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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?

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 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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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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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.

The post Top 5 Reasons to Choose Oculoplastic Surgeon Dr. Jessica Lattman for Refreshed Eyes in NYC appeared first on Jessica Lattman, MD.

 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.

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When you look in the mirror, you may notice more than one sign of aging at the same time. Loose or heavy eyelids can make you look tired, while uneven skin texture, wrinkles, or sun damage can add years to your appearance. The good news is that you don’t have to address these concerns separately. By combining blepharoplasty (upper eyelid surgery or lower eyelid surgery) with advanced non-surgical skin treatments, patients can achieve a refreshed, natural look that brightens the entire face.

The best non-surgical treatments to pair with eyelid surgery are laser skin resurfacing, Botox, dermal fillers, and laser skin resurfacing, which work together to smooth, tighten, and rejuvenate the surrounding skin.

To learn more about whether this combined approach is right for you, contact Dr. Jessica Lattman at her Park Avenue office at (212) 832-5456. Dr. Lattman is a board-certified oculoplastic surgeon specializing in upper and lower blepharoplasty as well as non-surgical facial rejuvenation.

What Is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, removes excess skin, tightens muscles, and smooths puffiness around the upper and lower eyelids. It’s one of the most effective ways to open up the eyes and restore a rested, youthful look. Patients in their 40s, 50s, and 60s often choose this procedure to correct drooping lids or under-eye bags, but it can benefit younger patients too if genetics cause early changes.

Why Combine Eyelid Surgery with Skin Treatments?

Eyelid surgery alone can dramatically improve drooping lids or under-eye bags, but many patients also have concerns about fine lines, uneven tone, or skin laxity. By addressing both structural issues (through surgery) and surface concerns (through treatments), results look more harmonious and balanced.

Patients often find that their recovery timeline is streamlined as well. Since both issues are corrected in a coordinated plan, they don’t need to return for multiple separate recoveries.

Benefits of blepharoplasty include:

• A brighter, more awake appearance
• Reduced wrinkles and fine lines
• Improved skin tone and texture
• Restoration of youthful volume in the cheeks and under-eyes
• A more efficient recovery, since concerns are addressed at the same time

What Skin Treatments Pair Best with Eyelid Surgery?

Dr. Lattman offers a number of skin rejuvenation options that complement blepharoplasty, including:

• Fillers: Restore youthful volume to the cheeks or under-eyes (tear troughs) for a smoother, rested appearance.
• Botox®: Relax dynamic wrinkles around the eyes and forehead, softening expression lines and preventing new ones from forming.
• Laser Skin Resurfacing: Fractional CO2 laser smooths wrinkles, improves skin tone, and stimulates collagen for firmer, more even skin.

For patients looking for a comprehensive refresh, combining surgery with one or more of these treatments can create subtle but powerful results.

Dr. Lattman’s Dedication to Her Patients

“First, she is a brilliant doctor (and may I also say artist in the way she approaches surgery). I trust her implicitly. Second, she is a kind, caring, and empathetic person whose kindness shines through in everything she does. Surgery is always a journey. Dr. Lattman and her staff are attentive to their patients every step of the way. There were so many questions and fears I had. Dr. Lattman always took the time to answer and always made sure I was ok. Her staff is incredible. They share and emulate her kindness and caring and take their time, above and beyond, to care for their patients. Dr. Lattman is truly at the top of her game. We are lucky to have her right here in NYC.” – Review from RealSelf

One of the things patients consistently say about Dr. Jessica Lattman is that she makes them feel cared for every step of the way. From the first consultation to the final follow-up, Dr. Lattman is personally involved and never rushes the process. She takes the time to listen closely, answer every question, and design a plan that feels right for you, not just what’s easiest for the surgeon.

Her commitment doesn’t end when the procedure is over. Patients describe how she checks in regularly during recovery, ensuring comfort and peace of mind, whether they are from New York or traveling from across the country or abroad. Even on vacation, she makes herself available so that her patients never feel alone in the process.

Dr. Lattman’s practice is built on the belief that no patient should ever have a bad experience. Her staff shares that philosophy and provides warm, attentive support that makes each visit welcoming and reassuring. Dr. Lattman’s reviews repeatedly highlight how she goes above and beyond to deliver not only exceptional surgical results but also a genuine sense of trust and safety.

For Dr. Lattman, excellence in oculoplastic surgery is about more than technical skill; it’s about creating a partnership with her patients so they feel truly seen, heard, and understood.

Customized Treatment for Natural Results

Every patient’s face tells a unique story. Some patients benefit from upper eyelid surgery with a light touch of Botox in the crow’s feet. Others may choose lower eyelid surgery along with fractional CO2 laser to smooth fine lines.

As an oculoplastic surgeon, Dr. Lattman approaches each case with both artistry and precision, always prioritizing the health and function of the eyes. Her goal is to restore a naturally rested, youthful look, not to change the character of your face.

What to Expect from the Process

At your consultation, Dr. Lattman listens carefully to your goals and designs a personalized plan. Surgery is performed in her fully accredited Manhattan surgery center, while complementary treatments may be scheduled at the same time or shortly after, depending on your needs.

Recovery varies by procedure, but most patients can expect some swelling and bruising around the eyes for the first week. Skin treatments like laser resurfacing may add mild redness that resolves over several days. Most patients return to work and social activities within 1 to 2 weeks, looking refreshed and rejuvenated.

Who Is a Good Candidate for Both Blepharoplasty and Non-Surgical Treatments?

You may be a strong candidate if you:

• Have drooping eyelids, bags, or excess eyelid skin
• Notice fine lines, crow’s feet, or forehead wrinkles
• Want to address sun damage or uneven skin tone
• Are looking for natural results that refresh your entire face, not just one area

During your consultation, Dr. Lattman will evaluate your facial structure, skin condition, and goals to determine whether surgery, non-surgical treatments, or both are best for you.

Is a Full Facial Refresh Right for You?

If you’ve noticed tired or heavy eyes along with changes in your skin’s texture or tone, combining eyelid surgery with complementary treatments may be the most effective way to restore balance and vitality to your appearance. To explore your options for eyelid surgery and skin rejuvenation in NYC, schedule a consultation with Dr. Jessica Lattman today. Call (212) 832-5456 or reach out via our online contact form. Whether you’re considering upper or lower blepharoplasty, laser resurfacing, or a tailored combination, Dr. Lattman will help you achieve results that look refreshed, natural, and completely you.

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This is a case study of a 65 year old woman who came to see me because she was bothered by her heavy upper lids. She wanted to relieve the fullness of the upper lids but also wanted to look 100% natural.

I discussed with her the option of doing an upper lid blepharoplasty combined with an endoscopic brow lift. I explained that this would give her the most natural looking result while fully rejuvenating the upper lids and brow region. She was nervous, as this was her first experience with cosmetic surgery, but chose to proceed with the proposed surgery.

This picture is of her 6 months after her surgery. She is thrilled with her refreshed appearance and the improved symmetry of her eyebrows. Cosmetic eyelid and brow surgery both address aging changes and asymmetry. She recently told me that this was “the best gift,” she could have ever given herself and not only looks so much better, but she also feels lighter and less tired. This natural result will last a lifetime!

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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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