Eyelid Surgery for a Refreshed Look

Dr. Richard Westreich offers personalized eyelid surgery in New York City to address these concerns. With his deep knowledge of facial anatomy and the delicate nature of the eyelids, he can make subtle changes that fully rejuvenate the eyes, naturally giving a more youthful and refreshed appearance.

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What is Eyelid Surgery?

Eyelid surgery, also known as blepharoplasty, is a cosmetic surgical procedure aimed at rejuvenating the appearance of the eyelids. This procedure addresses issues such as:

  • Sagging or drooping eyelids
  • Excess fatty deposits that create puffiness
  • Wrinkles around the eyes

By removing excess skin and fat and tightening the surrounding muscles, eyelid surgery can help create a more youthful and refreshed look. The surgery can be performed on both the upper and lower eyelids, depending on the patient’s specific needs and concerns. Upper eyelid surgery typically involves removing excess skin and fat to improve the appearance of hooded or drooping eyelids. In contrast, lower eyelid surgery focuses on reducing puffiness and smoothing out wrinkles. For the upper eyelids only, if the procedure is deemed medically necessary, it may be covered in part by specific health insurance plans.

Eyelid Surgery Before & After

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Upper Eyelid Surgery

During the surgery, excess skin and sometimes fat are removed to improve the contour and appearance of the upper eyelids. This can help alleviate the heaviness and hooding that may obscure the eyes’ natural shape, creating a more open and refreshed look. Upper eyelid surgery is best for patients who want to rejuvenate their appearance and achieve a more alert and youthful aesthetic around the eyes. If drooping of the eyebrows is significant, a brow lift may also be recommended along with an upper eyelid procedure.

Lower Eyelid Surgery

Lower eyelid surgery, or lower blepharoplasty, addresses puffiness, wrinkles, and sagging in the lower eyelid area. This surgery typically involves removing or repositioning excess fat and skin to reduce under-eye bags and create a smoother, more youthful appearance. Lower eyelid surgery aims to restore a refreshed and rejuvenated look by improving the contours of the lower eyelids and minimizing the signs of aging, ultimately enhancing the overall harmony of the facial features.

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Benefits of Blepharoplasty in NYC

Blepharoplasty offers many benefits, including the following:

  • Expanded field of vision
  • Produces a more flattering eye shape
  • Take years off one’s visual age
  • Makeup is easier,  looks better, and stays on longer
  • Reduces lines and wrinkles
  • Can increase self-confidence

Am I a Good Candidate for Eyelid Surgery?

Candidates for Eyelid Surgery in NYC with Dr. Westreich are typically in good overall health, bothered by the appearance around their eyes, and want a more youthful and rejuvenated look.

Upper eyelid surgery candidacy factors:

  • Excessive skin hanging over the upper eyelids
  • Impaired vision due to drooping eyelids
  • Frustration with the appearance of hooded or tired-looking eyes

Lower eyelid surgery candidacy factors:

  • Puffiness or bags under the eyes
  • Wrinkles and fine lines around the lower eyelids
  • Concerns about the overall appearance of the lower eyelids
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Blepharoplasty Procedure

During eyelid surgery, the specific steps may vary depending on whether it is upper or lower blepharoplasty, but the general procedure follows a similar pattern. The surgery is typically performed under local anesthesia with sedation or general anesthesia and may take one to three hours to complete, depending on the extent of the surgery.

For upper eyelid surgery, Dr. Westreich begins by making discreet incisions along the natural creases of the upper eyelids. Excess skin and fat are carefully removed through these incisions, and the underlying muscles may be adjusted to create a smoother and more youthful eyelid contour. The incisions are then meticulously closed with fine sutures.

In lower eyelid surgery, Dr. Westreich makes incisions either on the inside of the lower eyelid (transconjunctival approach) or outside along the lower lash line. Excess fat and skin are addressed, and the muscles may be tightened to improve the lower eyelid’s appearance. The incisions are then closed with sutures. Throughout the procedure, Dr. Westreich pays close attention to achieving natural-looking results and minimizing visible scarring.

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Upper & Lower Eyelid Surgery Recovery

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Will I Have Any Bruising?

After upper eyelid surgery, swelling and bruising can persist for 5-7 days, while lower eyelid surgery may result in swelling and bruising for 7-10 days. Any remaining swelling and bruising can be camouflaged with makeup after this period.

The incisions made during upper eyelid surgery typically fade completely within 1-3 months. In the case of lower eyelid surgery, the incisions usually disappear within one month and are discreetly concealed below the eyelashes or inside the eyelid itself.

How Can I Speed Up My Recovery?

Patients can accelerate their recovery process by:

  • Elevating their head while sleeping for at least one week
  • Using cold compresses during the initial three days of recovery
  • Maintaining a nutritious, antioxidant rich and high-protein diet and staying well-hydrated
  • Adhering to any prescribed pain medication
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What Procedures Can Be Combined With Eyelid Surgery?

Brow Lift

A brow lift, also known as a forehead lift, elevates the brow and addresses drooping skin above the eyes, which can create a hooded appearance. This procedure can help smooth the face by reducing wrinkles, creases, and furrows, contributing to a concerned, tense, or discontented expression. While eyelid surgery effectively addresses excess eyelid skin, a forehead or brow lift may be required if the eyes are impacted by a sagging brow pushing down into the upper eye area.

Learn More About Brow Lift


The terminology used in surgery might make you think that the eyelids are included in a facelift, but they are not.

If you are dealing with various age-related changes such as skin laxity, wrinkles, hollow cheeks, jowls, or a weak jawline, consider a facelift before or after eyelid surgery to address these concerns and achieve comprehensive rejuvenation.

Learn More About Facelift

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Why Choose Dr. Richard Westreich for Eyelid Surgery in New York?

Dr. Westreich holds double board certification withe the American Board of Facial Plastic Surgery and the American Academy of Otolaryngology. Renowned as one of the leading facial plastic surgeons in the New York region, his Manhattan practice incorporates cutting-edge technology and established advancements in surgical techniques. His emphasis on conservative, natural outcomes in facial plastic surgery has garnered him multiple awards and accolades.

Contact us today to schedule your consultation for an elevated eyelid surgery experience.

Eyelid Surgery FAQ

How long does eyelid surgery take?

Will scarring be visible?

Is eyelid surgery safe?

Does insurance cover eyelid surgery?

Is eyelid surgery painful?

How long does the surgery take to perform?

How is blepharoplasty different from a brow lift?

Can I have upper and lower eyelid surgery at the same time?

Are there any non-surgical options as an alternative to eyelid surgery?

How long does eyelid surgery take?

The duration of eyelid surgery varies based on the specific nature of the procedure and the extent of changes required. Upper eyelid procedures can be done under local anesthesia and take less than an hour to perform. For patients having both upper and lower eyelid surgery, sedation or general anesthesia is required and it typically takes between two to three hours to perform.

Will scarring be visible?

Due to the strategic placement of your incisions, the resulting scars are either inconspicuous or virtually undetectable. These incisions typically heal to form a thin line that blends seamlessly within the natural contours of your eye. Dr. Westreich takes extensive measures to minimize the potential for visible scarring and achieve remarkably natural-looking, rejuvenated outcomes.

Is eyelid surgery safe?

While all surgeries involve some risk, Dr. Westreich, a double-board-certified facial plastic surgeon, employs advanced techniques to minimize the risk of complications and scarring while delivering exceptional results. These will be discussed at your consultation and your preoperative visits. You can rely on our NYC facial plastic surgeon to provide safe and effective eyelid surgery in a clean, luxurious, and comforting environment.

Does insurance cover eyelid surgery?

In some instances, insurance may provide coverage for eyelid surgery. If the presence of excess skin and fat around your eyes is obstructing your vision, insurance might cover a portion or the entirety of the procedure. However, it’s important to note that insurance typically does not cover cosmetic alterations.

Is eyelid surgery painful?

After the surgery, you may experience some discomfort, but most side effects can be alleviated with pain medication, icing, and careful post-operative care. You will receive comprehensive instructions and have a follow-up appointment with Dr. Westreich within a week of your procedure to remove the sutures and monitor your recovery progress.

How long does the surgery take to perform?

The duration of your surgery will primarily depend on the specifics of your procedure and the extent of the changes required. The procedure typically lasts up to three hours for most patients undergoing surgery on both the upper and lower eyelids.

How is blepharoplasty different from a brow lift?

Eyelid surgery and brow lifts are surgical procedures to rejuvenate the eyes and upper face for a youthful look. Upper eyelid surgery involves the removal of surplus, sagging skin and the lifting of the upper eyelids. A brow lift will reshape the eyebrow and may help with excess upper eye skin only. A blepharoplasty procedure helps to enhance the eyes, making them appear larger and more radiant, resulting in a rejuvenated and alert appearance.

Can I have upper and lower eyelid surgery at the same time?

Yes. Your entire surgical experience will be tailored to meet your specific requirements. Whether you require surgery on one eye for symmetry or upper and lower eyelid surgery on both eyes, our team is dedicated to assisting you. We can consolidate the upper and lower eyelid procedures into a single session to minimize overall recovery time and downtime. Our goal is to assist you in identifying your needs and developing a personalized treatment plan to revitalize your eyes.

Are there any non-surgical options as an alternative to eyelid surgery?

With the latest technological advancements, patients who may be hesitant about undergoing surgical procedures have a range of non-surgical options available for rejuvenating the appearance of their eyes:

  • Radiofrequency (RF) Energy: A "10-minute" eyelift utilizing radiofrequency energy offers an appealing treatment choice for individuals seeking to enhance the look of droopy eyelids. This procedure involves applying radiofrequency energy to stimulate natural collagen production and tighten the skin, lifting sagging or drooping upper eyelids.
  • Fractional or other type of Laser: This method effectively addresses fine lines and textural concerns around the eyes by promoting cell renewal and collagen production to tighten skin naturally.
  • Botox and Dermal Fillers: Non-surgical eyelid rejuvenation options include the use of dermal fillers to address hollows under the eyes and BOTOX injections to target crow's feet, wrinkles around the eyes, and frown lines between the brows.
  • Fat Transfer: Fat transfer can be used for volume restoration, reduction of dark circles, and skin rejuvenation, through the transferring of stem cells to the treated areas.

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