Eyelid surgery, or blepharoplasty, is a highly refined procedure designed to rejuvenate the areas around the eyes for a more rested and alert appearance. 

At Manhattan Surgical Care, double board-certified oculofacial specialist Dr. Basil Pakeman provides tailored solutions for patients in the NYC metro area. Choosing the appropriate procedure begins with understanding the distinct concerns addressed by upper and lower eyelid surgery.

Restoring a Brighter Gaze: The Role of Upper Eyelid Surgery

If your eyes look heavy, hooded, or smaller than they used to, the issue likely lies with the upper eyelid. Over time, excess skin can begin to droop, hiding the natural crease of the eyelid and creating a tired or even stern expression.

Upper eyelid surgery in NYC is the definitive solution for:

  • Correcting sagging or “hooded” skin that weighs down the eyelid.
  • Restoring a defined eyelid crease for a more open and youthful eye contour.
  • Removing the excess skin can cause makeup to smudge or, in some cases, interfere with peripheral vision.

The procedure involves a fine incision hidden within the natural eyelid fold, making it virtually undetectable once healed.

Smoothing Away Fatigue: A Look at Lower Eyelid Surgery

Under-eye bags and puffiness can create shadows that make you look exhausted, regardless of how much rest you get. These concerns are typically caused by displaced fat pads beneath the eye, not just tired skin.

Lower eyelid surgery in NYC is designed to address:

  • Persistent under-eye puffiness or “bags” that don’t respond to creams or fillers.
  • A hollowed or shadowed appearance in the tear trough area.
  • Fine lines and excess, crepey skin directly beneath the lower lashes.

Dr. Basil Pakeman often utilizes advanced techniques that involve making the incision inside the lower eyelid, allowing for fat repositioning without any visible external scar.

Which Path Is Right for You? Upper, Lower, or Both?

Choosing the right procedure is straightforward when you identify your primary aesthetic goal. 

If hooding and heaviness are your main concerns, an upper blepharoplasty will deliver the most significant impact. If bags and puffiness are what you see in the mirror, a lower blepharoplasty is the targeted solution.

For many patients in the NYC Metro Area, a combined approach provides the most harmonious and comprehensive rejuvenation, addressing the entire eye area at once. A private consultation is the best way to develop a surgical plan tailored to your facial anatomy. 

For more information, review the answers to these common eyelid surgery questions.

The Art of Natural-Looking Results

Many patients worry about looking “done”; modern eyelid surgery focuses on restoring, rather than altering, your appearance. We preserve your unique eye shape and work with your natural anatomy to ensure subtle enhancement. Tissue removal is conservative—only true excess skin or fat is addressed to avoid hollowing or tightness. 

When appropriate, Dr. Pakeman repositions under-eye fat to smooth hollows and create a seamless lid-to-cheek transition. The result is a balanced, refreshed look that appears natural and authentically you.

Schedule your Eyelid Surgery Consultation in NYC

Achieve a more alert and refreshed appearance with a plan designed exclusively for you. Contact Manhattan Surgical Care today to schedule your consultation. Serving Manhattan, the Upper East Side, and the NYC Metro Area, Dr. Pakeman creates a surgical plan tailored precisely to your anatomy to deliver balanced, natural-looking results.