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Over time, fat deposits around the eyes, excess skin, or both can cause noticeable drooping of lids, sagging of eyebrows, and pronounced dark circles. In some cases, these conditions are severe enough to partially obscure a person’s vision.

When saggy eyelids are particularly bothersome, a good way to help reduce the sagging skin is through blepharoplasty (also known as eyelid surgery). Done at the right moment, it can help you look more rejuvenated and improve your quality of life. At Dr. Ariel Ostad’s practice, you can schedule an appointment for this procedure and gain more confidence in how your eyes look.

What Is Blepharoplasty?

Blepharoplasty is a surgical procedure that aims to correct the appearance of the upper or lower eyelid (sometimes even both). Most of the time, the purpose of the procedure is purely cosmetic, but it can also help correct vision issues caused by sagging eyelids. Here is how blepharoplasty can help:

  • There is minimal downtime and minimal discomfort during healing
  • It eliminates loose or sagging skin that is interfering with your vision
  • It smooths wrinkled or “crepe paper” textured skin on the lower lids
  • It rejuvenates puffy, tired-looking eyes
  • It removes excess skin that obscures the natural fold in the upper eyelid
  • You can enjoy a more youthful appearance and unimpaired vision

The treatment is customizable based on how much loose skin you have and the results that you wish to achieve. After a consultation, Dr. Ariel Ostad will decide which surgical route works best for you.

How Blepharoplasty Works

During the procedure, excess skin and other tissue are removed, and displaced tissue is restored to its optimal location. Dr. Ostad achieves natural and youthful results using precise techniques and tiny incisions without noticeable scarring.

Dr. Ostad uses local anesthesia, which is safer than general anesthesia and allows for a speedier recovery. The incisions are made around the lash line, keeping the potential scarring concealed. Dr. Ostad will then remove excess skin and tissue from the eyelid region.

The surgery may take one to two hours, depending on the situation. Downtime is minimal, and most people return to work within a few days, though we advise patients to allow up to one week for healing. 

You will see improvement as soon as the sutures are removed. Full results will be visible within a few weeks after the swelling subsides.

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Common Treatment Areas

In general, blepharoplasty is aimed at the eye area, but Dr. Ostad can still create sutures in different regions, depending on your goals. This can include the following:

  • Sagging or loose skin that results in folds or interferes with vision
  • Fat deposits in the eyelids leading to puffiness
  • Vision impairment due to excess eyelid skin
  • Under eye bags
  • Hanging lower eyelids revealing white below the iris
  • Fine wrinkles and excess skin on the lower eyelid

The target areas are marked before the beginning of the procedure to improve precision. Dr. Ostad will discuss these areas with you first to ensure you get the exact desired results.

Personalized Treatment Plans

Customized Consultations

Blepharoplasty could offer a more rejuvenating aesthetic when addressing sagginess in the eyelid area, whether for the upper or the lower eyelid. Every treatment is customized to ensure you only get the desired results, creating a balanced look for your eyes. After a customized consultation with Dr. Ostad, we will make an effective treatment plan to restore your vision and confidence.

Treatment Process

Each blepharoplasty treatment is unique to the patient, based on the area they wish to treat or the results they want. However, several steps are standard, as consistency is often key to any cosmetic procedure. Below are the steps that you can expect while undergoing the eyelid surgery procedure:

Consultation: Dr. Ostad and his team will check your medical history and determine your treatment plan. Your aesthetic goals and concerns will be discussed, and Dr. Ostad will check for any allergies or underlying conditions that could influence the procedure. Instructions on aftercare may also be provided during this stage of the treatment.

Area Preparation: The area from which the excess tissue will be removed is marked pre-procedure. This allows Dr. Ostad to perform the treatment more precisely while giving his patients some insight into the potential results. This procedure often uses local anesthesia, however, general anesthesia may also be employed if other treatments are combined with blepharoplasty.

Incision and Tissue Removal: Dr. Ostad will create the incision, either along the lash line (for lower eyelids) or in the natural crease (upper eyelid). After that, Dr. Ostad will remove excess skin, fat, and sometimes even muscle from the target area. Fat may occasionally be redistributed to create a smoother transition.

Closing Sutures: Depending on the complexity of the procedure, Dr. Ostad may use skin glue or fine sutures to close the wound. If the sutures are self-dissolving, you may no longer need to have them removed. An ointment or bandage may be used to protect the area during its healing stage.

Recovery from blepharoplasty is relatively quick, but you must keep the bandage on for a couple of days. Expect some swelling and bruising to occur. These effects can last up to two weeks. Blurry vision can happen as your eyelids are healing, so you may want to avoid activities such as reading and excessive blue light exposure for the first couple of days.

Benefits of Blepharoplasty

Improved Vision

Very often, when dealing with excess skin in the eyelid area, the droopiness may obstruct your eyesight and prevent you from seeing correctly. This can make activities such as reading or driving more challenging, as your peripheral vision is compromised. By removing the excess skin blocking your eyesight, you may be able to see your surroundings much easier.

Rejuvenated Appearance

When sagging skin in the eyelid area is present, you may look more tired or aged than you truly are. By removing the excess skin, you should obtain a more rejuvenated look as your eyes are practically “opened.” Sagging and puffiness will be reduced, helping you look more rested.

Eye Strain Reduction

The simple act of constantly trying to keep your eyes open can strain the eye area. Not only can this affect your vision, but it could also lead to headaches if the strain is not relieved. Blepharoplasty can reduce the strain, making activities like reading or working on a computer less uncomfortable.

Minimal Scarring

Blepharoplasty comes with very few visible scars. The incisions are made either along the lash line or in the crease of your eyelid, making them easier to conceal. The discreet placement can offer a more natural aesthetic even without makeup to hide a potential scar.

Lasting Results

Unlike other non-surgical procedures requiring frequent maintenance, blepharoplasty results are longer lasting. The overall longevity depends on the skin quality, as the procedure does not stop aging but merely reverses some of its effects. Once you get the surgery, you should be able to enjoy the results for about five to ten years.

Before & After

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Reviews

Blepharoplasty for Medical Conditions

Beyond Cosmetic Uses

Blepharoplasties are frequently associated with reduced droopiness in the eyelid area for cosmetic reasons. However, eyelid surgery also plays an essential role in addressing medical conditions like ptosis (visual obstructions) and ectropion. The surgery aims to correct the position of the eyelid to reduce irritation and improve eyesight as the vision opens. 

If you have migraines constantly triggered by tension from the eye muscles, blepharoplasty might help relieve it. This is an effective alternative for those who have frequently received BOTOX® Cosmetic injections to reduce the strain but now want something more permanent.

Success Stories

‘I have been a patient of Dr Ostad for many years and I value his skill and experience.  He is an amazing doctor, very compassionate, caring and honest.   His office is well run and the staff is professional and pleasant.  He takes his time during visits and always gives you his full attention, something that is sadly lacking during most doctor visits these days. He’s a real gem and I would highly recommend him to anyone looking for an excellent dermatologist.” – Sharon M.

“The office staff was great.  So smiley and pleasant! The nursing staff was outstanding. They were reassuring and so helpful. Dr. Ostad was professional and spent time with me explaining the procedure. He patiently answered all my questions. I was as comfortable as I could be under the circumstances. I recommend them 100%!” – Susie G.

Frequently Asked Questions

What is Eyelid Surgery or Blepharoplasty?

Blepharoplasty is a surgical technique for eyelid revision. During the procedure, excess skin and other tissue are removed, and displaced tissue is restored to its optimal location.

Who Needs Blepharoplasty?

Any person with functional problems with the eyelids or who wants to improve their appearance can choose this type of surgery. The area surrounding the eyes is rejuvenated, and the eyelids get rid of their tiring and non-appealing look. Also, people looking to treat their dark circles can opt for this surgery.

How Fast Can I See the Results?

The final results will be seen after one to two months as you observe a better-defined, smooth area and a more rejuvenated, alert appearance.

What Age Do I Have to Be to Get Blepharoplasty?

The age depends on the reason a patient may be getting blepharoplasty. If you are getting the treatment for aesthetic purposes, you may want to wait until you are at least 18 years old (with most patients being in their 30s). If the procedure is undertaken for medical reasons, you may get it at a younger age if the doctor recommends it.

Will I Be Awake During the Procedure?

Considering the procedure uses only local anesthesia in the eye area, you will be awake, preventing potential grogginess. That said, if you combine the procedure with other surgical treatments or have anxiety about being awake during the treatment, general anesthesia may be used as well.

Can I Reverse a Previous Blepharoplasty?

Technically speaking, it’s possible to reverse the effects of blepharoplasty. However, it will depend on your eye anatomy and the extent of the initial surgery. This is why going through an extensive consultation first is recommended, as it avoids the need for a reversal.

How Much Does It Cost to Get a Blepharoplasty?

The cost of getting a blepharoplasty depends on if you are treating both eyelids or just one and how extensive the procedure is. For example, the price may increase if you combine the treatment with additional procedures such as fat transfer. A consultation with Dr. Ostad can determine how much you’ll have to pay on average for your custom procedure.

About. Dr. Ostad

Dr. Ariel Ostad is triple board certified in Dermatology, Mohs Micrographic Skin Cancer Surgery, and Facial Cosmetic Surgery and is an Associate Clinical Professor at NYU who teaches residents how to perform flawless surgeries. During his career, Dr. Ostad became renowned for his use of minimally invasive procedures and his careful surgical technique. As a recognized leader in the field, his procedures come with minimal scarring, and any potential visual marks are easily concealed with his other non-invasive treatments. Dr. Ostad is committed to offering the highest care standards, using only the latest technologies to provide comprehensive and long-lasting results.

Blepharoplasty procedures are available at Dr. Ostad’s practice in NYC, where he offers personalized treatment plans and top-quality services.

Have More Questions?

If you have any more questions that have not been addressed in this FAQ, feel free to get in touch with Dr. Ostad at our office. Our specialized team can help all residents on the Upper East Side of Manhattan and beyond, offering all the information you need to make an informed decision.

Expert Answers

What does the surgery involve?

Dr. Ostad will make a small incision in the natural crease of the eyelid to remove or reposition excess skin, fat, or muscle. The incision is carefully closed with sutures for minimal scarring. The procedure is usually done under local anesthesia so you will be awake and alert yet not feeling anything.

Will my eyelids look natural after surgery?

Yes, when performed by a skilled cosmetic surgeon, the results look natural and harmonious with your facial features, avoiding an “overdone” appearance.

Combining Blepharoplasty with Other Treatments

Complementary Treatments

At Dr. Ostad’s practice, we believe that the best results are obtained with a much deeper approach. For this reason, we can combine blepharoplasty with other procedures like lasers and injectables, reducing the strain and offering a more rejuvenated aesthetic. For instance, for those who are dealing with eye strain as a result of droopy eyebrows, we can offer BOTOX® Cosmetic injections as a way to reduce the strain. As a bonus, wrinkles such as crow’s feet should be reduced once the procedure has been completed. 

If sagging and aging skin are the main reasons why you are getting blepharoplasty, we can also combine the surgery with laser treatments like Fraxel CO2. This can trigger the production of more elastin and collagen, improving the skin’s quality over time and creating a tightening effect. Regular procedures can prolong the longevity of the results, improving the general outlook. Dr. Ostad may also combine blepharoplasty with other surgical procedures like a brow lift or facelifts, adding more youth to your features and improving the overall results. 

Comprehensive Rejuvenation

A holistic approach to eyelid rejuvenation can often bring numerous benefits, offering long-lasting results while helping your features look more natural. For this reason, we will evaluate all of your facial features to ensure the treatment plan supports a well-balanced look. 

During the consultation, we will evaluate all of your aesthetic and medical concerns, treating your skin from the root problem. We also offer injectable treatments and laser procedures to add volume and tighten the sagging skin, adding more to the average longevity of the treatment.

Latest Trends and Innovations

Advanced Techniques

Recent advancements in blepharoplasty took the procedure beyond mere skin and fat removal, improving the precision and results. These advanced techniques can help address additional concerns like skin texture issues and volume loss, offering better facial harmony. 

One of the most advanced approaches to blepharoplasty is fat repositioning, which moves the excess fat in the area rather than fully removing it. This technique is helpful for those who have lost volume due to aging and developed tear troughs above the cheeks. Dr. Ostad may also use laser technologies to create the incisions and promote faster healing due to minimal blood loss.

Innovative Uses

While blepharoplasties have mainly been used to correct eye drooping, new cosmetic and medical uses have been associated with this treatment. Nowadays, blepharoplasty can be used for customized eye shape enhancement, helping you get the cat eye effect or the popular almond-shaped eyes. Innovative approaches also focus more on eye health than aesthetics alone, improving the functional capacity of the eye.

Safety and Expertise

Why Choose Dr. Ariel Ostad

Dr. Ariel Ostad is one of the few triple board-certified dermatologists in Dermatology, Mohs Micrographic Skin Cancer Surgery, and Facial Cosmetic Surgery. Dr. Ostad’s advanced skills and techniques have led to many honors, including being listed as Top Doctor by Castle Connolly and RealSelf and a New York Super Doctor. He is also a three-time NYU Surgical Attending of the Year recipient, where he teaches residents how to perform flawless surgeries as an Associate Clinical Professor.

Dr. Ostad has established a unique New York clinic built around patient comfort, personalized care, and consistently beautiful results. Dr. Ostad and his team of professionals stay ahead of the curve in the most recent developments in aesthetic dermatology, skin renewal, repair, rejuvenation, and advanced body-sculpting procedures.

List of Credentials: 

  • Top Blepharoplasty Surgical Provider
  • Top-Rated Mohs Micrographic Surgery Provider
  • Training and education at Harvard, NYU, and UCLA 
  • Triple-Board Certified in Cosmetic Dermatology, Mohs Surgery, and Facial Cosmetic Surgery
  • 2012-2024: Top Doctor by Castle Connoly 
  • 2014-2024: New York Super Doctor
  • NYU Dermatologic Surgical Attending of the Year (3-Time Recipient)
  • Clinical Associate Professor for the Department of Dermatology at New York University

Commitment to Safety

Dr. Ostad’s office is designed to be aesthetically pleasing and comfortable for patients while maintaining strict safety, sanitation, and cleanliness standards. This offers peace of mind to customers, especially as surgical procedures require more care to reduce the risk of complications. 

Dr. Ostad has invested in various lasers and other advanced therapeutic devices. All of the equipment is regularly updated as technology advances and improves. The facility includes an onsite lab used in Mohs micrographic surgery and for diagnostic purposes. The office is fully certified by the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities) as a surgical facility.

Awards and Certifications

Educational Resources

Latest Blog Posts

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Dr. Ariel Ostad has seen patients for this service, including BOTOX in NYC, from all over the tri-state area, including Manhattan, Midtown, the Upper East Side, the Upper West Side, Brooklyn, New York City, the Bronx, Harlem, Astoria, Queens, Long Island, New Jersey, Connecticut, and more. If you are interested in any of the services offered at the Office of Dr. Ariel Ostad, please contact us for more information.

BOTOX in NYC Doctor - Dr. Ariel Ostad

Medical-grade skincare products that will help maintain and enhance your results

These skincare products combined with your treatment plan customized by Dr. Ostad will help enhance your results and improve your overall skin texture. Click on a product below to learn more.

Hyaluronic Peptide Serum

Hyaluronic Peptide Serum
NIA-C+

NIA-C+
HYLA COMPLEX

HYLA COMPLEX
Neck Refining Cream

Neck Refining Cream

Dr. Ariel Ostad has seen patients for this service from all over the tri-state area, including Manhattan, Midtown, the Upper East Side, the Upper West Side, Brooklyn, New York City, the Bronx, Harlem, Astoria, Queens, Long Island, New Jersey, Connecticut, and more. If you are interested in any of the services offered at the Office of Dr. Ariel Ostad, please contact us for more information.

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