Upper eyelid surgery is one of the most frequently performed procedures at Prasad Cosmetic Surgery. Dr Amiya Prasad, a top cosmetic oculofacial plastic surgeon, has helped many patients reveal their eyes with a natural look through carefully performed blepharoplasty. Sagging skin and puffiness in the eyelid can make one appear tired and lacking in energy.
Upper eyelid surgery improves the aesthetics of the eyes by addressing excess and sagging skin often associated with aging. As an Oculoplastic surgeon, Dr. Prasad has pioneered several techniques in eye lift surgery. Resulting in minimal incisions, safer anesthesia, and quicker recovery.
What are the different treatments for hooded eyelids?
Hooded eyes can be caused by redundant eyelid skin, drooping brows or combination of both. I’ll address how I treat hooded eyes every day in my practice with non-surgical and surgical options
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. As an oculoplastic surgeon I can attest to the value of training in ophthalmology or eye surgery. Followed by specialized training of the areas around the eyes.
Proper diagnosis of the different anatomic causes of hooded eyes as it relates to the eyes is very important. Additionally understanding the potential impact on eye health from any procedure performed around the eyes is critical throughout my career.
There have been remarkable innovations with neurotoxins fillers and surgical procedures. I routinely incorporate these advances to create customized strategies for my patients.
It is very important to properly analyze the causes of upper eyelid hooding. The appearance of excess skin partially covering the eyes can often mask the presence of other conditions. Which cause the eyelids to droop such as eyelid ptosis.
Eyelid ptosis is a condition where the margin of the eyelid is lower than it would normally be for that individual. Eyelid ptosis is generally caused by she’s affecting the muscle responsible for lifting the eyelids called the levator muscle. Not recognizing the presence of ptosis can result in disappointment in the outcome of procedures where only the skin is addressed.
The brows play an important role when it comes to managing hooded eyes. An observation I’ve made over the course of my career is how impactful the appearance of the brows have on facial expression. If you draw a cartoon and you want to show happiness anger or surprise you can do that easily. Withdrawing the brows in different ways to show those emotions.
Many times patients tell me how they are afraid of looking always surprised. After a brow procedure because of people they’ve seen who they say had too much Botox or too much surgery. I look at brow enhancement as an opportunity to artistically shape the brows rather than just lift them.
In many situations eyelid hooding can be improved by addressing the brows with the procedure called a Botox. Brow lift this is done by using Botox or a similar neurotoxin such as Dysport or XEOMIN. The neurotoxin works by relaxing the depressor muscles in the brow area. That push the brows down by relaxing the depressor muscles which include the corrugator Pro Cirrus and orbicularis oculi muscles.
The muscle which raises the brows called the frontalis muscle works unopposed. Thereby allowing lifting of the brows as is the case with any neurotoxin treatment. The result can last three to six months and the procedure needs to be then repeated.
Another non-surgical approach to brow lifting and shaping to improve hooded eyes is a technique where injectable fillers are placed. To restore volume which is lost caused by bone loss as well as loss of fat and soft tissue.
I often place the filler in the temples and in the strategic areas of the outer aspects of the brows. Which through volume correction helped to create a better looking brow shape. When brows descend to a point where neurotoxin and fillers are not going to be enough surgical options are then considered.
Although I perform all types of brow lifting surgery including coronal endoscopic and trichophytic brow lifts. I have found myself being more inclined to performing more conservative skin-based procedures for artistic shaping. As opposed to what I was more inclined to do in the past which was geared more towards lifting. The coronal brow lift has fallen out of favor amongst most cosmetic surgeons but can still be used in certain patients.
The procedure is done with a single long incision made from behind the hairline. For the purpose of excising excess skin and addressed specific muscles. Another brow lifting technique is the endoscopic brow lift. This involves small incisions made behind the hairline a camera called an endoscope. Is used to see the areas to be operated on from these small incisions.
An example of a brow lift which is done only at the skin level is the trichophytic brow lift. This procedure is performed from behind and within the hairline. An advantage of this technique is that it allows hair to grow through the incision for better camouflaging.
Variations of this method can be employed for brow shaping. Which can be performed from naturally existing forehead lines and even directly at the border of the eyebrow hairs. When there is upper eyelid hooding there is often excess soft-tissue.
In these situations cosmetic upper eyelid surgery also known as upper eyelid blepharoplasty is the most direct procedure to addressing eyelid hooding. This is a surgical procedure where redundant eyelid skin known as dermatochalasis is carefully measured excised and sutured to define the upper eyelids. My goal is not to remove as much skin as possible but rather to reveal the true shape of the eyes.
The artistry needed in performing upper eyelid blepharoplasty. To appear natural for the individual whether they’re male, female younger, middle-aged, or older and factoring ethnic specific characteristics cannot be overstated. Both surgical brow shaping and upper eyelid blepharoplasty is performed under local anesthesia. With light sedation avoiding issues related to general anesthesia.
Patients undergoing either or both surgical brow shaping and upper eyelid blepharoplasty typically return to work in one week with minimal bruising and swelling. Approaching the management of upper eyelid hooding depends on proper evaluation. The extent of the hooding the possibility of coexisting eyelid ptosis and concurrent issues within the eyebrows.
In my practice I help my patients make informed decisions. Based on the specific factors which contribute to the appearance of their hooded eyes. Being satisfied with the outcomes of any procedure or procedures is more likely when you understand the diagnosis. The treatment strategy and what you should expect afterwards I hope you found this information helpful thank you for your question.
Eyelid surgery (medical term: blepharoplasty) is a procedure that aims at improving the appearance and function of the eyelids. The term “blepharoplasty” can be used for upper eyelid surgery as well as lower eyelid surgery. It is routine to perform upper and lower eyelid blepharoplasty.
For many people, excess skin on the upper eyelids, puffy eyelids, and hooded eyes can be frustrating. Many of our patients note how applying makeup becomes difficult often resulting in smudging. The goal of the eye lift surgery is to restore the upper eyelids shape and contour, giving a more rested, refreshed appearance.
Often, hooded upper eyes occur with puffy under eye bags. Under eye bag surgery or lower eyelid blepharoplasty can be performed at the same time as upper eyelid blepharoplasty.
View more before and after upper eyelid surgery photos
Every blink causes the thinnest stretch of elastic fibers in the skin. Blinking also stretches fibers of the eyelid levator muscle (the muscle that raises the eyelid). As the area’s thinner skin begins to show fine lines, the overall underlying structure also ages. The skin sags and droops as the muscle layers weaken.
In our younger years, youthful volume normally gives the eyelid a full and supple appearance. This volume, created by fat and the supporting tissue, depletes over time. Resulting in the sagginess of the upper lid and appearance of eye bags on the lower eyelid. The prolapsing fat around the eye tends to shift forward in response to weakened, sagging muscles and support tissue.
Here are the top eight reasons patients shared why they chose to have Dr. Prasad help them look their best.
With eye lift surgery, all patients will find that their face is significantly rejuvenated. They will be described as energetic, or well-rested, like they just came from a vacation. Women will find that eyeshadow is much more easily applied.
Prior to eye lift surgery, the area is cleansed and a local anesthesia is administered. Using his minimal incision technique, Dr Prasad removes excess fat and tissue on the upper eyelid. Then the skin and muscle are re-draped, and the incision is sutured closed. There tends to be less bruising when the eye lift surgery is done that way.
Upper eyelid surgery (blepharoplasty) is performed to remove hooding over the eyes. Lower eyelid blepharoplasty addresses the bags (puffy eyes) appearing under the eyes that give a person an exhausted expression. Upper eyelid surgery is performed through the lid crease and the scar is well hidden whether the eyes are open or closed.
Many of Dr. Prasad’s clients ask, “where are the stitches?” when they look in the mirror after the eye lift surgery is performed. Upper eyelid surgery is not just a simple removal of extra skin. In fact, the skin plays only a part of the procedure. Sculpting the soft tissue and creating a natural appearance is more of an art rather than technique alone.
Most doctors who perform upper eyelid surgery can do a decent job which many people find acceptable since they don’t know better. However, very few cosmetic surgeons perform exceptional eyelid surgery. Common issues Dr. Prasad sees often are people whose upper eyelid incision scars fall outside the crease. And can be seen when the eyes are open, or the crease incision is made too high on the upper eyelid.
Dr. Prasad’s eyelid lift procedures differ from many traditional upper eyelid surgery because it involves minimal risk, minimal anesthesia and maximal results.
Using local anesthesia with sedation (LITE™ Anesthesia) means less downtime after the procedure. Compared to an eyelid surgery performed under general anesthesia. In addition, general anesthesia has more attendant risks than local anesthesia, and there is a higher incidence of nausea.
So generally speaking, Dr. Prasad’s approach for a blepharoplasty is certainly a safer option. The incisions heal extremely well and are virtually imperceptible, even when the eyes are closed.
On average, eyelid surgery may last one to two hours, depending on the extent of treatment.
Minimal bruising and swelling are typical after the eye lift surgery and tend to diminish within a week to ten days. Dr. Prasad’s patients benefit from the use of advanced regenerative medicine such as platelet-rich plasma to help them recover quickly.
Application of makeup can camouflage adequately for most people to go back to work within a week. Contact lenses can usually be worn in about one week after the procedure.
Blood thinning medications, herbal supplements or nutraceuticals can affect the recovery process. So it’s important to provide a list of all medications and supplements during your consultation at Prasad Cosmetic Surgery.
What is healing like after hooded eyelid surgery?
Upper eyelid surgery to improve eyelid hooding. To relieve sagging and redundant eyelid skin due to genetics or aging is commonly performed to help eyes appear more open and vibrant. Often both skin and underlying fat pockets are reduced to achieve an optimal result.
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years.
I specialize in cosmetic procedures for the upper and lower eyelids. Including surgery for eyelid hooding, under eye bags, Asian double eyelid surgery. And I also perform specialized eyelid surgeries such as ptosis correction, restoration after thyroid eye disease. And revision procedures for eyelid surgeries originally performed by other doctors which ended up with complications.
In my mind the purpose of surgery for hooded eyes is to reveal the true shape of the eyes. Which is being hidden by the hooded skin. The hooding actually ends up defining the perception of the eye shape and can communicate unintentionally sadness, fatigue, and even anger or disapproval.
Understanding this goal of revealing the true shape of the eyes. Without making the eyes look too open is critical to performing an ideal procedure.
The amount of skin to be addressed and the amount of soft tissue. And the underlying fat pockets to be contoured is all done based on an artistic plan. The execution of this plan requires technical expertise with efficient perform of the upper eyelid surgery or blepharoplasty. I perform upper eyelid blepharoplasty in almost all my surgeries using local anesthesia with light sedation thereby avoiding general anesthesia.
This approach is comfortable for the patient and allows for faster recovery and minimal downtime. My patients return home right after surgery and typically go back to work in one week. As far as healing after surgery is concerned, the first 48 hours is about managing some swelling. I advise my patients to use cold compresses for 20 minutes on and 20 minutes off for the first two days.
I also prescribed antibiotic ointment for the sutures. The sutures are removed from the upper eyelids after about one week. Healing continues for about a year. However, generally speaking my patients look good for social events within one to two weeks after surgery.
Optimal healing is supported by a healthy lifestyle smoking, lack of sleep and poor diet can result in sub-optimal recovery. By the six-month point after surgery swelling has resolved. Enough for us to conclude that the appearance is close to the final result. However, full surgical healing can take about a year.
Recovery from upper eyelid surgery can be a lot shorter than many people assume. Using local anesthesia and light sedation combined with meticulous surgical technique and proper aftercare. Patients are back to work quickly and don’t have to wait long to enjoy their refreshed looking eyes. I hope you found this information helpful.
Thank you for your question.
When performing an upper blepharoplasty, an experienced surgeon has to take into consideration the ethnic differences among patients. For example, the Asian eyelid is different anatomically in many ways, which is why specialized eyelid surgery is necessary to create natural results.
Dr. Prasad has performed many Asian eyelid surgeries over his 20 years performing eyelid surgery. Special attention is needed in the central aspect of the upper eyelid and the epicanthal fold. This make sure that the Asian eye is not “ Westernized”. For more information about Asian Eyelid surgery, visit our Asian Eyelid Surgery page.
Dr. Amiya Prasad’s training and experience as an Oculoplastic surgeon far exceeds the standards of other plastic surgery boards. Surgery around the eyes is not to be taken lightly.
Every year, hundreds of people have complications from eyelid surgery and desperately search for specialists like Dr. Prasad. To help them correct and restore their eyes through highly specialized revision surgery. Based on this core belief of specialization as a way to provide higher level care, Dr. Prasad approaches his specialty of eyelid and facial rejuvenation surgery as a specialist. As opposed to the broad approach of general plastic surgery.
In addition, Dr. Prasad has distinguished himself by his artistic touch and exceptional skill in performing blepharoplasty or eyelid surgery. In practice since 1995, Dr. Prasad has established a reputation as one of the best eye plastic surgeons for cosmetic eyelid surgery. Dr. Prasad is a Cosmetic Oculofacial Plastic Surgeon and is Board Certified in General Cosmetic Surgery.
The cost of surgery is based on surgeon’s fee, anesthesia, and facility costs. Safety and comfort are very important for the success of your procedure. The cost of the eye lift surgery varies from patient to patient, and depends on surgeon’s evaluation of your needs.
Dr. Amiya Prasad is an oculofacial plastic surgeon. In the medical community, oculofacial plastic surgeons are recognized as super specialists of eyelid surgery. With some like Dr. Prasad specializing in cosmetic eyelid surgery, eyelid reconstruction, and revision surgery.
His experience, expertise, and natural aesthetic style help people get it right the first time with their primary eyelid surgery. As well as people with eyelid surgery complications from other surgeons with revision surgery. Thus, gives him a respected position among cosmetic, and oculoplastic surgeons.
When the eyes look tired or dominate your facial appearance in a negative way, this is the time to consider eyelid surgery. Since many of these traits are hereditary, Dr. Prasad has patients for whom he’s operated on three generations within the same family. He routinely performs these procedures for patients as young as 20s, all the way up to their 80s and beyond. Dr. Prasad makes an assessment of the patient’s health and physical age to determine if they are able to undergo eyelid surgery.
Most people go back to work within 1 week from the eye lift. Dr. Prasad will discuss with you the details of your specific procedure and how it impacts the type of work you do. He has developed Quick Recovery method to help his patients recover as soon as possible.
Lasers have many different uses, but a laser does not replace a skilled surgeon. A laser is a tool which can be used effectively in the hands of a surgeon to enhance the results of the surgery and to minimize recovery time. Dr. Prasad will discuss with you if you are a candidate for laser blepharoplasty.
Preserving the unique characteristics of patient’s eye is the top priority of Dr. Prasad, and part of his natural-looking aesthetic style. Over-aggressive surgery can result in loss of the character of the eyes. Dr. Prasad will do his planning and drawing with you before you undergo surgery so you know what to expect.
Prasad Cosmetic Surgery doesn’t take insurance but we accept all major credit cards. We can also help you with financing through our customized Cosmetic Fee Plans.
Contact lenses can be worn about a week after eyelid surgery. The reason for this is antibiotic ointment is applied to the stitches and some degree of temporary dryness is expected after eyelid surgery.
Dr. Prasad favors local anesthesia with IV sedation when performing blepharoplasty as it puts the patient in a relaxed, sleepy state. Less strenuous to the body compared to the eyelid surgery performed under general anesthesia.
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Schedule a consultation with Dr. Prasad to determine the best procedure for you. Contact us at our Manhattan office at (212) 265-8877 or Garden City Long Island Office at (516) 742-4636. Patient Financing options available for qualified candidates.