Eyelid Surgery — Upper & Lower Blepharoplasty

Dr. Jacono performs upper blepharoplasty (excess skin and fat from drooping upper lids), lower blepharoplasty (under-eye puffiness and bags), and fat transposition — a technique that repositions rather than removes periorbital fat for more natural volume preservation. Non-surgical eye lifts and revision procedures including ectropion repair and ptosis correction are also available. Upper lid bruising typically resolves within four days; lower lid within seven to ten days.

Blepharoplasty at the New York Center for Facial Plastic Surgery addresses age-related changes around the eyes with a precision-first approach that prioritises a natural, rested appearance over an obviously operated look. Dr. Andrew Jacono designs each procedure around the patient's underlying anatomy, marking natural eyelid creases and removing only the precise amount of skin, muscle, and fat necessary — avoiding the hollowed or over-tightened result that can occur when too much tissue is excised. For lower blepharoplasty, Dr. Jacono uses a transconjunctival (inside-the-lid) approach where possible, leaving no external scar. When fat redistribution is needed, he employs fat transposition — moving periorbital fat pads to fill the tear trough depression rather than simply removing them — which maintains youthful volume and avoids the skeletonised appearance associated with aggressive fat excision. Procedures are performed under local anaesthesia, rarely requiring sedation, which shortens both the procedure and recovery. Patients undergoing upper blepharoplasty can typically apply makeup and return to work within four days. Lower lid patients are generally socially presentable within seven to ten days. Upper blepharoplasty results are long-lasting, typically 10–15 years. For patients with drooping upper lids caused by levator muscle weakness rather than excess skin, Dr. Jacono performs ptosis repair as a standalone or combined procedure. He also corrects ectropion — outward rolling of the lower lid — often a complication of prior surgery. Hospital backup is available at Lenox Hill Hospital and Manhattan Eye Ear and Throat Hospital. The Manhattan Park Avenue clinic draws domestic and international patients seeking precise eyelid surgery in New York City from a surgeon with over 50 peer-reviewed publications in aesthetic outcomes.