Eyelid Surgery (Blepharoplasty)

Upper and lower eyelid surgery addressing excess skin, puffiness, crepey texture, and under-eye hollowing. Dr. Kolker personalises each procedure to the patient's anatomy using transconjunctival lower blepharoplasty, skin pinch excision, fat transposition to the tear trough, canthopexy for lid support, and muscle or septal cinching. Non-surgical alternatives including Botox, Juvederm or Restylane fillers, and CO2 or Fraxel laser resurfacing are also available. Sutures come out at 5–7 days; most patients resume normal activities within 1–2 weeks.

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 from the anatomy up. 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 orbital fat downward to fill the trough rather than simply removing it, a more nuanced result that avoids the skeletonised look associated with aggressive fat excision. Canthopexy tightens the outer canthus to prevent lid malposition. Muscle and septal cinching address tone and orbital septum weakness that contribute to festooning and lid descent. Fat grafting to the midface or cheek may be incorporated for patients needing volume restoration beyond the lid zone. Non-surgical alternatives — Juvederm or Restylane for tear trough volume, Botox for crow's feet, CO2 fractional laser or Fraxel for skin texture and tone — are available for patients not yet ready for surgery or as combination adjuncts. Sutures come out at 5–7 days; bruising and swelling resolve within one week; light cardio resumes at two weeks. In-person and virtual consultations available at the 710 Park Avenue New York City office.