Jessica Lattman, MD

Why Traditional Fillers Are Not Recommended Under the Eyes

Jessica Lattman, MD — Thu, 18 Jun 2026 22:27:49 +0000

While carefully selected injectable dermal fillers and facial fat grafting techniques can produce beautiful results in the right patient, traditional dermal fillers placed under the eyes too aggressively or without a deep understanding of eyelid anatomy can sometimes create additional puffiness, swelling, or heaviness over time.

That is why patients seeking natural-looking eyelid rejuvenation in NYC often turn to board-certified oculoplastic surgeon Dr. Jessica Lattman for a more thoughtful and anatomically precise evaluation.

Rather than treating every under-eye concern the same way, Dr. Lattman carefully determines whether a patient may benefit from conservative filler, fat transfer, laser resurfacing, lower blepharoplasty, or another customized approach entirely.

Why the Under-Eye Area Is So Challenging

The skin beneath the eyes is extremely thin. Unlike other parts of the face, even small amounts of volume can become visible or create irregular contours. The area is also constantly moving with blinking and facial expression.

Many patients who seek treatment under their eyes have a combination of issues that may include:

Prolapsed fat pads creating puffiness
Loose skin
Mild eyelid descent
Hollowing caused by changes in surrounding structures
Fluid retention
Shadows caused by volume loss in the eyelid itself

So, the approach to lower eyelid rejuvenation must take a global approach.

Traditional Fillers Tend to Hold Water

One of the biggest concerns with hyaluronic acid fillers under the eyes is that they attract and retain water. While this can be beneficial in other areas of the face, under the eyes it may create persistent swelling or puffiness.

Patients sometimes notice:

Morning swelling beneath the eyes
A bluish discoloration called the Tyndall effect
Puffiness that becomes more noticeable over time
Uneven texture
A heavy appearance rather than a refreshed one

In some cases, patients seek out Dr. Lattman specifically to dissolve filler that was previously placed elsewhere.

Since the eyelids are so delicate, subtle changes matter tremendously. A treatment that looks acceptable immediately after injection may become less appealing months or years later as filler absorbs water or shifts within the tissue.

Which Fillers Can Be Used Beneath the Eyes?

Restylane® EYELIGHT: Specifically designed for the delicate tear trough area, EYELIGHT can help soften hollowing and reduce shadowing beneath the eyes while maintaining a natural appearance. Its smooth consistency is particularly well-suited for thin under-eye skin.

Belotero Balance®: A softer, lightweight filler sometimes used in very delicate areas where subtle blending is needed. Because it integrates smoothly into superficial tissue, it may help soften fine lines and mild contour irregularities around the eyes.

Autologous Fat Transfer: For some patients with true volume loss, fat transfer offers a longer-lasting alternative using the patient’s own purified fat. Dr. Lattman may recommend fat grafting to restore subtle fullness beneath the eyes while preserving a natural look and feel.

Under-Eye Puffiness Often Requires Surgical Intervention

Many patients with bags or puffiness under their eyes are better candidates for lower blepharoplasty rather than injectable treatment.

As an experienced oculoplastic surgeon, Dr. Lattman evaluates the eyelids globally with a multifaceted approach. Her background in ophthalmology and eyelid surgery gives her a specialized understanding of eyelid anatomy, eye safety, and facial balance.

For patients experiencing concerns, such as herniated fat pads, significant puffiness, loose lower eyelid skin, eyelid laxity, or chronic swelling, Dr. Lattman will thoroughly evaluate the eyelids to determine the most appropriate treatment. As such, she may take a global approach that combines several approaches, including surgery (lower blepharoplasty), fat transfer, or laser skin resurfacing, deliver create a cleaner, smoother, and more natural long-term result.

The Goal Should Be to Look Rested, Not “Filled”

One of the themes that consistently appears throughout Dr. Lattman’s patient reviews is that patients want to look refreshed and natural, not overdone.

My Eyes Look Completely Natural.

March 20, 2026

“Dr. Lattman was lovely throughout the consultation, surgical, and recovery phases of my procedure. She heard me loud and clear when I emphasized that I didn’t want to look like I had anything done. My eyes look completely natural. My lids are even, and when I wake up in the morning, I feel like I look like myself, but better. I couldn’t be happier with the results. The staff was wonderful and took very good care of me. I would highly recommend using Dr. Lattman!”

– Review from G oogle

A More Thoughtful Approach to Under-Eye Rejuvenation

The under-eye area is one of the easiest places for filler to look unnatural when used incorrectly or too aggressively. While social media often promotes filler as a quick fix for tired eyes, the reality is much more nuanced.

For many patients, the best treatment is not adding volume beneath the eyes but addressing the true anatomical cause of the concern in a more precise and conservative way.

Dr. Jessica Lattman takes a careful, individualized approach to eyelid rejuvenation, prioritizing natural-looking results, patient safety, and long-term outcomes. Patients from New York City and around the world seek her expertise because they want to look refreshed, not altered.

If you are considering treatment for under-eye hollows, puffiness, or tired-looking eyes, a consultation with an experienced oculoplastic surgeon can help determine the most appropriate approach for your anatomy and goals.

To explore how dermal fillers in NYC can help you look more rested and vibrant, call our NYC office at (212) 832-5456 or contact us online to schedule your consultation. Dr. Lattman and her talented staff are proud to welcome patients from New York, New Jersey, and Connecticut.

The post Why Traditional Fillers Are Not Recommended Under the Eyes appeared first on Jessica Lattman, MD.

Laser Skin Resurfacing: When Is It Right for You?

Jessica Lattman, MD — Thu, 18 Jun 2026 22:22:22 +0000

When is laser skin resurfacing right for you? In general, laser skin resurfacing is an excellent option for patients who want to improve fine lines, sun damage, acne scars, uneven skin tone, enlarged pores, or crepey skin without surgery. If your complexion looks less vibrant than it once did, laser resurfacing can often restore a smoother texture, more even tone, and a healthier, more youthful appearance.

The more important question, however, is whether it is the right treatment for your specific concerns.

At her Park Avenue practice, board-certified oculoplastic surgeon Dr. Jessica Lattman believes that successful facial rejuvenation begins with listening. Rather than recommending the same treatment for every patient, she takes the time to understand what is bothering you, evaluate your skin carefully, and create a plan tailored to your goals. For many patients, that thoughtful guidance is one of the reasons they choose Dr. Lattman and travel across the country and around the world to seek her expertise.

Continue reading to learn more about laser skin resurfacing and what to expect when you partner with Dr. Jessica Lattman in NYC.

What Is Laser Skin Resurfacing?

Laser skin resurfacing is a non-surgical treatment that improves the quality of the skin by removing damaged surface layers and stimulating the body’s natural collagen production.

Dr. Lattman uses the advanced Alma Hybrid® laser, a state-of-the-art CO2 laser system that allows for precise treatment and highly customizable results. As new collagen forms during the healing process, patients often notice smoother skin, improved texture, and a brighter overall complexion.

Laser resurfacing can improve:

Fine lines and wrinkles
Sun damage and age spots
Acne scars
Uneven skin tone
Enlarged pores
Rough skin texture
Mild skin laxity
Crepey skin around the eyes

Many patients are surprised by how much younger and healthier their skin appears after a single treatment.

Who Is a Good Candidate for Laser Skin Resurfacing?

In general, candidates for laser resurfacing exhibit:

Fine lines and early signs of aging
Sun damage and discoloration that have developed over the years
Uneven skin tone or textural irregularities
Persistent acne scarring
Skin that appears dull, rough, or less vibrant than it once did
Interest in noticeable rejuvenation without surgery

Many of Dr. Lattman’s patients are successful professionals who want to look refreshed and well-rested without looking like they have “had work done.” They are often seeking natural improvement rather than dramatic change.

Is Laser Resurfacing Right for Aging Around the Eyes?

The eye area is often one of the first places to show signs of aging. Fine lines, sun damage, and crepey skin can develop long before more significant facial aging becomes apparent.

This is where Dr. Lattman’s unique expertise becomes especially valuable.

As a board-certified oculoplastic surgeon who specializes exclusively in the eyelids and surrounding structures, she has a deep and thorough understanding of the anatomy around the eyes. This specialized training allows her to safely and effectively treat one of the most delicate areas of the face.

Laser resurfacing is frequently combined with upper blepharoplasty or lower blepharoplasty to create more comprehensive rejuvenation. While surgery addresses excess skin and puffiness, laser resurfacing improves skin texture, wrinkles, and discoloration that surgery alone cannot correct.

The result is often a more refreshed appearance that still looks completely natural.

When Is Laser Resurfacing Not the Best Choice?

Although laser resurfacing is an excellent treatment for many patients, it is not the right solution for every concern.

For example, patients with significant upper eyelid skin redundancy may benefit more from blepharoplasty than laser treatment alone. Likewise, patients with more advanced facial aging may require additional treatments to achieve their desired outcome.

This is one reason patients appreciate Dr. Lattman’s approach. She is known for providing honest recommendations without pressuring patients into procedures they do not need.

Her goal is not simply to perform a treatment. It is to help patients make informed decisions that are truly in their best interest.

Does Laser Resurfacing Work Around the Eyes?

The eye area is often one of the first places to show signs of aging. Because the skin around the eyes is thinner and more delicate, fine lines, crepey texture, and sun damage tend to appear here before they develop elsewhere on the face.

Laser skin resurfacing can be particularly effective in this area, helping to smooth wrinkles, improve skin texture, and stimulate collagen production for a brighter, more refreshed appearance. It is also frequently combined with upper or lower blepharoplasty to address both excess skin and surface-level aging concerns.

As a board-certified oculoplastic surgeon, Dr. Lattman brings specialized expertise to treating the delicate tissues around the eyes, helping patients achieve natural-looking rejuvenation while preserving the unique character and expression of their eyes.

What Is Recovery After Laser Resurfacing Like?

Most patients experience redness, swelling, and peeling for approximately five to seven days. As the skin heals, it gradually becomes smoother, brighter, and more even in tone.

One of the unique benefits of laser resurfacing is that results continue to improve long after the initial recovery period. Collagen production increases for months following treatment, leading to ongoing improvements in skin quality, firmness, and texture.

Many patients continue seeing benefits for up to six months after their procedure.

Why Patients Choose Laser Skin Resurfacing with Dr. Lattman

Dr. Lattman performs every treatment personally, combining advanced CO2 laser technology with an oculoplastic surgeon’s eye for precision and balance. Patients trust Dr. Lattman not only for her skill, but for the warmth and integrity she brings to every interaction.

They choose her because of her:

25+ years of oculoplastic experience focused exclusively on facial rejuvenation
Meticulous, individualized techniques that prioritize safety and natural beauty
Honest, pressure-free approach that empowers patients with clear information
Pristine, boutique setting that offers both comfort and discretion
Continuity of care from the first consultation through recovery and follow-up

“I Felt Genuinely Cared For.”

“I can’t say enough good things about Dr. Lattman. From our first consultation, she was attentive, clear, and patient in answering all my questions. Her surgical skill is exceptional. Her staff was kind, professional, and supportive at every step. I felt genuinely cared for.”

– Review from Google, October 9, 2025

The Best Way to Know If Laser Resurfacing Is Right for You

If you’re considering laser skin resurfacing in NYC, schedule a consultation with Dr. Jessica Lattman. Her expertise, meticulous attention to detail, and commitment to exceptional patient care have made her one of New York’s most trusted specialists in facial and eyelid rejuvenation.

The post Laser Skin Resurfacing: When Is It Right for You? appeared first on Jessica Lattman, MD.

Podcast: The Endoscopic Brow Lift Explained with Dr. Jessica Lattman

Jessica Lattman, MD — Tue, 12 May 2026 16:07:38 +0000

Expert Insights on the Endoscopic Brow Lift with Dr. Jessica Lattman

In her latest podcast with eHealth Radio, renowned oculoplastic surgeon Dr. Jessica Lattman takes a deep dive into one of the most misunderstood procedures in facial rejuvenation — the endoscopic brow lift. A board-certified specialist with over 25 years of experience in cosmetic and reconstructive eyelid surgery, Dr. Lattman has spent her career focused exclusively on the eyes and surrounding structures, making her uniquely qualified to speak to procedures that require both technical precision and an intimate understanding of facial harmony.

In this episode, she sits down with host Eric Michaels on the Plastic Surgery Information Channel to take the mystery out of the endoscopic brow lift — a minimally invasive procedure that continues to grow in popularity, yet remains widely misunderstood. Whether you’ve been told you look tired, angry, or older than you feel, Dr. Lattman explains how a descended brow may be the root cause, and why addressing it surgically can make a more meaningful difference than injectables alone.

Tune in as host Eric Michaels explores:

What an endoscopic brow lift is and what concerns it addresses
How surgeons identify the right candidates for the procedure
What a typical surgical plan looks like from consultation to the operating room
What patients can expect during recovery and key milestones to watch for
How to decide between a brow lift and non-surgical options like Botox or filler

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

The post Podcast: The Endoscopic Brow Lift Explained with Dr. Jessica Lattman appeared first on Jessica Lattman, MD.

What Is Awake Upper Eyelid Surgery?

Jessica Lattman, MD — Thu, 07 May 2026 18:51:37 +0000

Upper eyelid surgery, or blepharoplasty, removes excess skin from the upper eyelids to restore a more open, refreshed appearance. When performed awake under local anesthesia, it allows patients to avoid general anesthesia while still achieving precise, natural-looking results.

Instead of being fully sedated, patients remain comfortably awake while the eyelids are carefully numbed. With Dr. Jessica Lattman, this approach is designed to feel calm, controlled, and highly precise. Continue reading to learn more about awake upper blepharoplasty and why patients in NYC continue to choose Dr. Jessica Lattman as their oculoplastic surgeon.

Why Do Patients Choose Awake Upper Eyelid Surgery?

There are a few clear reasons this approach continues to grow in popularity:

No general anesthesia
Shorter, more efficient procedure
Typically offers a quicker return to daily routines
A more controlled, detail-oriented surgical process

Beyond logistics, there’s also a comfort factor. Patients often feel more at ease knowing the procedure is focused and performed with careful attention throughout. Dr. Lattman’s style is never rushed. She takes time to ensure patients feel informed, comfortable, and confident before moving forward.

What Does Awake Upper Eyelid Surgery Improve?

Upper eyelid surgery, whether awake or under sedation, targets specific concerns that tend to develop gradually over time. These changes can subtly affect both appearance and confidence.

Patients commonly notice:

Skin folding over the natural eyelid crease
A heavier or more closed-off eye appearance
A constant “tired” look, even when well-rested
Difficulty applying makeup evenly

The goal is to restore a cleaner, more open eyelid contour. When done well, the result simply looks like you again, only younger and more refreshed.

What Is the Procedure Like When You’re Awake?

This is one of the most common questions patients have, and it’s completely understandable to want a clear picture of what the experience feels like.

After carefully numbing the eyelids with local anesthesia, the area becomes fully comfortable. You remain awake, but relaxed, and the sensation is typically limited to light pressure or gentle movement rather than pain. The environment is calm and controlled, and you are guided through each step so there are no surprises along the way.

One of the advantages of being awake is the level of precision it allows. Dr. Lattman can assess subtle details in real time and make small adjustments as needed to ensure symmetry and a natural contour.

Dr. Lattman’s extensive background in ophthalmology and specialized training in oculoplastic surgery give her a detailed understanding of both the aesthetics of the eyelids and the mechanics of how they function. That combination allows her to refine the eyelids carefully while maintaining the integrity and health of the eye itself.

Is Awake Upper Eyelid Surgery Safe?

Safety is one of the main reasons patients seek out an oculoplastic specialist for eyelid surgery.

With Dr. Lattman’s training and experience, the procedure is performed with a strong emphasis on:

Preserving normal eyelid function
Protecting the health of the eye
Avoiding overcorrection or unnatural changes

Her focus is not just on how the eyelids look, but how they work. That distinction matters, especially in delicate areas like the eyes.

Who Is a Good Candidate for Awake Eyelid Surgery?

Not everyone needs general anesthesia for eyelid surgery. In fact, many patients are excellent candidates for an awake approach.

You may be a good fit if you:

Have mild to moderate excess upper eyelid skin
Prefer a less involved surgical experience
Are comfortable being awake during a procedure
Want a natural, subtle improvement

During your consultation, Dr. Lattman will walk you through whether this approach makes sense for you. Her recommendations are always based on what is safest and most appropriate, not what is most convenient.

What Is Recovery Like After Awake Blepharoplasty?

Recovery tends to be relatively smooth, especially compared to more involved facial procedures.

Most patients experience:
Mild swelling and bruising for about 10 to 14 days
Return to light activity within a few days
Gradual refinement of results over the following weeks

What patients consistently mention, though, is the remarkable level of care and support they receive throughout the entire process. Dr. Lattman remains actively involved, accessible, and attentive from the first consultation through recovery. She takes the time to answer questions thoroughly, check in personally, and make sure patients feel comfortable with every step, whether it’s the day of surgery or weeks into healing.

Her team reflects that same standard. Calls are answered, concerns are addressed promptly, and patients are never left wondering what to expect next. Many patients describe feeling genuinely looked after, not just medically, but on a human level. This consistency (clear communication, thoughtful follow-up, and a sense that someone is always there if you need them) is a major part of why patients trust her and feel confident in their care.

Will I Still Look Like Myself?

Yes. Dr. Lattman’s approach to upper eyelid surgery is highly individualized, with careful attention to your natural eye shape, facial balance, and overall expression. By precisely removing excess skin and refining the upper eyelid contour, she restores a more open and rested appearance without altering what makes your face uniquely yours. Patients often notice that their eyes look brighter and more defined, and that their overall appearance feels more refreshed.

Can This Be Combined with Other Treatments?

In some cases, upper eyelid heaviness is influenced not only by excess skin but also by the position of the brow or surrounding facial structures. During your consultation, Dr. Lattman evaluates the entire upper face to determine whether additional treatments would enhance your results.

For patients with a lower or descending brow, a brow lift may be recommended to create a more balanced, natural outcome. Non-surgical treatments, such as laser resurfacing or injectables, may also be discussed to complement surgical results. Every recommendation is based on your individual anatomy and goals, ensuring a thoughtful, well-coordinated treatment plan.

Why Patients Trust Dr. Lattman in NYC

Choosing a surgeon for upper or lower eyelid surgery requires a high level of trust, and patients are often meticulous in that decision. Dr. Lattman has built her reputation through more than 25 years of focused experience as an oculoplastic surgeon, specializing exclusively in procedures involving the eyelids. She performs every consultation herself, taking the time to understand each patient’s concerns and provide clear, thoughtful guidance without rushing the process. Her work is known for its precision and restraint, consistently producing results that look natural and balanced rather than obvious. Beyond her technical skill, patients value the experience she provides, one defined by attentive communication, consistency, and a genuine sense of care from the first visit through recovery.

“The Results Are Truly Excellent.

March 31, 2026

I recently had both an upper and lower blepharoplasty with fat transfer performed by Dr. Jessica Lattman, and I couldn’t be happier with my experience or results. From the very first consultation, Dr. Lattman had a wonderfully calm and confident manner that immediately put me at ease. The surgery and recovery were remarkably smooth and much easier than I anticipated. The results are truly excellent. I look like a well-rested, more youthful version of myself. Dr. Lattman is a true artist and a skilled surgeon whom I highly recommend.”

– Review from G oogle

Considering Awake Upper Eyelid Surgery?

Awake upper eyelid surgery can be a highly effective option for patients who want to refresh their eyes without a more involved surgical experience. It’s precise, controlled, and designed to deliver natural-looking results.

If your eyes feel heavier than they used to or no longer reflect your energy, a consultation can help clarify what’s possible. Dr. Lattman will guide you through your options and help you decide what feels right without pressure, and always with your best interest in mind. To get started, we invite you to call (212) 832-5456 or contact us online today.

The post What Is Awake Upper Eyelid Surgery? appeared first on Jessica Lattman, MD.

Can Micro Fat Grafting Be Combined with Upper and Lower Blepharoplasty?

Jessica Lattman, MD — Thu, 07 May 2026 15:44:33 +0000

Upper blepharoplasty and lower blepharoplasty are highly effective procedures for addressing heaviness of the upper lids and puffiness beneath the eyes. In some cases, however, there is also a degree of volume loss that contributes to a tired or hollow appearance.

Micro fat grafting can be combined with upper and lower blepharoplasty for select patients to create a more balanced and refreshed result. The key is understanding when it is appropriate and how it can enhance the results of a lower blepharoplasty or used on its own to improve the contour of the lower eyelid.

What Are Upper and Lower Blepharoplasty?

Upper blepharoplasty focuses on removing and reshaping excess skin on the upper eyelids that can create a heavy, tired appearance. Patients often feel as they age that their eyes look less open and that excess skin hangs down over the eyelid. The goal of an upper blepharoplasty is to restore a more lifted, natural contour without changing the fundamental shape of the eye.

Lower blepharoplasty addresses aging changes on the lower eyelids beneath the eye. These changes can be puffiness of the lower lids, sagging skin, hollowness, and poor skin texture. The goal of a lower lid blepharoplasty is to restore a smooth contour to the lower lid, eliminating bags, hollows and tightening excess skin.

Where Micro Fat Grafting Fits In

For some patients, the hollowing beneath the eyes can be extremely bothersome. The hollow areas can create shadows that contribute to a tired appearance.

Micro fat grafting uses a small amount of a patient’s own fat to restore volume under the eyes. Microfat can soften hollowing and improve the overall contour of the lower lid. Microfat can also be used in the temples, jowls, cheeks, and around the mouth for an overall facial rejuvenation.

The decision to include fat grafting with cosmetic blepharoplasty or on its own is based on a careful evaluation of each individual’s anatomy and goals.

Can Eyelid Surgery and Micro Fat Grafting Be Performed Together?

Yes, micro fat grafting is often performed at the same time as upper and lower blepharoplasty. When indicated, combining procedures allows for a more comprehensive approach to rejuvenation.

Each patient’s treatment plan is individualized. Some patients benefit from addressing only excess skin or puffiness, while others may benefit from a combination approach that includes volume restoration.

Dr. Jessica Lattman works closely with each patient to design a treatment plan to help to achieve the most natural and balanced result.

How Dr. Lattman Approaches Treatment Planning

A central part of the consultation process is helping each patient understand what is contributing to the appearance of their eyes. With this understanding, Dr Lattman also listens carefully to each patient’s goals and makes a plan based on the goals and what is possible with the most advanced surgical techniques.

Dr. Lattman takes time to evaluate both the appearance and function of the eyelids. As an oculoplastic surgeon, her focus both on aesthetics and preserving the mechanics of the eye. Patients often come in concerned about issues like eyelid closure or changes in eye shape, and these considerations are always part of the surgical plan.

Her approach is thoughtful and measured, and any recommendations are made based on what will create the most natural outcome, not on adding unnecessary procedures.

The Results Are Truly Excellent.

March 31, 2026

– Review from G oogle

What Patients Can Expect During Blepharoplasty with Micro Fat Transfer

When procedures are combined, they are performed in a way that is seamless. Recovery is similar to blepharoplasty alone, though there may be some additional swelling depending on the extent of fat grafting.
Most patients can expect:
● Mild swelling and bruising that improves over the first one to two weeks
● A gradual softening of the under-eye area as healing progresses
● Results that look natural, not obvious
Patients frequently describe being told they look well-rested, without others being able to identify exactly what has changed.

Schedule Your Consultation with Dr. Lattman in NYC Today

If you are considering eyelid surgery, the most important step is choosing a surgeon you feel completely comfortable trusting. Patients consistently describe feeling genuinely cared for by Dr. Lattman from the first consultation through recovery. She takes the time to listen, answer every question, and guide you toward a plan that feels right for you – never rushed or pressured.

Many of her patients come to her after extensive research or personal recommendations and often share how supported they felt at every stage of the process. The experience is thoughtful, responsive, and highly individualized, with a level of attention that patients remember just as much as their results.

A consultation with Dr. Lattman is an opportunity to understand your options, ask questions, and feel confident in your next step. To schedule your consultation, we invite you to contact us online or call (212) 832-5456 today. We look forward to hearing from you.

The post Can Micro Fat Grafting Be Combined with Upper and Lower Blepharoplasty? appeared first on Jessica Lattman, MD.

What Should I Expect After a Brow Lift?

Jessica Lattman, MD — Thu, 07 May 2026 15:08:35 +0000

If you’re wondering what to expect after a brow lift, the answer is that most patients experience a relatively smooth recovery with gradual, natural-looking improvement as swelling subsides. While there may be some initial tightness, swelling, and bruising, these changes are temporary and tend to improve steadily within the first one to two weeks.

If your eyes have started to look more tired or less open over time, the position of your brow may be a significant factor. As the brow descends, it can create heaviness in the upper eyelids and affect how tired your eyes appear.

An endoscopic brow lift with oculoplastic surgeon Dr. Jessica Lattman is designed to restore a more natural brow position, helping the eyes look brighter and more refreshed without being overdone. Patients often choose Dr. Lattman for her precise, thoughtful approach and the level of care she provides, from consultation through recovery, ensuring they feel informed, supported, and completely at ease throughout the process.

A Smoother, More Controlled Recovery

An endoscopic brow lift is designed to be less invasive, more natural appearing and faster healing than older brow lift techniques. Because the procedure uses small, carefully placed incisions behind the hairline, the recovery process is faster, and the shape of the brow is more natural.

After surgery, it is normal to experience:

Mild swelling in the forehead and upper eyelids
Some mild bruising
A feeling of tightness in the forehead

These effects are temporary and gradually improve over the first one to two weeks.

The First Few Days After Endoscopic Brow Lift Surgery

In the first several days following your brow lift, the focus is on resting and allowing your body to begin healing.

Patients are able to:

Return home the same day after surgery
Resume light activity within a few days
Feel progressively better each day as the healing process moves toward their final result

Dr. Lattman provides detailed pre- and post-operative instructions so that you know exactly how to care for your eyes and brow. She and her team remain available to answer questions and ensure you feel supported throughout the process.

When You’ll Start to See Brow Lift Results

One of the benefits of an endoscopic brow lift is that the results begin to emerge relatively early, even while healing is still underway.

As swelling improves, patients often notice:

A more open, lifted appearance to the eyes
A smoother, more relaxed forehead
A softer, more refreshed overall appearance

The final result continues to refine over the following weeks, settling into a natural look that will not appear overdone.

Returning to Your Routine After Brow Lift Surgery

Most patients are able to return to all social activities within about one to two weeks. Most patients feel well enough to be home working even the day after surgery. You will be able to see your phone, laptop etc. immediately after surgery.

Because the incisions are small and hidden behind the hairline, there are no obvious visible signs of surgery as healing progresses. This allows patients to return to their normal routines quickly and with confidence.

A Thoughtful, Patient-Centered Experience

What many patients remember most about their brow lift experience is both the result, and how they are cared for throughout the process.

Dr. Lattman is known for taking the time to listen carefully, answer questions, and ensure patients feel fully informed before moving forward. She performs every consultation personally and approaches each treatment plan with a high level of care and attention.

From the day of surgery through recovery, patients often describe feeling:

Supported and never rushed
Clearly guided at every step
Confident that they are in experienced hands

Her training and 30 years of experience as an oculoplastic surgeon also brings an added level of precision and understanding to procedures around the eyes and brow, ensuring that both appearance and function are carefully preserved.

“Dr. Lattman’s Work is Beautifully Subtle”

January 13, 2026

“I had an upper blepharoplasty, under-eye fat transfer, and a brow lift with Dr. Jessica Lattman, and I could not be more pleased with both my results and my overall experience. Although I am not based in New York, I consulted with several plastic surgeons in the area—as well as in other states, including Texas and Georgia—but Dr. Lattman truly stood out. After our first in-person consultation, I knew she was the right choice. Her staff was consistently responsive, kind, and incredibly patient throughout the entire process. In the days leading up to surgery, I felt very nervous and found myself second-guessing my decision, but I am so grateful I went through with it. My eyes and upper face look amazing. Dr. Lattman’s work is beautifully subtle—I look refreshed and brighter, yet still completely like myself. Recovery was far easier than I expected, and I felt supported every step of the way. If you are looking for a highly skilled and thoughtful surgeon, look no further. Dr. Lattman is truly phenomenal.”

– Review from Google

A Natural, Refreshed Outcome

The goal of a brow lift is not to dramatically change your appearance but to restore a more rested and balanced look. Patients frequently find that others notice they look more refreshed or energized, without being able to identify exactly what has changed.

Recovery is a gradual process, but one that is guided with care, attention, and a focus on achieving results that feel true to you.

Considering a Brow Lift? Schedule Your Consultation with Dr. Jessica Lattman in NYC Today

If you are considering a brow lift, a consultation is the best way to understand what to expect based on your individual anatomy and goals. Dr. Lattman will take the time to evaluate your concerns, explain the process in detail, and help you feel comfortable with your decision so that you can move forward with clarity and confidence.

To schedule your consultation, we invite you to call (212) 832-5456 or contact us online today. We look forward to hearing from you.

The post What Should I Expect After a Brow Lift? appeared first on Jessica Lattman, MD.

Micro Fat Grafting or Injectable Fillers for Under-Eye Hollows? All Your Questions Answered!

Jessica Lattman, MD — Tue, 14 Apr 2026 18:36:59 +0000

Under-eye hollows can make the face look tired, even when you feel rested and energized. Many patients notice shadows beneath the eyes that create a “sunken” appearance, often accompanied by dark circles or a visible tear trough.

Fortunately, modern aesthetic medicine offers several effective ways to restore a smoother, more refreshed under-eye contour. Two of the most common treatments are micro fat grafting and injectable fillers.

Patients often ask: Which option is better? The answer depends on your anatomy, your goals, and how you prefer to approach facial rejuvenation.

In this guide, we’ll explain how these treatments work, how they differ, and how to determine which option may be right for you.

What Causes Under-Eye Hollows?

Under-eye hollows develop when the natural support structures beneath the eyes begin to change. This can occur for several reasons.
Common causes include:
● Loss of facial fat volume with age
● Thinning skin beneath the eyes
● Genetics and natural bone structure
● Prior surgery or tissue changes
● Natural descent of midface tissues
The delicate skin around the eyes makes these changes particularly noticeable. Even small shifts in volume can create shadows that make the eyes appear tired or sunken.
Since this area is so complex, treatment requires a careful and specialized approach. As an esteemed NYC oculoplastic surgeon, Dr. Jessica Lattman focuses specifically on the anatomy and function of the eyelids and surrounding structures, allowing her to tailor treatments with precision and safety.

What Are Injectable Fillers for Under-Eye Hollows?

Injectable fillers are gel-like substances designed to restore lost volume beneath the skin. In the under-eye area, they are most often used to soften the tear trough, the groove that runs from the inner corner of the eye down toward the cheek.
During treatment, a small amount of filler is carefully placed to smooth the transition between the lower eyelid and the upper cheek.
Benefits of under-eye fillers:
● Immediate improvement in hollowing
● Non-surgical treatment
● Minimal downtime
● Can be adjusted or refined over time
For many patients, fillers offer a convenient and effective way to improve mild to moderate under-eye hollows.
However, the under-eye area is one of the most technically demanding places to use fillers. The skin is extremely thin, and improper placement can lead to puffiness, visible filler, or swelling.
Because of this, careful patient selection and precise technique are essential.

Before and After

Micro fat grafting is a regenerative technique that uses a patient’s own fat to improve the quality and appearance of delicate tissues.
The process involves three main steps:
● Harvesting fat from a small donor area such as the abdomen or thigh
● Processing fat to create an ultra-refined form known as micro fat
● Injecting micro fat into the under-eye area
Micro fat grafting works particularly well in patients who have:
● Thin under-eye skin
● Dark circles
● Fine crepey texture
● Persistent hollowness
Dr. Lattman uses micro fat as a way to rejuvenate the under-eye area in a natural and permanent way.

How Does Micro Fat Improve the Under-Eye Area?

Micro fat works differently from fillers. Rather than simply filling a hollow, it helps improve the condition of the tissues themselves.

Over time, micro fat can:

Improve skin thickness and texture
Reduce the appearance of dark circles
Enhance overall tissue quality
Create a softer transition between eyelid and cheek

Is Micro Fat Grafting or Fillers Better for Dark Circles?

Dark circles beneath the eyes can occur for several reasons, and not all of them relate to volume loss.

For example:

Hollows create shadows that appear dark
Thin skin reveals underlying blood vessels
Pigmentation causes discoloration

Micro fat, on the other hand, can help improve skin quality and translucency, which may soften the appearance of dark circles over time.

During a consultation, Dr. Lattman evaluates the structure of the lower eyelid, skin quality, and volume distribution to determine which treatment may be most helpful.

Who May Benefit Most from Micro Fat Grafting?

Micro fat grafting may be recommended for patients who:

Have thin or crepey under-eye skin
Experience dark circles related to loss of volume
Want a long lasting approach
Are already undergoing another facial procedure

Because micro fat uses the patient’s own tissue, it can provide a safe and natural form of rejuvenation.

Can Micro Fat Be Used to Restore Volume on Other Areas of the Face?

Yes, Dr. Lattman uses micro fat to restore volume in the:

Temples
Cheeks
Nasolabial Fold
Lips
Pre-Jowl Sulcus

Why Expertise Matters for Under-Eye Treatments

The area beneath the eyes is one of the most delicate regions of the face. It contains complex anatomy involving muscles, fat pads, blood vessels, and the structures that support eyelid function.

This is why many patients seek care from a specialist in eyelid anatomy.

As a board-certified oculoplastic surgeon, Dr. Jessica Lattman focuses exclusively on procedures around the eyes. Her background in ophthalmology allows her to approach both surgical and non-surgical treatments with a deep understanding of eyelid function and safety.

Patients often tell her that this expertise gives them confidence when considering treatments in such an important area.

Partner with NYC’s Best

If you’re considering treatment for under-eye hollows and want guidance you can trust, a consultation with Dr. Jessica Lattman offers a uniquely thoughtful experience.

Patients often remark not only on the beautiful, natural results she achieves, but also on how supported and cared for they feel from the very first conversation through recovery. Dr. Lattman personally conducts every consultation and takes the time to listen carefully and explain your options in a calm, honest way so you feel confident in every decision.

“I had an upper blepharoplasty, under-eye fat transfer, and a brow lift with Dr. Jessica Lattman, and I could not be more pleased with both my results and my overall experience. After our first in-person consultation, I knew she was the right choice. Her staff was consistently responsive, kind, and incredibly patient throughout the entire process. In the days leading up to surgery, I felt very nervous and found myself second-guessing my decision, but I am so grateful I went through with it. My eyes and upper face look amazing. Dr. Lattman’s work is beautifully subtle—I look refreshed and brighter, yet still completely like myself. Recovery was far easier than I expected, and I felt supported every step of the way. If you are looking for a highly skilled and thoughtful surgeon, look no further. Dr. Lattman is truly phenomenal.”

– Review from Google

Dr. Lattman’s Park Avenue office provides a refined, welcoming environment, supported by a highly attentive team dedicated to making your experience smooth and reassuring at every step. To learn more or schedule your private consultation, call (212) 832-5456 or reach out through our online contact form. Many patients travel from across the country and around the world to see Dr. Lattman because when it comes to the delicate artistry of the eyes, they want to feel they are in the very best hands.

The post Micro Fat Grafting or Injectable Fillers for Under-Eye Hollows? All Your Questions Answered! appeared first on Jessica Lattman, MD.

What Is an Endoscopic Brow Lift?

Jessica Lattman, MD — Fri, 27 Feb 2026 10:35:17 +0000

Understanding the Procedure, Results, and Recovery with Dr. Jessica Lattman in NYC

An endoscopic brow lift is a minimally invasive procedure that restores the brows to their natural, youthful position. Through small incisions hidden behind the hairline, Dr. Lattman uses an endoscope (tiny camera) and precise tools to lift and reposition the brows.

This advanced technique offers smaller scars, less disruption, and faster recovery compared to traditional brow lifts, with most patients resuming normal activities in 1 to 2 weeks.

Oculoplastic surgeon Dr. Jessica Lattman brings more than 27 years of specialized experience to every endoscopic brow lift she performs. Patients choose her for her meticulous technique, natural and harmonious results, compassionate approach, and unwavering commitment to safety and personalized care in a warm, comfortable environment.

Below, we’ve listed some useful information about the endoscopic brow lift, including how it works and what you can expect before, during, and after your treatment.

What Is an Endoscopic Brow Lift?

An endoscopic brow lift is a surgical procedure that lifts and repositions the brows using small, hidden incisions placed behind the hairline. A tiny camera (an endoscope) allows Dr. Lattman to visualize and adjust the deeper tissues of the forehead with precision.

Unlike older, traditional brow lift techniques that required long incisions across the scalp, the endoscopic approach is less invasive and typically results in:

Smaller incisions
Minimal tissue disruption
Reduced swelling and bruising
A faster recovery

What Can an Endoscopic Brow Lift Improve?

When the brow descends, it affects the entire upper face. Some patients do not initially realize that what they perceive as “excess eyelid skin” is partially due to a low brow position.

An endoscopic brow lift can:

Elevate a drooping or heavy brow
Reduce upper eyelid hooding
Soften horizontal forehead lines
Improve frown lines between the brows

With the endoscopic browlift technique, natural facial movement is completely preserved. The brows are placed in a rested, refreshed position. Prior to your surgery, Dr. Lattman will discuss your unique goals and how she will provide natural and long-lasting results.

Who Is a Good Candidate for an Endoscopic Brow Lift?

Dr. Lattman’s patients range from their 20s to 80s, being a good candidate for a browlift is based on anatomy rather than age.

You may be a good candidate if:

You’ve been told you look tired, angry, or sad when you’re not
You notice heaviness in your upper eyelids
Your brow line has shifted lower with age
You’re considering upper eyelid surgery, and Dr. Lattman notes that brow descent is contributing to your concern
You feel tired and your brow aches at the end of the day

During your consultation, Dr. Lattman carefully evaluates the brow position in relation to the eyelids. As an oculoplastic surgeon, her understanding of eye function ensures that aesthetics never compromise safety.

Her consultations are thoughtful and unrushed. Patients often say they immediately feel they are in experienced, capable hands.

Can an Endoscopic Brow Lift Be Combined with Blepharoplasty?

Yes, and often it should be.

In many patients, upper eyelid heaviness is influenced by brow descent. Performing upper blepharoplasty alone without addressing a low brow can limit the overall result.

Dr. Lattman frequently performs upper blepharoplasty in conjunction with an endoscopic brow lift when appropriate. This allows for:

Better upper eyelid contour
A more balanced upper face
Preservation of natural eye shape
Long-term structural improvement

Patients consistently report that the combined approach looks harmonious and refined. Friends often comment that they look rested, not surgical. Several reviews reflect this experience, including patients who underwent both upper blepharoplasty and endoscopic brow lift and describe the results as “natural,” “life-changing,” and “exactly what I hoped for.”

Jessica Lattman Reviews

What to Expect on the Day of Your Endoscopic Brow Lift Procedure

Dr. Lattman conducts every surgery at her state-of-the-art, fully accredited surgical facility in Manhattan. Here’s a typical outline for the day:

You’ll arrive and be welcomed into a private pre-operative area by the dedicated nursing staff.
Lattman will meet with you to go over the surgical plan once more and address any last-minute questions you may have.
Anesthesia will be administered by our experienced, board-certified anesthesiologist for your comfort and safety.
Lattman employs a gentle, minimally invasive endoscopic method, making four tiny incisions concealed within the hairline to precisely lift and stabilize the brow tissues.

Following the procedure, you’ll recover comfortably in our private recovery suite under close, one-on-one nursing supervision before heading home the same day.

What Recovery Looks Like After Your Brow Lift with Dr. Lattman

Patients typically report only mild discomfort, along with some forehead swelling or a feeling of tightness. The healing process tends to be straightforward and relatively swift:

You can usually begin light activities after just a few days.
Any bruising or swelling generally fades within 1 to 2 weeks.
Most individuals are back at work in about 1 week.

Since the small incisions are expertly placed and hidden in the hairline, scarring remains virtually invisible. Patients often comment on how subtle, natural, and discreet their refreshed appearance appears, even as early as one-week post-surgery.

What Is Recovery Like After an Endoscopic Brow Lift?

Recovery varies from person to person, which is one reason shifting away from a rigid “timeline” makes sense.

That said, most patients can expect:

First Few Days: Mild swelling and tightness in the forehead. Keeping the head elevated and using cold compresses helps significantly.
Week One: Swelling and bruising begin to subside. Many patients return to light work or social activity.
Weeks Two to Three: Most visible signs of surgery fade. The brow settles into its natural position.
One to Three Months: Final refinement occurs as tissues fully heal.

Since Dr. Lattman uses the endoscopic technique, recovery is smoother than traditional methods. Her team provides detailed written instructions, and she is always available to answer questions. Patients frequently comment on how supported they feel throughout the healing process

Why Choose an Oculoplastic Surgeon for a Brow Lift?

The brow and eyelids function as a single unit. Choosing a surgeon who understands both aesthetics and ocular health is critical.

Dr. Lattman trained first as an ophthalmologist before specializing in oculoplastic surgery. Her background allows her to:

Preserve eyelid closure and function
Protect ocular surface health
Maintain natural eye shape
Create precise, balanced improvements

Patients often seek her out specifically because she is an eye specialist. Many find her through online research and reviews and describe feeling reassured by her depth of experience

Choosing Dr. Lattman Means an Unparalleled Patient-First Approach

Dr. Lattman’s patient-first approach is at the heart of every treatment she offers. During your consultation, she takes the time to understand your goals, answer your questions, and evaluate your facial anatomy. You’ll never feel rushed or pressured. Instead, you’ll feel heard, cared for, and fully informed.

If you move forward with surgery, you’ll receive detailed pre- and post-operative guidance. Dr. Lattman and her staff are known for their compassionate presence and hands-on support throughout your recovery journey.

Dr. Jessica Lattman offers thoughtful, educational consultations in her Park Avenue office and performs surgery in her state-of-the-art, Quad A-certified surgical center

Dr. Lattman’s Work is Beautifully Subtle

I had an upper blepharoplasty, under-eye fat transfer, and a brow lift with Dr. Jessica Lattman, and I could not be more pleased with both my results and my overall experience. Although I am not based in New York, I consulted with several plastic surgeons in the area—as well as in other states, including Texas and Georgia—but Dr. Lattman truly stood out. After our first in-person consultation, I knew she was the right choice. Her staff was consistently responsive, kind, and incredibly patient throughout the entire process. In the days leading up to surgery, I felt very nervous and found myself second-guessing my decision, but I am so grateful I went through with it. My eyes and upper face look amazing. Dr. Lattman’s work is beautifully subtle—I look refreshed and brighter, yet still completely like myself. Recovery was far easier than I expected, and I felt supported every step of the way. If you are looking for a highly skilled and thoughtful surgeon, look no further. Dr. Lattman is truly phenomenal. – Review from Google

Ready to begin your journey? We invite you to call (212) 832-5456 or contact us online to schedule your consultation. We welcome patients from NYC, the tri-state area, across the U.S., and internationally.

The post What Is an Endoscopic Brow Lift? appeared first on 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.

The post Combining Upper and Lower Blepharoplasty for a Full Eye Rejuvenation appeared first on Jessica Lattman, MD.

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.

The post The Different Types of Ptosis appeared first on Jessica Lattman, MD.