Eyelid Surgery in New York City

There is no area of the face that is more likely to show the signs of aging than the eyes. Due to a variety of factors including heredity, environment and age, the upper and lower eyelids are prone to the development of crepey skin, discoloration, and puffiness. Eyelid rejuvenation has undergone a number of evolutionary changes over the past decade, with the incorporation of nonsurgical, minimally invasive, and "minimal touch" techniques.

Eyelid Surgery Before & Afters

These Eyelid Surgery before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

“Dr. Kolker is an excellent surgeon! He performed my eyelid surgery and enhanced my upper lip area. The results are extraordinary and I continue to use Dr. Kolker for all of my surgical and nonsurgical needs. There is no other Doctor that I would use.”

— A.M. / New York

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An eyelid lift is aesthetic plastic surgery of the eyelids that can address all facets of aging and the tired look that often develops around the eyes.

Skilled in all nuances and techniques in rejuvenation of the eye area and blepharoplasty, NYC plastic surgeon Adam R. Kolker, M.D., brings vast experience, technical finesse, meticulous attention to detail, and artistry to achieve the most beautiful results.

A traditional blepharoplasty is an eyelid lift that might include any or all of the following: removal of excess upper eyelid skin, removal of excess eyelid fat, and removal of excess lower eyelid skin. To these basic cornerstones of blepharoplasty, a variety of improvements, additions and modifications have been added, and are currently available for eyelid rejuvenation. The eyelid rejuvenation techniques that may be used alone or in combination include:

  • Nonsurgical lower eyelid rejuvenation - restoring volume to the tear trough and softening the lid-cheek junction with injectable facial fillers
  • Laser resurfacing - using laser treatments to improve color, texture, and tone of the eyelid area
  • Skin-pinch blepharoplasty - removing a small amount of excess skin of the lower eyelid with an inconspicuous incision beneath the lash line
  • Transconjunctival blepharoplasty - the removal of excess lower eyelid fat without any external incisions
  • Fat grafts for tear trough and volume loss - autologous fat, harvested from your own body, is transferred to restore youthfulness to the eyelid area
  • Lower eyelid fat repositioning - tightening the lower lid support mechanisms which reduces puffiness and increases and maintains youthfulness without removing fat
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Just as each individual's physical attributes and desires are different, so too is every surgeon unique, and the plastic surgeon you choose for eyelid rejuvenation makes a difference.

The eyelid lift approach must be precisely personalized for every nuance of skin, fat, support, shape, function and individual desire.

Just as each individual's physical attributes and desires are different, so too is every surgeon unique, and the plastic surgeon you choose for eyelid rejuvenation makes a difference. What differentiates the care Dr. Kolker and his team provide is comprehensive:

  • The appreciation of the importance of maintaining natural eyelid shape and enhancing youthfulness and beauty,
  • Exceptional finesse, skill, experience, and artistry,
  • The most rigorous certification, accreditation, and safety standards,
  • Passion for achieving gorgeous blepharoplasty and eyelid rejuvenation results that can be both dramatic and subtle,
  • A connection between patient, plastic surgeon, nurse and office staff that is extraordinarily warm, intimate, and comfortable.

Dr. Kolker's Message to Those Considering a Eyelid Surgery

“The eyes are perhaps the most uniquely identifying facial feature, and maintaining the natural, beautiful identity of the eyes is essential. The best blepharoplasty technique must be uniquely tailored to the individual. You should never look different after eyelid lift, rather, you should just look more youthful, refreshed, and rejuvenated.”

Dr. Adam Kolker
American Society of Plastic Surgeons The American Board of Plastic Surgery, Inc American Board of Medical Specialties The American Society for Aesthetic Plastic Surgery The American Board of Surgery American College of Surgeons American Academy of Pediatrics Northeastern Society of Plastic Surgeons ​New York Regional Society of Plastic Surgeons

The blepharoplasty planning process begins with a comprehensive discussion and examination with Dr. Kolker in his office on Park Avenue in New York.

Eyelid surgery may indeed be recommended, however there are a variety of situations in which Dr. Kolker will recommend a nonsurgical eyelid rejuvenation approach. When plastic surgery is required, the most minimal approach is selected to minimize downtime and to achieve your goals. When appropriate, plastic surgery of the eyelids is combined with other modalities, such as laser, fat grafting and fillers, to promote the most natural results.

Is there a minimally invasive, nonsurgical eyelid lift? Injectable fillers, such as Juvederm or Restylane, can "refill" the tear trough and areas of volume loss, Botox Cosmetic can "relax" and soften the fine lines and wrinkles of the crow's feet region, and laser (ablative with CO2 laser, or nonablative with Fraxel laser) can "resurface" the eyelid region. While blepharoplasty may be required for more prominent issues including excess skin and more pronounced fat bulge, for select individuals with more modest concerns, these nonsurgical maneuvers may be an outstanding solution.

An upper lid blepharoplasty may be performed under local anesthesia only, although light sedation may be elected.

Skin-pinch blepharoplasty, or the removal of a small amount of skin from the lower lid, can also be performed under local anesthesia, however many select sedation for this procedure as well. For lower lid blepharoplasty with more involved muscle, septum, and fat maneuvers (repositioning or removal), sedation is required. When necessary, anesthesia is administered by a board-certified anesthesiologist. The procedure duration may range from approximately 45 minutes to two hours, but may be longer or shorter based on the specific techniques planned, anatomic requirements, and goals. The options will vary depending on your unique needs, but may include any individual or combination of the following:

  • Upper Lid Blepharoplasty - removal of excess skin, with or without fat, from the upper eyelid
  • Fat Grafting to tear trough, midface, or cheek
  • Laser Resurfacing
    • Ablative Laser (CO2 Laser)
    • Nonablative Laser (Fraxel Laser)
  • Lower Lid Blepharoplasty - removal of excess skin from the lower eyelid, with varying maneuvers to control fat herniation
    • Transconjunctival Approach
    • Skin Pinch
    • Fat Transposition
    • Canthopexy - support of a slightly lax lower eyelid
    • Muscle and Septal Cinch (Tightening of support to reduce puffiness)

More Questions about Eyelid Surgery

Dr. Kolker's website, and other web-based resources can be very helpful in providing a broad overview of eyelid rejuvenation basics, indications and options. Given the wide variety of specific anatomy and individual desires, there is no substitute for an in-depth, personal consultation with a board-certified plastic surgeon experienced in the best eyelid lift options. Dr. Kolker will consider all of the facets of your physical attributes and your goals with you, will guide you through all steps of the decision-making process, and will formulate a eyelid rejuvenation treatment strategy tailored to your unique requirements. Blepharoplasty is a process that demands customization, finesse, experience, and a true respect for natural appearance and aesthetics to achieve the most balanced and the most beautiful outcome, and the plastic surgeon you choose absolutely makes a difference. We invite you to schedule a consultation to discuss blepharoplasty in NYC with Dr. Kolker, and look forward to warmly welcoming you to our practice.

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710 Park Avenue, New York, NY 10021