It is Dr. Westreich’s main objective to provide his patients with the most natural, effective results. This means that scarring is always kept to an absolute minimum, so that the patient does not have to worry about potential signs of surgery when considering the procedure. The incision is always placed at the point of least visibility, and, if all goes as planned, will be virtually invisible to both friends and strangers.
Lower eyelid surgery or a blepharoplasty is intended to target the area directly under the eyes. Puffiness, eye bags, dark circles and wrinkling under the eyes can detract from a person’s appearance and can make you look older, tired, and worn out. Lower eyelid aging results from excess skin or fat deposits, due to a loss of elasticity or a genetic predisposition, that have accumulated over time. A lower eyelid procedure, as performed in Dr. Westreich’s NYC office, is designed specifically for your personal needs. You will walk out with a refreshed appearance, and will no longer be self-conscious of your under eye appearance.
Lower eyelid rejuvenation
Aging of the midface is a newer concept in which the effect of descent of the cheek fat is seen. Typical changes seen include an oval rather than almond shape to the face, hollowing underneath the eyelids, deepening of nasolabial folds, and increased joweling. Essentially, the apple cheeks of youth are lost.
Mid-face lifting is a technique for rejuvenating the lower eyelids and the cheek area. It can also reduce deepened nasolabial folds, although it will not completely remove them. A mid-facelift can achieve a more youthful, fuller appearance to the cheek and lower eyelid area. In endoscopic midface lifting, Dr. Westreich will place small incisions in the temporal hairline through which the midfacial tissues are freed up and lifted. An Endotine® absorbable implant is used to hold the midface in the new position until the structures are firmly reattached. Dramatic but natural changes to the lower eyelid region and midface complex can be achieved. The midface lift can also be performed at the time of an endoscopic brow lift or neck liposuction.
Eyelid surgery technique
There are different types of eyelid surgery—each of which Dr. Westreich is highly trained in performing—which can significantly alter your appearance for the better. Depending on your particular condition, Dr. Westreich will apply varying methods of surgery. Still, one thing remains constant no matter what type of lower eyelid surgery you are seeking: Dr. Westreich’s devotion to giving you a more reinvigorated, energized look.
- Eyelid surgery for horizontal eyelid creases
Early signs of aging typically involve the skin alone. In the lower eyelids, this can take the form of horizontal lines on the eyelid itself. While BOTOX is effective in eliminating the lines to the side of the eye (crow’s feet), BOTOX cannot be used on the eyelid itself. In this case, creams and other treatments cannot tighten the skin enough and removal of excess skin is required. A skin pinch procedure involves removing excess skin alone with a hidden incision underneath the eyelashes (subcilliary incision). No significant tissue dissection is required and minimal bruising or swelling typically results. Patients can typically return to social environments within 1 week. For Manhattan patients not looking to have any type of surgery, non-invasive skin tightening procedures are available.
- Eyelid surgery for bags under the eyes
Under-eye bags, especially those that are particularly deep-set, can make you appear unnecessarily tired or sick. They can produce a dark shadow on the region, or dark circles, that can detract from the softness of the eyes and the entire face. Dr. Westreich will remove or restore the lost volume that cause the under- eye bags. All tissue levels – skin, fat, and muscle – can contribute to the appearance of bags. Correction will be performed in the most natural way by manipulating and tightening the tissues under the eyes. Based on the types of tissues involved, the incision may be hidden under the eyelashes (subcilliary incision) or placed inside the eyelid (transconjunctival incision).
- Eyelid surgery for natural puffy under the eyes
Puffy under-eyes, like under-eye bags, can be unsightly and misleading. The condition is most often genetic, but can also result from an inflammation of the lower eyelids, prolonged stress, allergies, and fluctuations in the body’s level of hormones. After ruling out reversible medical causes, Dr. Westreich will remove excess under eye fat to decrease the appearance of the puffiness. Typically, this surgery is performed with incision hidden inside the eyelid (transconjunctival incision).
- Eyelid surgery for drooping lower eyelids
Drooping eyelids, also known as ectropion, is an actual medical condition that can have adverse affects on a patient’s vision. Typically, drooping eyelids impact the upper eyelid, but treatment is also available should the condition be present in the lower eyelids. In these cases, the lower eyelid loses contact with the eyeball and tearing or dry eye may result. This is another problem that Dr. Westreich can directly target with surgery.
Candidates for Lower Eyelid Surgery
The best candidates for a lower eyelift are patients who have relatively elastic skin that has become loose or sagging due to aging, exposure to the sun, or hormonal changes. Most often, this manifests as wrinkling, bagginess, and puffiness directly under the eyes. It is important that patients are in good overall health before committing to the surgery, and that they always maintain realistic expectations. Dr. Westreich will personally evaluate your eyelid concerns during your consultation appointment to see whether or not the surgery is a good option to explore.
Lower Eyelid Surgery Consultation with Dr. Westreich, NYC
Dr. Westreich is an accredited and highly rated surgeon who has been featured in several prominent magazines and publications and was recently named New York Magazine’s “Best Doctor of 2014 and 2016.” He is an expert in facial reconstructive surgery, and makes it his mission to develop a lasting relationship with each of his patients. Your consultation will take place in our comfortable office, conveniently located in the heart of New York City’s Upper East Side. This is your time with Dr. Westreich. Feel free to bring in a list of questions you want answered. Dr. Westreich will be there for you every step of the way, leading the path to the new, revamped you. As long as you have realistic goals in mind and are aware of the implications of lower eyelift surgery, we encourage you to call us today at (646) 494-9048 to schedule your initial consultation visit.