Eyelid Surgery (Blepharoplasty)

Eyelid surgery at Dr. Kolker's Manhattan Park Avenue practice reflects his conviction that blepharoplasty must be precisely calibrated to every nuance of lid anatomy — skin quality, fat compartment distribution, lid support structures, canthal position, and the patient's unique aesthetic goals. Overly aggressive or cookie-cutter approaches are the primary cause of unnatural results; Dr. Kolker's technique-first philosophy ensures each procedure is built…

For upper blepharoplasty, the procedure removes redundant skin and, when indicated, herniated fat from the upper eyelid crease, restoring a more open and alert appearance. Dr. Kolker is meticulous about preserving the natural lid fold depth and avoiding over-resection, which can lead to a hollow, operated look.

For the lower eyelids, Dr. Kolker draws on multiple complementary techniques. The transconjunctival approach — through the inner surface of the lid — leaves no external incision and is ideal for younger patients with good skin tone and primarily fat-related puffiness. For patients with surplus skin, a skin-pinch excision is added without a full transcutaneous incision. Where tear trough hollowing is a concern, fat transposition repositions existing…