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Eyelid Surgery

In New York City

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Eyelid Surgery

Dr. Paul prides himself on delivering natural, long-lasting results with minimal down time.

The window to the soul, the eyes are often the first place to show signs of aging. From drooping upper lids to bulging lower lids, the eyelids can combine to produce a tired look that does not match one’s youthful energy. With a blepharoplasty in New York City by Dr. Benjamin Paul, these issues are corrected to showcase a more vibrant and refreshed look and feel.

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The Basics

What is Eyelid Surgery?

As one ages, the signs of fatigue around the eyelids become increasingly noticeable. The eyelid skin wrinkles, the eyelid muscle enlarges, and the fat underneath begins to bulge. Each patient ages differently and to combat natural aging, Dr. Paul tailors upper and lower blepharoplasty procedures for patients seeking eye rejuvenation. During your consultation, the position of your eyebrow will also be discussed as the descent of the brows often crowds the upper lids reducing the distance from the eyebrow to the eyelashes.

The goal of eyelid surgery is to restore a youthful and energetic look to the eyes that matches the patient’s age and exuberance.

Upper Eyelid Surgery

The main component of an upper blepharoplasty is the removal of excess skin, a condition named dermatochalasis. This will decrease the “hooding” of the eye and present more eyelid platform, which women often appreciate as it facilitates the application of eyelid makeup.

The excess skin is removed through an incision hidden in the natural eyelid crease, rendering the resultant visible scarring almost virtually invisible. For some patients, a skin excision alone will suffice. For other patients, a thin strip of the squint muscle is removed to lessen the eyelid bulk. For some patients, prolapsing fat is excised as well to improve contours. Care is taken to not over-reduce soft tissue or hollow the eyes.

During the evaluation process, careful attention is given to the eyebrow position, as brow descent may give the appearance of excess skin. An endoscopic browlift may then be indicated in addition to, or instead of, removing eyelid skin.

Lower Eyelid Surgery

Lower blepharoplasty is a more complex procedure. In addition to prolapsed fat, stretched-out eyelid muscle, and skin may compromise the appearance of the the upper and lower eyelids together. Furthermore, cheek descent can worsen this appearance by creating a groove below the eyelid, often termed the “tear trough”. Swelling in the cheek/eyelid transition zone, termed “festoons”, can further complicate treatment.

These features may require a combination of approaches: fat may need to be removed or repositioned through an incision hidden on the inner surface of the eyelid (transconjunctival), or through an eyelid incision just below the lashes (subcilliary) if removing skin and tightening muscle is also planned. If skin creping or festoons are present, laser resurfacing may be performed to smooth and tighten the lower lid skin.

Eyelid Surgery Timeline


    Dr. Paul will look at your eyes and determine if you require an Upper Eyelid Surgery, Lower Eyelid Surgery, or both. The two of you will discuss your options and a surgical plan will be made. You will then schedule your surgical date with our Patient Coordinator.

    1st Visit

    You will meet again with Dr. Paul and/or the nursing team to prepare you for surgery. We will review instructions as well as determine if you need a medical clearance.

    2nd Visit

    Dr. Paul will make discreet incisions along the natural creases in your eyelids and remove any excess skin or fat. Once done, he will suture your eyelids to a natural resting state and you will need to wear bandages over your eyes. For an upper lid blepharoplasty, you may return home after the procedure. For a lower lid blepharoplasty, you will be met by a private nurse and will be asked to stay in a neighboring hotel overnight for direct observed care.

    3rd Visit

    You will experience bruising, swelling, and discomfort, but can return to work if you feel ready, but it’s better to take about a week to let your body heal. Refrain from any strenuous activities or lifting during the first two weeks. You will need to return for a follow-up with Dr. Paul so that he can observe your initial recovery

    (DAYS 1-7)
  • Weeks Following Surgery

    Swelling and bruising around your eyes will have decreased significantly or diminish during this period. You should be seeing the results of your blepharoplasty at this point, and your eyes will look more open and refreshed. Makeup can be applied at this point and you may also return to light to moderate exercise around 3-4 weeks after the procedure following our guidance.

    (WEEKS 2-4)

    Upper eyelids heal very rapidly. Lower eyelids can heal rapidly, but may take longer to heal depending on approach. You may need to return to Dr. Paul a few more times over the next few months so that he can monitor your progress. Once fully healed, you will be able to enjoy the results of your Blepharoplasty for the rest of your life.

    (3 MONTHS +)

What are the Benefits of Eyelid Surgery?

Our Eyelid Surgery patients in New York City consist of men and women of all different orbital face types and Dr. Paul will address each surgery with the proper attention it needs. Some of the benefits a Blepharoplasty can provide include:

  • A more youthful and rested appearance
  • Expanded line of sight for improved vision
  • Enhanced eye shape for a refreshed appearance
  • Reduced skin irritation from excess folds rubbing together
  • Easier application of eyelid makeup

Who are the Best Candidates for an Eyelid Surgery Procedure?

The best candidates for a New York City Eyelid Surgery are those who have the following characteristics:

  • Are genetically predisposed to have lower eyelid bags
  • Be in overall good health
  • Maintain realistic expectations for the results of their treatment
  • Want to eliminate excess skin
  • Do not have any medical issues or dry eyes

Benjamin Paul, MD

What’s The First Step?

The first step in getting upper or lower Eyelid Surgery in New York City is to contact our office to schedule your consultation. When you come into our clinic for this appointment, you will be able to meet with Dr. Paul and express your desires for this surgery. He will answer any questions you may have, evaluate your eyelids, and ask you some questions regarding your medical history.

It is very important to be open and honest when having this discussion as it will help Dr. Paul make informed decisions when creating your surgical plan and prevent any unnecessary risks. If you agree with the plan, our Patient Coordinator will be able to help you schedule your surgery date and provide you with some instructions to follow to ensure successful results.

What to Expect on the Day of Eyelid Surgery

When you come in for your Blepharoplasty, we want all of our patients to feel as comfortable and confident as possible while undergoing eyelid surgery. You usually have just local anesthesia around your eyes and mild sedation during the procedure.

  • Upper Eyelid Surgery

To address the upper lids, Dr. Paul cuts along the natural lines of your eyelids and then removes any excess tissue. He uses extremely small stitches to close the incisions. The stitches stay in place for one week. This addresses eyes that appear hooded or droopy due to excess sagging skin and fat. Excess sagging eyelid skin can make an individual appear tired, sad, or older. Upper eyelid surgery rejuvenates the eye area, helping patients look younger and well-rested.

During surgery for the upper eyelid, the incision is typically hidden within the natural fold of the upper eyelid, extending slightly beyond the lash line at the outer corner into the laugh lines or existing creases. Since this incision follows the natural contour of the upper eyelid, it is usually nearly undetectable.

  • Lower Eyelid Surgery

Dr. Paul uses one of two procedures to address the lower eyelids. He may make an incision on your lower eyelid to remove fat. The advantage of this procedure is that the cut will be invisible. Alternatively, he may cut the eyelash area, and this incision fades in a short time.

Lower eyelid surgery addresses puffy under-eye bags, loose skin, and hanging tissue in the lower eyelid area. Many patients come to us seeking this procedure because they’re simply tired of looking exhausted. Similar to upper eyelid surgery, incisions made for lower eyelid surgery are hidden in natural crease lines just below the lower lashes. If the patient is only having fat removed and not skin, the incision can be placed inside the lower eyelid, eliminating the need for external incisions. Lower eyelid surgery incisions may be combined with laser treatment to tighten and smooth the lower eyelid skin.

If both your upper and lower lids are done at the same time, the entire eyelid surgery procedure usually takes two hours.

Eyelid Surgery Recovery

After surgery, you will be able to return home to rest in comfort, however, you should have a friend or family member available to take you home. You should take it easy for the first few days and have a competent adult around to help you during your initial recovery. After surgery, it is common for your eyelids to be puffy, as your incisions will emerge red, and the swelling and bruising may resemble that of a black eye.

Most people can get back to their regularly scheduled activities in about 7-14 days after Eyelid Surgery, but you should be prepared to take time off to let your eyelids heal correctly. Within this healing time, we advise that you must protect your eyes from sunlight and other elements. Some choose to wear dark sunglasses that cover your eyes from the sides and a hat. We always ask that you follow your post-surgery instructions from Dr. Paul.

Once you are fully healed, you’ll look younger, your eyes will look brighter, and you’ll hopefully have an elevated sense of confidence.

Combine Your Eyelid Surgery

Your eyes are a key focal point of your face, but sometimes, there are other areas that patients choose to enhance. Many of our New York City Eyelid Surgery patients will combine their surgery with other procedures to create a better, more youthful facial appearance.

Woman touching face, Eyelid Surgery in NYC


How Much Does Eyelid Surgery Cost in New York City?

The cost of Eyelid Surgery in New York City is determined by multiple factors, including if you’re getting both lids worked on. The best way to learn how much your treatment will be is to come in for your consultation with Dr. Paul. After he creates your procedure plan, our Patient Coordinator will be able to provide you with a price breakdown for the treatment.

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Why Choose Us?

Why Choose Dr. Paul?

Dr. Benjamin Paul prides himself on delivering natural, long-lasting results with minimal downtime. As a double-board-certified Facial Plastic Surgeon and three-time Top Doctor winner, he is known for his exceptional talent in rhinoplasty, facelift, and eyelid surgery. Trained by the very best in Manhattan and Chicago, Dr. Paul completed the prestigious Honors Program in Medical Education at Northwestern University where he earned his undergraduate and medical degrees. After college, Dr. Paul went on to complete his general surgery internship, otolaryngology-head and neck surgery residency, and facial plastic and reconstructive surgery fellowship at New York University. Dr. Paul uses his artistic eye and surgical expertise to enhance each patient’s natural beauty. 

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Schedule A Consultation

If you are unhappy with your eyelids’ appearance or are having vision problems because your eyelids are blocking your vision, a Blepharoplasty in New York City could open up your world! Call Dr. Benjamin Paul – Facial Plastic & Hair Restoration or use our website to schedule your consultation today to learn if you’re a good candidate for Eyelid Surgery!

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Eyelid Surgery FAQs

  • 5 Star Review

    Couldn’t be happier!

    I could not have asked for a better team! I felt so comfortable and genuinely happy with everyones proffesionalism. I would definitely recommend this amazing team to make your beauty goals into a reality!

  • 5 Star Review

    Amazing experience!

    My experience with Dr. Benjamin practice has been excellent, from procedure to outcome. He is amazing! His staff like (Norma) & (Stacy) are excellent in just everything…

  • 5 Star Review

    So happy with my results!

    I reached out to Dr. Benjamin to help lift and lighten me. I know I was not interested in implants as I have a great deal of dense tissue. Following his in person pre surgery consult he agreed…

  • 5 Star Review

    So happy with my results!

    I reached out to Dr. Benjamin to help lift and lighten me. I know I was not interested in implants as I have a great deal of dense tissue. Following his in person pre surgery consult he agreed…

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Dr. Benjamin Paul

Our friendly, front desk coordinator will take care of your scheduling needs. Contact us today to schedule your one-on-one consultation. We offer in-person and virtual appointments to better accommodate your needs. You can also call us at +1 (212) 832 8595 to schedule an appointment.

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