Eyelid Surgery (Blepharoplasty)

Dr. Ostad performs upper and lower blepharoplasty at his AAAASF-certified facility under local anaesthesia, typically completing in one to two hours. Upper blepharoplasty removes excess skin and fat to restore an open, alert appearance; lower blepharoplasty targets under-eye bags and puffiness caused by herniated orbital fat. Patients return to work within days. Dr. Ostad's reconstructive Mohs background translates directly to the delicate periorbital anatomy, producing clean, symmetric outcomes with fine, well-concealed scars.

Blepharoplasty at Dr. Ariel Ostad's Upper East Side Manhattan practice reflects the same restraint applied across all his work: precise improvement that restores a natural, rested look rather than altering the fundamental character of the eye. Upper blepharoplasty addresses redundant skin on the upper lid that can impair the visual field or create a tired, heavy appearance. The incision is placed within the natural eyelid crease, making scars virtually invisible once healed. Excess skin — and occasionally a small amount of herniated orbital fat — is conservatively removed, restoring the eyelid's natural contour. Upper blepharoplasty is frequently combined with a brow lift when brow descent is also contributing to lid heaviness. Lower blepharoplasty targets under-eye bags caused by herniated orbital fat from the three lower eyelid fat compartments (medial, central, lateral). Dr. Ostad uses either a transcutaneous (external skin incision) or transconjunctival (hidden inside the lid) approach depending on the degree of skin excess and fat prolapse. The transconjunctival technique leaves no external scar and is preferred for younger patients with good skin tone who primarily have fat excess without significant skin redundancy. Both procedures are performed under local anaesthesia with optional sedation at the AAAASF-accredited surgical facility. Most patients experience mild swelling and bruising for five to seven days and return to work within one week. Final results are visible at four to six weeks, with subtle refinement continuing for several months. Dr. Ostad's training in Mohs micrographic surgery — which requires intricate tissue handling and layer-by-layer wound closure — directly informs his approach to the delicate periorbital region. The same reconstruction mindset applied to cancer excision sites is applied to every blepharoplasty closure, producing fine scars and symmetric outcomes. Blepharoplasty results are long-lasting: upper lid results typically persist for seven to ten years. The procedure is frequently combined with Botox for crow's feet and hyaluronic acid filler for tear trough hollows during the same visit.