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Blepharoplasty
What is cosmetic eyelid surgery?
Blepharoplasty can improve the appearance of the upper eyelids, lower eyelids, or both. The procedure helps rejuvenate the area around the eyes, creating a more youthful, rested, and refreshed appearance.
Improvements to the eyelids and surrounding eye area can greatly enhance your overall appearance. Aging and genetics can cause the skin of the upper eyelids to become heavier and fuller, while puffiness and bagginess may develop along the upper and lower eyelids. In some cases, this excess tissue can also interfere with vision.
Fortunately, these concerns can often be corrected with a procedure called blepharoplasty. Blepharoplasty may be performed to improve both visual function and cosmetic appearance. Removing excess skin from the upper eyelids can improve eyelid function and peripheral vision. Even when vision is not affected, blepharoplasty can help reduce a tired or sagging appearance and restore a more refreshed look.
You may be considered a good candidate for blepharoplasty if you have any of the following concerns:
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Excess skin that hides the natural fold of the upper eyelids
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Bags beneath the lower eyelids
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Excess skin and wrinkles of the lower eyelids
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Loose or sagging skin around the upper eyelids
Every year, hundreds of thousands of men and women choose blepharoplasty to improve both their appearance and quality of life. Drooping eyelids can make a person appear older and more tired, while also potentially affecting vision. Blepharoplasty can correct these concerns while reducing puffiness and under-eye bags for a more youthful and refreshed appearance.
Upper Lid Blepharoplasty
BEFORE SURGERY
AFTER SURGERY
The skin below the eyebrow sags, causing a loss in the definition of the eyelid and a tired look.
After the removal of the excess tissue, eyelids regain their definition, resulting in a younger, more energetic look.














Lower Lid Blepharoplasty
BEFORE SURGERY
AFTER SURGERY








The image below shows the most common incision sites for both upper and lower lid blepharoplasty

If you are interested in cosmetic eyelid surgery, then contact us directly to discuss your treatment options and to address any questions you may have. Dr. Perlman will be able to answer any and all questions you have about blepharoplasty.
When Doctor Becomes Patient
by Patricia Sierra, M.D.
Our eyes are an expressive feature and one people notice first. As the skin around the eyes ages, excess folds appear in the upper and
lower lids making us look older and more tired. It's something I speak to patients about all the time. It was something different to experience this aging problem myself!
About 3 Years ago, I became aware of the excess skin on my upper lids. As an ophthalmologist, I knew eyelid surgery could rectify this
problem and restore a more youthful, rested look. I was somewhat anxious to undergo a procedure that was not "medically necessary" so I kept delaying this alternative and thinking "maybe next year".
Last summer, while applying eye makeup, I noticed how the eyeliner and mascara would frequently smear over this upper eyelid excess
fold. I knew this problem would only worsen over time so I consulted Dr. Perlman, our oculoplastics specialist about my concerns. He said, "Patty, we can easily fix that." I have been fortunate to work closely with him and observe his excellent outcomes, so I was very comfortable having him perform my surgery.
Last December, I underwent bilateral upper eyelid blepharoplasty. The surgery was performed as an in office procedure under local
anesthesia. I had some mild swelling around the eyes, which lasted about 3–5 days. I had no pain during or after the procedure and was back to work in one week.
A friend of mine recently called me to ask me for advice as she was contemplating having blepharoplasty surgery in New York. I told
her about my experience and how satisfied I was with the results. "There is only one thing I regret", I said. "I should've done it three years ago!"