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Blepharoplasty (Eyelid Surgery) in Long Island, NY

Blepharoplasty, commonly known as eyelid surgery, is a transformative cosmetic procedure designed to address signs of aging, sagging, or drooping in the upper and lower eyelids. This surgery is not just about aesthetics; it can also improve vision by removing excess skin that may impair sight. Whether you’re seeking to rejuvenate your appearance or resolve functional issues, blepharoplasty can offer a solution tailored to your needs.

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What Is Blepharoplasty?

Blepharoplasty is a surgical procedure aimed at correcting drooping eyelids and removing excess skin, fat, or muscle from the upper and lower eyelids. Over time, the skin around the eyes loses elasticity, leading to sagging or puffiness, which can make a person appear older or tired. In some cases, this excess skin can even impair peripheral vision. Blepharoplasty addresses these issues by tightening the eyelid area, providing a more youthful and alert appearance.

This procedure can be performed on both the upper and lower eyelids, depending on the patient’s needs. Upper blepharoplasty primarily removes excess skin that hangs over the eyelid crease, while lower blepharoplasty addresses puffiness or sagging below the eyes.

Who Is a Candidate for Blepharoplasty?

Blepharoplasty is ideal for individuals experiencing sagging or drooping eyelids, excess skin around the eyes, or puffiness due to fat deposits. Typically, patients who seek eyelid surgery fall within the age range of 35 and older, although younger individuals with genetic predispositions may also benefit.

You might be a good candidate if:

  • You are in good general health with no conditions that may impair healing
  • You have droopy or sagging upper eyelids
  • You have excess skin that impairs your vision
  • You have bags or puffiness under the eyes
  • You have realistic expectations for the outcome

A consultation with a board-certified cosmetic surgeon like Dr. Bienstock can help determine if blepharoplasty is right for you.

What Are the Benefits of Blepharoplasty?

Benefits of eyelid surgery may include:

  • A youthful and refreshed look in the eye region
  • Improving vision by removing excess upper eyelid skin
  • Eliminating puffy eyelids 
  • Increasing self-esteem 

What Are My Blepharoplasty Options?

Patients can choose from several types of blepharoplasty, depending on their specific concerns and goals. Your surgeon will guide you toward the most appropriate option during your consultation.

  • Upper Blepharoplasty: This procedure focuses on the upper eyelids and is performed to eliminate excess skin that may hang over the eyelid crease. In some cases, this extra skin can interfere with vision, making upper blepharoplasty not just cosmetic but also functional.
  • Lower Blepharoplasty: Lower blepharoplasty targets puffiness or bags under the eyes. This is often caused by fat deposits and weakened muscles in the lower eyelids. The surgeon may remove or reposition fat to achieve a smoother, more youthful appearance.
  • Combined Upper & Lower Blepharoplasty: For patients who have concerns with both the upper and lower eyelids, a combined approach may provide the best results. Using both upper and lower blepharoplasty techniques, your surgeon will remove excess eyelid skin and fat and adjust the underlying muscles for a smoother, more youthful look.
  • Double Eyelid Surgery (Asian Blepharoplasty): This specialized form of blepharoplasty is popular among individuals of Asian descent who seek to create a defined crease in the upper eyelid. The goal is to enhance the natural appearance of the eyes without changing their overall character.
  • Transconjunctival Blepharoplasty: This technique is often used for patients with lower eyelid puffiness but without excess skin. The incision is made inside the lower eyelid, leaving no visible scar.

How Is Blepharoplasty Performed?


Initial Consultation

During your initial blepharoplasty consultation, Dr. Bienstock will evaluate your medical history, examine your eyelids, and discuss your goals. This is the time to talk about any concerns or ask questions. The surgeon will take photographs and review your facial structure to develop a customized plan for your blepharoplasty. Your consultation will also include a discussion of the surgical risks, benefits, and recovery process. If you have vision impairment due to sagging eyelids, your surgeon may work with an ophthalmologist to determine the extent of visual obstruction and whether your blepharoplasty can be classified as a medically necessary procedure.

Preoperative Instructions

You’ll be given preoperative instructions to help prepare you for your eyelid surgery and to ensure that the process goes as smoothly as possible. One of the key recommendations is to avoid smoking, as it can significantly hinder the healing process. It’s important to stop smoking several weeks before surgery. Additionally, you will need to avoid certain medications and supplements, such as aspirin and anti-inflammatory drugs, because they can increase the risk of bleeding. If your surgery involves general anesthesia, fasting for a specific number of hours before the procedure may be necessary. Finally, make sure to arrange for transportation, as you won’t be able to drive immediately after the procedure due to the effects of anesthesia.

During the Procedure

On the day of surgery, you will receive local anesthesia with sedation or general anesthesia. The procedure begins with the surgeon marking the incision lines along the natural creases of the eyelids. For upper blepharoplasty, the incision is made along the eyelid fold, while for lower blepharoplasty, the incision is placed just below the lash line or inside the lower eyelid (transconjunctival approach). The surgeon will then remove or reposition fat, trim away excess skin, and tighten the remaining tissue to create a firmer, smoother contour. Once the necessary adjustments are made, the incisions are closed with sutures or skin glue.

What Can I Expect During Brow Lift Recovery?


Blepharoplasty recovery varies for each patient, but most people can expect the following healing stages:

First Few Days

During the first few days after eyelid surgery, swelling and bruising are normal and usually most noticeable within the first 48 hours. Applying cold compresses can help reduce the swelling. Your surgeon may also recommend using lubricating ointment or eye drops to prevent dryness and promote healing. Some patients may have small bandages over their incisions, which are generally removed within a few days. It’s also essential to rest during this time, keeping your head elevated and avoiding any strenuous activities to aid in recovery.

First Few Weeks

Most visible bruising and swelling will gradually go away in the first few weeks after blepharoplasty. If non-absorbable stitches are used, they will typically be removed within the first week of recovery. Most patients can start resuming light daily activities within the first week, but it’s important to avoid strenuous exercise for at least two to three weeks to ensure proper healing.

Long-term Recovery

Full recovery from blepharoplasty can take several months, although most patients feel comfortable resuming normal activities after one to two weeks. Swelling may take up to 3 months to completely resolve. The final results will become increasingly visible as healing progresses.

When Will I See My Blepharoplasty Results?

You will begin to see the results of your blepharoplasty within a few weeks as swelling and bruising subside. However, it may take up to three to six months for the final results to fully appear. Once healed, you will notice a smoother, more youthful appearance around the eyes, with improvements in both aesthetics and function.

Blepharoplasty FAQ


What other procedures can be combined with blepharoplasty?

Blepharoplasty can be combined with several other facial rejuvenation procedures to enhance overall results. Commonly combined treatments include a facelift or brow lift, which address sagging in the lower face and forehead areas. Patients may also opt for BOTOX® Cosmetic or dermal fillers to smooth wrinkles and add volume to areas like the cheeks or lips. Combining procedures allows for a more comprehensive transformation, reducing the need for multiple surgeries and optimizing recovery time. Your surgeon can recommend the best combination based on your aesthetic goals.

Is blepharoplasty painful?

Most patients experience mild discomfort during the recovery phase, which can be managed with pain medication. The procedure itself is performed under anesthesia, so you won’t feel pain during surgery.

Does blepharoplasty leave scars?

Eyelid surgery leaves scars that are typically minimal and strategically placed to be as discreet as possible. For upper eyelid surgery, the incision is made along the natural crease of the eyelid, and for lower eyelid surgery, it is often placed just below the lash line or inside the eyelid. Over time, these scars fade significantly and become nearly invisible. Following your surgeon’s postoperative care instructions will help ensure the best possible healing and minimize the appearance of scars.

What are the risks associated with blepharoplasty?

As with any surgery, there are risks involved, including infection, bleeding, dry eyes, scarring, and temporary vision changes. Choosing an experienced, board-certified surgeon and following all pre and postoperative instructions can minimize these risks.

How long do blepharoplasty results last?

Results from blepharoplasty are long-lasting, with many patients enjoying their new appearance for 10 to 15 years or more. However, natural aging will continue, and some individuals may require a secondary procedure later in life.

Interested in Blepharoplasty in Long Island, NY?

If you’re considering blepharoplasty, Dr. Daniel Bienstock can help you achieve beautiful, natural-looking results. Call us today at (516) 776-9988 or complete our online contact form to schedule your consultation and take the next step.

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