Eye Lift Surgery : Questions and Answer
Dr. Amiya Prasad is highly respected Cosmetic Oculofacial Plastic Surgeon whose offices are located in Manhattan’s Upper Eastside and Garden City, Long Island. Dr. Prasad has performed eyelid surgeries such as Blepharoplasty, bags under eyes, Ptosis surgery and Asian eyelid surgery for more than 30 years. He is committed to educate and inform through writing, with “The Fine Art of Looking Younger”, his highly acclaimed book and daily Q&A from patients all over the world via his YouTube Channel. Cosmetic Eyelid Surgery Specialist – Dr. Amiya Prasad
- - Am I a candidate for this procedure and why?
- - Can you explain to me how you foresee my procedure would go specifically? (how am I different than other cases?
- - How many Blepharoplasty Procedures do you do on a weekly basis?
- - May I see before and after photos of your patients?
- - How will I be sedated? – What is the recovery time needed?
- - What are the potential side effects?
- - Will there be visible incisions?
- - Where is the procedure done and is that facility certified?
It’s important to refrain from strenuous activity during recovery . Light activity is fine In general,
Smokers beware. Healing time is significantly longer for those who smoke regularly and risk a higher rate of complications..
Specializing in oculofacial eyelid surgery in NYC, I can share with you the importance of properly performed primary surgery. When revision work is necessary the “golden rule” is to restore the anatomy so that the eyelids look good and function well to protect the eye. You may have exposure of your eyes at night from lower eyelid retraction. You should be comfortable and confident in who you choose for your procedure. Besides eyelid surgery surgery, your options for fillers include hyaluronic acid fillers and platelet rich plasma (PRP).
Platelet rich plasma has helped our patients improve the appearance of fine lines, wrinkles and under eye dark circles. As opposed to using hyaluronic acid alone, I have found that combining hyaluronic acid with PRP to create better looking results.
The risks of discoloration from laser and a line of incision which can be seen below the eyelashes make the choices you’re considering less desirable. I have performed radio frequency skin tightening under the eyes using Pelleve Skin Tightening which is safe for all skin types. I would suggest you consider having the transconjunctival blepharoplasty alone and making the decision to tighten your skin after the surgery, in which you will probably not need to have a skin tightening procedure. This transconjunctival procedure which I perform routinely in my practice in New York and Long Island allows my patients to avoid any external scar and enjoy a natural appearance.
A man’s eyes may be characterized as feminine if they appear round or doll-like. Typically, a man’s upper eyelid crease is lower than a woman’s and the eyebrow is more level (as you probably achieve a more masculine look by squinting and lowering your brow.) These features should be preserved during blepharoplasty for men in order to retain the masculine appearance of the face. Another important factor is not to over-correct a man’s eyelid during male blepharoplasty. As men age, their eyelids will differ from those of their youth, and blepharoplasty for men should appreciate this subtle difference.
As an Oculofacial Plastic & Reconstructive Surgeon in New York, super-specializing in the eyes, I have spent much more time than a general plastic surgeon on advanced eye plastic surgery and have spent many years instructing other eye surgeons on the topic. A second level of expertise is based upon types of experience (training pursued after residency, the number of years spent during and after formal training on specific types of procedures, teaching others his craft, before and after photos to show). Hope this helps!
People always thought she was tired and she couldn’t correctly apply her eye makeup to the upper lids. By removing the excess skin in an artistic way, she healed with natural appearing results so that no one knows she’s had any surgery, and is now happy with her bright-eyed appearance. Being young, you do not want to appear as if you’ve had surgery to correct a perceived problem. I’ve attached a video of this young woman’s experience to help you better understand.
You may be a candidate for lower eyelid surgery should you elect to have the fat removed surgically. Because hollowness is also an issue, you may want to do a comprehensive procedure in repositioning fat. As an oculofacial cosmetic surgeon in New York for over 15 years, I strongly recommend you consult with a qualifies doctor who understands your goals and can give you natural-looking results from blepharoplasty.
Properly done eye lift surgery can reverse the aging clock by up to 15 years. If you are still looking to improve your facial appearance, you may consider non-surgical enhancements, such as Pelleve Skin Tightening for the eyes, etc. At my practice, I see many patients who come to my practice in New York for revisional eyelid surgery after having had one or two attempts by their original surgeon and wish for us to correct problems.
In our practice we have had success with treatment of some cases of malar swelling with nonsurgical treatment such as Pelleve Skin tightening for the eyes and face and Fractional CO2 laser skin resurfacing for the eye area and face. It may also be best to just wait for a few weeks more and seeing the progress.As a Cosmetic Oculofacial Plastic surgeon operating in New York City, I might also recommend (with a proper evaluation of festoons) a lower eyelid surgery. Lower lid blepharoplasties address the bags (buggy eyes) or festoons that appear under the eyes that give a person an angry or exhausted expression.
After having the lower eyelid pinch bleph, you may notice the first 2 days that swelling is at its maximum. Usually at 5 days, you can use warm compresses for your puffy eyes or and carry on with normal activity (moving, blinking, talking, smiling). Compared to standard blepharoplasty, a limited amount of skin removal during a skin pinch eyelid surgery is less traumatic than removing fat or other surgery. However, in my 16 years of practice, I’ve witnessed a wide variation in recovery after eyelid surgery a lot of swelling for a little procedure and virtually no swelling for a lot of surgery.
If you’ve ever had particles or debris go into your eyes or rubbed your eye due to allergies, you can remember your eyes are very sensitive to any kind of trauma. I recommend following the instructions given to you by your eyelid surgeon for after care following eyelid surgery. As long as your doctor sees no immediate concerns, you should be optimistic that the swelling will do down after eyelift surgery.
Depending on the results that one is looking to get from cosmetic surgery of the eyes or face, sometimes a combination of a browlift surgery and upper eyelift surgery (or blepharoplasty) may be needed. One must be cautious when getting a browlifting surgery (or performing the surgery) that the brows aren’t overdone because it could result in a “perpetually surprised” look or expression if the brows become too arched. If a browlift and eyelift are performed in combination: after the browlift, it can then be determined how much excess skin is to be removed from the lids. Both a browlift and blepharoplasty are invasive surgical procedures, however they are invasive for different cosmetic goals.
I see patients with this problem from all over the world who seek help for revisional or corrective surgery due to an eyelift they previously had with another surgeon. Usually this problem is caused by lower eyelid retraction (the lower eyelid is not at the same level as the border of the iris or colored part of the eye). Proper examination and performing the right eyelift procedure or corrective procedures can probably provide you with some improvement of your problem with closing your eyes after having had blepharoplasty surgery to your eyes.
In my practice, I counsel my patients to expect that there will be no difficulty with eye closure after cosmetic eyelid surgery. Cosmetic eyelid surgery should restore and enhance the natural appearance of the eyes. This means avoiding the removal of too much skin from he upper and lower eyelids as well as performing procedures to prevent the lower eyelid from being pulled down.
It is easier to do this type of eyelid surgery with patient cooperation as the muscles in eyelid are very sensitive. With children, surgery is done using very objective measurements and we anticipate the results from ptosis surgery will be close to ideal. On older patients, we get the cooperation of the patients, thus we are able to have the patient open and close eyes in order to do precise measurements and ensure the eyes will match as much as possible after ptosis eyelid surgery. In my practice and 20 years of experience, it is best to perform the eyelid surgery safely under local anesthesia with light IV sedation.
Pictures would better help, but you must consult with a qualified surgeon who can best determine what kind of blepharoplasty candidate you are: upper eyelift surgery OR ptosis surgery.
I have seen many people who need my help after having injectables done incorrectly and end up looking “lumpy” with many irregularities, so it is important you get the help of a qualified professional. Hyaluronic acid fillers (such as Restylane) can be injected along the orbital rim of eye as well as under brow. Platelet Rich Plasma (PRP) and Platelet Rich Fibrin Matrix (PRFM) are also very helpful for hollow eyes.
PRP or PRFM, often referred to as the Vampire Facelift, which I offer in New York uses platelets and growth factors extracted from your own blood and used as injectable filler to the eye area with volume loss. The advantages of the The Vampire Facelift or PRP injections is that there is some of your body’s natural collagen being generated, so when the sunken appearance becomes more pronounced, this method helps to build collagen and thicken the skin. By can enhancing skin quality (with lasers or chemical peels) and add volume around the eyes (with Vampire Facelift PRP or Restylane), you may be able to improve your appearance.
The advantages of the The Vampire Facelift or PRP injections is that there is some of your body’s natural collagen being generated, so when the sunken appearance becomes more pronounced, this method helps to build collagen and thicken the skin. As you age, volume of soft tissue, bone, fat starts to diminish; so if you have deep set eyes, you can naturally have a more sunken eyed appearance. There is no 100% perfect solution for deep set eyes as this is a function of your anatomy: your eyes relative to the bone have particular positions.
You cant push the eyes out, however, you can enhance skin quality (with lasers or chemical peels) and add volume around the eyes (with PRP or Restylane), but it has to be done artfully by a qualified doctor able to perform these cosmetic seye treatments. I have seen many people who need my help after having kit incorrectly end up looking “lumpy” after getting injectables and creating too many irregularities.
After drawing your own blood, it is processed so the platelets (cells which stimulate collagen for healing) from the other main components of the blood (this is called “platelet rich plasma” or “PRP”) The platelets are processed and made into a platelet-rich fibrin matrix (PRFM) which becomes a gel. Since PRFM is like a gel, it has similarities to other fillers, and can be used to sculpt the face. When the growth factors activate the stem cells of the skin, then the stem cells generate: New Skin New Blood Flow New Collagen New Tissue
Dark circles below the eyes are a combination of ethnic pigmentation, skin thickness, vascularity, and other factors such as allergies. In my practice in New York, I advise my patients after blepharoplasty to use an under eye cream with sunblock and typically the skin color returns to it’s normal pigmentation. I even developed a medical-grade skin care line in helping my patients maintain their skin after surgery, including Eye Rescue and an antioxidant sunscreen.
After eyelid surgery, there can be some temporary darkening of the skin particularly in people who tan easily. In my practice in New York, I advise my patients after blepharoplasty to wear an under eye cream with sunblock and typically the skin color returns to it’s normal pigmentation. I even developed a medical-grade skin care line dedicated to helping my patients maintain their skin after surgery.
The Micro Fractional CO2 Laser treatment shows dramatic improvement in skin texture and color and leaves it smooth, firm and even-toned. Also, at my practice in New York, after a proper consultation, to determine if I might offer PRP or platelet rich plasma injections combined with a hyaluronic acid filler to help fill out the hollowing beneath eyes and restore color to the skin. In my years of experience skin mainentance is important following surgery, so I formulated a medical grade line of skin care products in which we carry Eye Rescue (by Prasad Medical Skincare) to reduce dark circles and has vitamins to help nourish the delicate skin around the eye.
That said, if it is approved, the insurance company will have an amount that they deem normal for the procedure and the area it is performed in. Often times, in a private cosmetic practice, that covered amount is a fraction of the actual cost of surgery. Insurance companies rarely account for the specialty involved in these surgeries. My advice would be to deal with your insurance company first. Get approval from them. Submit it all your is dotted and t’s crossed and then knock on wood and cross your fingers that the claim will process.