Eyelid surgery, or blepharoplasty, is a delicate surgical procedure designed to rejuvenate the appearance of the eyes by removing excess skin, muscle, and fat from the upper and/or lower eyelids. As we age, our eyelids can begin to droop, sag, or puff up, often making us look tired, sad, or older than we feel. Dr. Goldberg’s approach to blepharoplasty is one of subtle artistry, aiming to create a natural, well-rested, and alert appearance that preserves the unique character of your eyes.
You may be an ideal candidate for blepharoplasty if you are bothered by one or more of the following concerns:
Upper Eyelids:
Sagging or drooping skin that impairs your superior vision.
Excess skin that hangs over the natural eyelid crease.
A puffy appearance caused by protruding fat.
Lower Eyelids:
Under-eye bags or puffiness.
Loose, wrinkled, or crepey skin.
Dark circles or shadows that are primarily structural.
Personal Readiness:
You are in good physical and ocular health with no serious eye conditions.
You are a non-smoker and have realistic expectations for the outcome.
You wish to address eyelid concerns specifically, not crow's feet (which may be better treated with other procedures).
The eyes are the focal point of expression, and their surgery requires meticulous planning. During your consultation, Dr. Goldberg will:
Listen to Your Goals: Understand what you find bothersome and what you hope to achieve.
Conduct a Thorough Evaluation: Assess your eyelid anatomy, skin quality, muscle function, and facial symmetry. He may also test your vision if upper eyelid sagging is a concern.
Discuss Your Options: Explain the differences between upper blepharoplasty, lower blepharoplasty, or a combination of both (four-lid blepharoplasty).
Create a Custom Plan: Detail the surgical approach, including incision placement and whether he will reposition or remove fat.
Review the Journey: Provide a clear overview of the procedure, anesthesia, recovery timeline, and costs, ensuring all your questions are answered.
Dr. Goldberg performs blepharoplasty in our accredited surgical facility under local anesthesia with sedation or general anesthesia for your complete comfort. His technique is exceptionally precise:
Upper Eyelid Surgery: An incision is hidden within the natural crease of the upper eyelid. Through this, Dr. Goldberg removes or repositions excess fat and trims away sagging skin and muscle.
Lower Eyelid Surgery: The approach is tailored to your needs.
Transconjunctival Approach: The incision is made inside the lower eyelid, leaving no visible scar. This is ideal for patients who only need fat removal or repositioning.
External Approach: The incision is made just below the lash line. This allows Dr. Goldberg to remove excess skin and fat simultaneously, perfect for addressing significant laxity.
The Goldberg Difference: His focus is on creating a smooth, natural contour that avoids a "hollowed" or "overdone" look, ensuring your eyes look refreshed, not operated on.
Recovery from blepharoplasty is generally straightforward.
First 48-72 Hours: You will use cool compresses to minimize swelling and bruising. Mild discomfort and temporary blurry vision from ointment is normal. Resting with your head elevated is key.
First Week: Swelling and bruising will peak and then begin to fade. Sutures are typically removed around day 5-7. You may feel comfortable wearing sunglasses for outings.
Weeks 2-3: Most visible bruising resolves, and you can use makeup to conceal any residual redness. Many patients return to work and normal social activities.
Months 1-3: Incision lines fade from pink to white and become increasingly difficult to see. The final, beautiful, refreshed appearance of your eyes continues to emerge as the last bits of swelling disappear.
The eyes are the most expressive feature of the face. Their surgery demands a surgeon with an artistic eye and unparalleled technical skill.
Facial Aesthetics Specialist: Dr. Goldberg has dedicated his practice to the nuances of facial procedures, with a deep understanding of orbital anatomy and aesthetics.
Meticulous Craftsman: He works on a millimeter scale to ensure symmetry, preserve function, and achieve results that are both dramatic and natural.
Dual-Focus Approach: He expertly addresses both cosmetic concerns and, in the case of upper eyelids, functional issues that may be impairing vision.
Compassionate Patient Care: Our team provides detailed pre- and post-operative instructions and unwavering support to ensure your experience is positive and your recovery is smooth.
