Blepharoplasty And Eyelid Surgery In New York City

Blepharoplasty, or eyelid surgery, is one of the most precise and technically sensitive procedures in facial plastic surgery. Because the eyelids are central to expression, identity, and facial balance, patients in New York City consistently seek out surgeons with exceptional training and a proven track record of natural results. As a dual board certified facial plastic and reconstructive surgeon, Dr. Maurice M. Khosh, MD, FACS, has built his Manhattan practice around meticulous technique, individualized planning, and an aesthetic style that rejuvenates without altering the unique character of the face. His Park Avenue office attracts patients who want results that look refreshed rather than operated on, with an emphasis on safety, precision, and long-lasting improvement.

Certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, Dr. Khosh brings decades of experience, advanced surgical judgment, and extensive anatomic knowledge to every upper and lower eyelid procedure. His expertise allows him to select the right technique for each patient, whether the goal is to correct sagging upper lids, smooth puffiness beneath the eyes, remove excess skin, reposition bulging fat pads, or create a more alert and youthful upper face.

Understanding Blepharoplasty And How It Helps Rejuvenate The Eyes

Blepharoplasty is a surgical procedure designed to improve the appearance and function of the upper eyelids, lower eyelids, or both. Because the eyes are often the first area to show signs of aging, patients frequently notice concerns such as hooded upper lids, a tired expression, puffiness or bags under the eyes, or loose, crepey skin. Over time, the thin eyelid skin stretches, the supporting muscles may weaken, and fat can protrude or shift. In addition, hereditary factors play a significant role. Some patients develop under-eye bags early in life due to genetic fat herniation rather than age alone.

Eyelid surgery can remove or reposition excess fat, tighten or excise sagging skin, refine eyelid contours, and restore a smooth, rested, and youthful appearance. In cases where excess upper lid skin interferes with peripheral vision, upper blepharoplasty can also improve the visual field, providing both cosmetic and functional benefits.

Why The Eyes Age And Show Changes So Early

The eyelids are uniquely delicate. The skin is thinner here than anywhere else on the face, making it more vulnerable to stretching and laxity. Sun exposure, genetics, various environmental factors, and the natural aging process all play a role. The ligaments and soft tissues supporting the eyelids can weaken, allowing fat to shift or bulge. The brow position can descend with age, adding heaviness to the upper lid. Volume loss in the midface can deepen the transition between the lower eyelid and cheek.

Because so many structural changes can contribute to the appearance of aging eyes, a comprehensive evaluation by an experienced facial plastic surgeon is essential. Treating the eyelids alone may not always address the source of the concern, which is why Dr. Khosh evaluates the entire upper face, including brow position, eyelid tone, fat distribution, skin quality, and symmetry.

Dr. Khosh’s Individualized Approach To Eyelid Surgery

Blepharoplasty is not a standard procedure performed the same way for every patient. Each person’s anatomy, age, goals, facial proportions, and eyelid characteristics are unique. Dr. Khosh approaches eyelid surgery with a detailed examination and a customized surgical plan. During consultation, he will:

Evaluate upper eyelid skin laxity, hooding, and fat prominence
Assess lower eyelid fat herniation, puffiness, hollowing, and skin texture
Study eyelid tone and the support of the canthal tendons
Analyze brow position and the overall upper face aesthetic
Review medical and ocular history, dry eye tendencies, and functional concerns

This detailed analysis ensures that he selects the safest and most effective approach. In some patients, a conservative removal of upper eyelid skin is appropriate. In others, careful repositioning of lower eyelid fat provides a smoother, more natural contour. When necessary, Dr. Khosh incorporates brow lift techniques, midface strategies, or non-surgical adjuncts to achieve balanced and harmonious results.

Upper Eyelid Blepharoplasty

Upper eyelid blepharoplasty corrects sagging skin, hooding, and excess tissue that rests on or folds over the natural eyelid crease. Incisions are hidden within the natural eyelid crease, allowing the scars to remain discreet once healed. The goal is to restore a clean, defined eyelid crease, reduce heaviness, and brighten the expression while maintaining natural anatomy.

For some patients, excess fat is removed or repositioned to reduce puffiness, although Dr. Khosh is conservative in fat removal to avoid hollowing. The priority is always a natural contour that supports long-term facial balance and expression. Many patients seeking upper blepharoplasty experience both cosmetic and functional benefits. When upper eyelid skin obstructs peripheral vision, the procedure can improve sight lines and reduce visual fatigue.

Lower Eyelid Blepharoplasty

Lower eyelid blepharoplasty addresses under-eye bags, puffiness, shadowing, and loose or wrinkled skin. This procedure can dramatically rejuvenate the lower face by restoring a smoother transition between the lower eyelid and the cheek. Depending on anatomy and skin condition, Dr. Khosh uses one of two primary approaches:

The transconjunctival approach places the incision on the inside of the lower eyelid. This allows removal or repositioning of fat without leaving an external scar and is ideal for patients who have puffiness without significant excess skin.
The subciliary approach places the incision just beneath the lash line. This allows removal of excess skin when needed and is used when skin laxity or wrinkling is significant. Dr. Khosh uses precise, minimally disruptive techniques to avoid the over-tightened or rounded appearance sometimes associated with lower eyelid surgery performed without regard to eyelid tone and support.

Who Is A Good Candidate For Eyelid Surgery

You may be a candidate for blepharoplasty if you identify with one or more of the following:

Heavy or hooded upper eyelids
Puffiness, bags, or bulging under the eyes
Excess skin that causes a tired or aged appearance
Difficulty applying makeup due to loose upper lid skin
Shadowing or deep grooves between the lower eyelid and cheek
A desire for a refreshed, youthful, and natural appearance

Good candidates are in overall good health, have healthy eyes, understand the recovery process, and maintain realistic expectations about outcomes. Dr. Khosh reviews medical history, medications, healing tendencies, and ocular surface health to ensure safety.

Your Eyelid Surgery Experience With Dr. Khosh

Consultation And Evaluation

During your consultation, you meet directly with Dr. Khosh for a thorough examination and discussion of your concerns, medical history, and goals. Clinical photography may be used to assist in planning and to help visualize potential improvements. You will receive a precise explanation of the recommended surgical approach and what you can expect in terms of healing, longevity, and natural results.

The Day Of Surgery

Eyelid surgery is typically performed under local anesthesia with sedation or under general anesthesia depending on the patient’s goals and comfort. Surgery is completed in an accredited surgical facility for safety and optimal care. Incisions are placed with the utmost attention to natural folds and contours. Fat is carefully repositioned rather than aggressively removed to avoid hollowing. Excess skin is tailored conservatively to maintain natural eyelid function and shape.

Recovery And Healing Timeline

Most patients experience swelling, mild bruising, and a sensation of tightness during the first several days after surgery. Cold compresses and head elevation reduce swelling and enhance comfort. Sutures, when used, are usually removed within five to seven days.

Many patients return to light activities or work within seven to fourteen days. Strenuous exercise and heavy lifting are avoided for several weeks. As swelling subsides and tissues settle, results become more refined. Final results typically appear over several months as the eyelids assume their long-term shape.

Benefits Of Blepharoplasty

Blepharoplasty performed by a highly trained surgeon like Dr. Khosh can offer transformative yet natural results, including:

A more open and rested appearance
Reduction of upper eyelid hooding
Smoother lower eyelid contours and reduction of puffiness
Improved facial symmetry and balance
Enhanced definition of the upper eyelid crease
Reduction of shadowing or tear trough depth
Improved vision when sagging upper eyelids obstruct sight

Potential Risks And Considerations

As with any surgical procedure, blepharoplasty carries potential risks. These may include infection, bleeding, dry eye, delayed wound healing, temporary or prolonged changes in eyelid sensation, asymmetry, difficulty closing the eyes, visible scarring, or changes in eyelid position.

Dr. Khosh provides detailed preoperative and postoperative instructions to minimize risks and monitors healing carefully at each follow-up visit. His extensive experience in reconstructive and revision eyelid surgery allows him to manage complex cases and ensure patient safety.

Combining Eyelid Surgery With Other Procedures

Blepharoplasty may be performed alone or in combination with other facial rejuvenation procedures to enhance results. Many patients choose to combine eyelid surgery with brow lift, facelift, neck lift, fat transfer, or skin resurfacing based on their anatomy and goals. Combining procedures can create a more harmonious and balanced rejuvenation, and in certain cases may consolidate recovery time. Dr. Khosh will help determine whether a combined approach is beneficial.

Why Choose Dr. Maurice M. Khosh For Your Eyelid Surgery In Manhattan

Dr. Khosh offers a level of expertise, training, and artistic precision that is essential for safe and natural eyelid surgery. His qualifications include dual board certification in facial plastic and reconstructive surgery and otolaryngology, extensive experience in cosmetic and reconstructive eyelid surgery, leadership roles within the field, and recognition in Castle Connolly Top Doctors and New York Magazine’s Best Doctors.

His practice philosophy emphasizes natural results, individualized care, conservative tissue handling, and meticulous surgical technique. Patients appreciate his ability to rejuvenate the eyes without creating an artificial, surprised, or altered appearance.

Schedule A Consultation For Blepharoplasty In New York City

If you are considering upper or lower eyelid surgery, scheduling a consultation with Dr. Maurice M. Khosh provides an opportunity to learn about your options from one of Manhattan’s most highly credentialed facial plastic surgeons. During your visit, you will receive an honest assessment, a customized treatment plan, and a clear understanding of expected outcomes.

Eyelid Surgery New York, NY — Case Study

Upper and Lower Blepharoplasty – 66 year old lady with troublesome puffiness of the lower eyelids and saggy upper eyelids. She was successfully treated with upper blepharoplasty and trans-conjunctival (through the inside of eyelid) lower blepharoplasty. Notice the substantial rejuvenated appearance of the entire face resulting from her eyelid lift procedure.

Disclaimer: These are actual results for patients of Dr. Maurice Khosh. Plastic and cosmetic surgery results can vary between patients.

Frequently Asked Questions Regarding Blepharoplasty

: Upper eyelid surgery treats hooding, heaviness, and loss of the natural crease, while lower eyelid surgery addresses bags, puffiness, and loose skin. During consultation, Dr. Khosh evaluates the entire upper face, including brow position, to determine which procedure or combination is most effective.
: When performed with conservative and precise technique, eyelid surgery should enhance your natural features without changing your identity. Dr. Khosh focuses on restoring a rested, youthful appearance that looks completely authentic.
: Most swelling and bruising improve significantly within seven to ten days. Many patients return to work or social activities during this period. Strenuous exercise is usually avoided for several weeks. Final refinement continues as swelling resolves over the next several months.
: Upper eyelid scars are hidden in the natural crease. Lower eyelid scars may be inside the eyelid or placed close to the lash line. When performed properly, scars are typically faint and well concealed.
: Blepharoplasty can help dark circles caused by fat bulging, shadowing, or loose skin, but it may not resolve pigment-related discoloration. Some patients benefit from combining eyelid surgery with skin resurfacing or fat transfer to improve hollowing.
: There is no ideal age. Many patients in their forties and fifties seek eyelid surgery for age-related changes, while younger patients may pursue lower eyelid blepharoplasty due to hereditary under-eye bags.
: If excess upper eyelid skin blocks peripheral vision, upper blepharoplasty can improve the visual field. Dr. Khosh will evaluate whether your eyelid anatomy contributes to functional vision issues.
: Results are long lasting, especially when fat is repositioned rather than removed. Aging continues naturally, but the refreshed appearance endures for many years.
: Blepharoplasty is considered safe when performed by a dual board certified facial plastic surgeon with extensive eyelid experience. Dr. Khosh reviews risks in detail and provides thorough postoperative care to support safe healing.