Eyelid Surgery (Blepharoplasty)

Upper and lower eyelid surgery (blepharoplasty) performed by Dr. Steven J. Pearlman in New York City. Upper blepharoplasty uses a natural crease incision to remove excess hooding skin. Lower blepharoplasty is performed transconjunctivally (no external incision) or via a sub-lash incision, with fat repositioning into the tear trough to reduce under-eye hollowing. Procedures run approximately ninety minutes. From $9,000.

Blepharoplasty at Pearlman Aesthetic Surgery is performed by Dr. Steven J. Pearlman, whose facial-specialist training gives him particular expertise in the delicate periorbital anatomy. The procedure addresses the eyes — a central element of facial ageing — and can produce significant rejuvenation of the upper and lower face with relatively brief recovery compared to a full facelift. Upper blepharoplasty targets excess skin that accumulates in the upper lid with age, causing hooding that can create a heavy, tired appearance and, in advanced cases, impair the superior visual field. Dr. Pearlman makes the incision at the natural upper eyelid crease — the fold where lid skin creases when the eye is open — so that the resulting scar heals within the pre-existing anatomy and is invisible with the eye open. Careful muscle and fat management are performed to preserve natural upper lid fullness while removing the redundant skin. Lower blepharoplasty addresses herniated fat pockets beneath the eyes (the cause of persistent puffiness regardless of hydration or rest) and, in patients with concurrent hollowing in the tear trough, uses fat repositioning to redistribute the excess fat downward into the hollow rather than simply excising it — producing a smoother lid-cheek transition. Dr. Pearlman typically approaches the lower lid transconjunctivally (the incision is placed on the inside of the lid, leaving no external scar) for patients whose primary concern is fat removal. A sub-lash external approach is used when excess skin removal is also needed. Procedures run approximately ninety minutes under sedation or general anesthesia. Recovery involves mild bruising and swelling for one to two weeks; the majority of patients return to office work within seven to ten days. From $9,000 depending on which lids are treated and the technique required.