

Jessica Lattman, MD — Thu, 17 Jul 2025 20:53:35 +0000

Laser skin resurfacing is a great adjunct to cosmetic blepharoplasty. It rejuvenates the skin and stimulates collagen. The laser can be done at the same time as surgery so that there is one healing time. The laser can also be done on its own.

In my office center, I use the Lutronic eC02 fractional laser. This laser works by creating tiny micro wounds, leaving bridges of healthy skin, thus treating a “fraction” of the skin’s surface. This allows quick healing times with great results.

The laser reduces imperfections in the skin and promotes collagen regeneration for long term wrinkle reduction. It also improves the tone and color of the skin, giving it a smooth, even glow.

Typically only a single treatment is needed. The Co2 laser:

Reduces facial lines and wrinkles
Gives the skin a more firm, smooth appearance
Improves appearance of scars
Reduces sun damage such as brown spots
Improves appearance of pigment and vascular conditions

Immediately after the treatment, you will have some swelling and redness. This usually subsides in 5-7 days depending on how aggressive the treatment was. Results are seen after a few days when the skin will look smoother and more even toned. The skin will continue to improve over the next 6-9 months as new collagen builds.

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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Am I Too Young For BOTOX?

Jessica Lattman, MD — Fri, 18 Jul 2025 16:39:38 +0000

I am asked all the time what is the “right” age to start Botox treatments. The answer depends on each individual. The youngest patient I have treated with Botox was 25 at the time. Starting early can help to prevent permanent wrinkles from forming. Once a frown line or forehead line is etched into your skin when you are not expressing, it can be challenging to treat with Botox alone.

Many of my young patients are nervous at first that they will look overdone. Some are worried that Botox will make their face look frozen. This is absolutely not the case. In the right hands, Botox treatments look soft, natural, and overall make the face look more rested and youthful. However, the final result does depend on the experience and technique of the injector.

As an oculoplastic surgeon, I understand the dynamic relationship of the muscles around the eyes and the upper face. I can expertly use Botox to raise the brows (liquid brow lift) and also to soften frown and smile lines, all while keeping the face looking natural and untouched. I understand how it is essential that the facial muscles are balanced so that the brow remains in a natural position, and nothing looks “done.”

Usually, I will see my patients back two weeks after their first treatment with me. I like to make sure they are completely happy with the result, and also to see if we can improve on anything for their next treatment. After that, I usually see patients every 3–5 months for maintenance.

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 get asked questions about Botox every day….here are some of the most common questions and answers

Jessica Lattman, MD — Fri, 18 Jul 2025 16:53:54 +0000

Does Botox Hurt?

Botox injections feel like a small pinch. I use the smallest needle made to give the injections, so that they are as painless as possible. Some patients choose to have numbing cream applied before the treatment, but most feel it is really not necessary.

Can Botox be done at the same time as other procedures?

Absolutely. Many of my patients come in for Botox and also have filler done at the same time.

How long does a Botox treatment take?

The entire treatment takes about 5 minutes — from sterilizing your skin with an alcohol wipe to the actual treatment. Usually, we spend some time before the actual treatment discussing what you want to achieve with Botox, and I answer all your questions.

What can I expect after my treatment?

You may see small bumps at the injection site for about 10–15 minutes. This is just the solution that the Botox is dissolved in, and your body absorbs it quickly. Rarely, you may see a small bruise at the injection site. This usually goes away in a few days.

If you know you are going to have a Botox treatment, then it is best to stop Advil, aspirin or any other blood thinners a week before your treatment. You can go back to all normal activities right after you leave the office.

When will I see results?

You will begin to see results after 24–48 hours, and results usually last about four months.

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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Torn, Stretched, or Sagging Earlobe Repair

Jessica Lattman, MD — Fri, 18 Jul 2025 17:01:36 +0000

Torn earlobes are a common problem. Years of wearing heavy earrings, or trauma to the earlobe, can cause your ear-piercing hole to stretch and become deformed. Stretched or torn earlobes make it difficult to keep earrings in and don’t look great.

Surgical repair of a torn earlobe is a quick and simple procedure that is done in the office under local anesthesia. I use advanced surgical techniques to repair the damaged hole and restore a pleasing shape to the earlobe. Some holes are torn all the way through, and others are just stretched out— but either way, the fix is easy.

For the procedure I numb the earlobe with a local anesthetic. Then, I remove the damaged area and suture the healthy tissue together. There is no downtime after the procedure. Usually, patients do both sides at the same time. Seven to ten days after the procedure, the sutures are removed. Patients usually return to the office in about six weeks to have the ear re-pierced.

Learn more about Earlobe Rejuvenation and Repair.

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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Non-Surgical Options for Hollow or Dark Cirlces Under The Eyes

Jessica Lattman, MD — Fri, 18 Jul 2025 17:17:59 +0000

I see many patients who are bothered by dark circles under the eyes. For some, filler is a great option to improve the dark circles. My filler of choice for the lower lids is Restylane.

Using a micro-needle, I place the filler precisely in the exact areas that need to be filled. As an oculoplastic surgeon, I know the eyelid anatomy inside and out, so I can safely place the filler where it will give the best result.

Not all patients are good candidates for filler. If you have loose skin and aging of the deeper layers of the eyelid, then filler will not be able to correct the bags and sagging skin. As an oculoplastic surgeon, I will carefully evaluate your lower lids and, if filler isn’t the right option, I will recommend alternative treatments.

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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BOTOX for Heavy Upper Eyelids and Sagging Eyebrows

Jessica Lattman, MD — Fri, 18 Jul 2025 17:40:37 +0000

Botox is a great tool for lifting heavy upper lids and sagging eyebrows. I see many patients in their 20s, 30s, and 40s who are bothered by a slight drop of the brow and heaviness on the upper eyelids.

When strategically placed, Botox lifts the brow and improves heavy upper eyelids. This is achieved with a completely natural look. Patients often express fear of looking frozen or startled. I tell all my patients that Botox is simply a tool. It takes skill and experience to use this tool properly to achieve natural results without the telltale signs of having been treated.

I love taking care of my Botox patients. It’s always a treat to see them every 3–4 months for their treatment. I have many patients whom I have been taking care of since I started my practice 21 years ago. Over time, as these patients continue to age, Botox patients often become surgical patients.

When the brow and eyelids become lower and heavier, Botox alone is sometimes not enough to achieve a desirable result. Upper lid blepharoplasty (often combined with an endoscopic brow lift) is then an excellent option to correct these issues. Please check out other posts for more on surgical upper eyelid rejuvenation and lower eyelid rejuvenation.

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 feel like my eyes are showing signs of aging but I am not ready for surgery yet. What are some non-surgical treatments that will help me look better?

Jessica Lattman, MD — Mon, 28 Jul 2025 08:02:29 +0000

Posted December 13th, 2016

A: This is a great question. The eyes are often the first area of the face to show signs of aging, and sometimes patients want to look less tired but are not ready to take on surgery. So here are some non-surgical options to help you look your best.

Botox for smile lines, frown lines and forehead wrinkles: Botox allows wrinkled skin to regenerate and also prevents further wrinkling. Botox can also be used, when strategically placed, to lift the eyebrows in a natural way, so that the skin on the upper eyelid appears less heavy.
Laser Skin resurfacing: Winter is an excellent time for a laser resurfacing. The laser removes the top layer of damaged cells and allows for new start. It also stimulates deeper collagen to regenerate and tighten the skin. On eyelid skin, I sees particularly great results from laser resurfacing. The laser I like best for the eyelids is a combination of a fractionated CO2 laser followed by an erbium laser. Healing takes about five days, but it’s really a great solution for wrinkled and sun-damaged eyelid skin.
Platelet Rich Plasma (PRP) is another approach to rejuvenate the eyelid skin that is non surgical. I inject PRP into the eyelid skin using a device called the Aquagold fine touch delivery system. This device allows me to deliver PRP deep into the eyelid skin. This treatment stimulates the body’s own collagen to fill in lines and rejuvenate the skin. This is a nice option because there is no downtime. You can have the procedure and go right back to normal activities.
Injectable fillers, such as Restylane, are a great option to fill in hollows around the eye area. This works best for contour issues on the lower lid. I also use filler to add volume to hollow upper lids.

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