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Eyelid Surgery

Eyes are the mirror of the soul, they say — and large, expressive eyes are arguably the most attractive feature of the human face. Unfortunately, many of us feel that our eyes become smaller with age. It’s a scientific fact, however, that eyes do not shrink. Rather, it’s what’s around the eyes that become larger, droopier, and begins to hide your eyes. It’s the eyelids! This is where eyelid surgery in Brooklyn can help lift the tissues and restore and enhance the beauty of your eyes. 

What is eyelid surgery?

Eyelid drooping is very common, and so is the surgery that corrects it. Eyelid surgery, also called blepharoplasty or an eyelid lift, is one of the top five most performed plastic surgeries in the USA. Eyelid surgery a minor procedure that is performed to rejuvenate the eyelids, addressing hooded, sagging upper eyelids, or the lower eyelids, puffy bags, and dark circles.

An eyelid lift in Brooklyn can be done on the upper eyelids, lower eyelids, or both simultaneously. It involves removing excess skin and sometimes muscle and/or fat. An eyelid lift is safe and effective, and this popular procedure carries 95% patient satisfaction on RealSelf.com.  

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Why have eyelid surgery? 

As we age the eyelids stretch, the skin loses elasticity, and the muscles supporting them weaken. Loose skin hangs over the upper eyelid, resulting in problems with appearance and the feeling of eyelid heaviness. Occasional fat that is normally behind the eye prolapses forward through weakened tissues and causes unsightly bulges that are quite visible in the lower lid.

Mild drooping of the upper eyelids may result in your face looking a bit tired and somewhat older. As the condition progresses, some find that it becomes difficult to apply eyeshadow. Besides making you look older, severely sagging skin around your eyes can create heaviness and reduce your peripheral vision. Aging eyelids may be difficult to open fully, causing a person to both looks and feel more tired by creating additional weight over the eyes. Sagging skin may also push on the eyelashes and turn them down towards the eye.

What eyelid surgery can treat?

Eyelid surgery in Manhattan can effectively target and improve a range of aesthetic concerns, and in cases of more severe sagging eyelids, it can improve the field of vision. Blepharoplasty is for patients with one or more of the following:

  • Loose skin and/or puffiness in the upper eyelids
  • Lower eyelid bags (fat prolapse)
  • Drooping lower eyelids
  • Excess skin or fine wrinkles in the lower eyelids
  • Mildly drooping eyebrows

What happens during upper eyelid and lower eyelid surgery?

During eyelid surgery, Dr. Giyaur will remove excess skin and tighten the eyelids to appear naturally firmer. Patients may opt to have upper eyelid surgery or lower eyelid surgery, or in some cases, they will have both. Depending on whether you are having upper or lower eyelid surgery, the technique will vary:

Upper eyelid surgery

This surgery lifts sagging, hooded lids and creates a more youthful, renewed look. During upper eyelid surgery. Dr. Giyaur will make a very small incision that leaves a small scar carefully hidden within the natural folds of the eyelid. She will lift the upper eyelids to eliminate sagging over the eyes. Dr. Giyaur will remove sagging skin and achieve a more refreshed, open-eyed appearance. 

Lower eyelid surgery

This surgery addresses puffy bags and hollows under the eyes. During lower eyelid surgery, an incision is made usually within the lower eyelid to eliminate scarring. Dr. Giyaur will reposition fatty tissues and create a smooth, even, and youthful-looking contour from the eye to the cheekbone.

Eyelid Surgery FAQs:

What type of anesthesia is used?

No matter what type of anesthesia is used, we will ensure that you’re comfortable during your surgery. Dr. Giyaur has several different types of anesthesia to choose from for your surgery, including local injection of lidocaine, oral sedation (if done in our Brooklyn office), or intravenous sedation by an anesthesiologist (if done in ambulatory surgery setting).

Where will the procedure be done?

Depending on whether the procedure is being done for functional or cosmetic reasons, it may be performed in our ambulatory surgical center. It may also be performed in our state-of-the-art, in-office procedure room in Brooklyn.

Is eyelid surgery covered by medical insurance?

Typically, cosmetic procedures are not covered by medical insurance, as they are not considered a medical necessity. However, if the sagging in the upper eyelids is severe enough that it is interfering with your line of sight, insurance may cover it.

How to prepare for the eyelid surgery?

Follow these helpful tips to prepare for your blepharoplasty procedure:

  • Wear comfortable clothes (layers are helpful)
  • Do not wear any makeup, face creams, or cosmetics
  • Do not wear contact lenses
  • Consider having someone accompany you (don’t drive yourself to your appointment)
  • Refrain from smoking cigarettes two weeks before and after the procedure
  • To reduce swelling, take a proactive approach and begin applying arnica gel and taking post-operative pills the day of the procedure
  • Make sure you already have ice packs at home to apply after the surgery
  • Prepare for your recovery period by stocking your fridge with healthy meals
  • Stop your anticoagulation medications as indicated by your primary care physician and Dr. Giyaur
  • If you will be undergoing IV sedation, do not eat for eight hours prior to the procedure
  • Avoid aspirin, Motrin®, ibuprofen and related medications for two weeks prior to your surgery
  • Avoid consuming fish oil, ginkgo biloba, vitamin E, ginseng, and garlic supplements for two weeks prior to your surgery
  • Pick up your pre- and post-operative medications at the pharmacy before the procedure 

What are eyelid lift enhancers?

While blepharoplasty is excellent at treating under-eye bags and lifting up the sagging upper eyelid, it may not address all the tiny creases that we frequently see around our eyes, excessive smile lines, and/or skin texture and pigmentation issues. In order to treat these issues, Dr. Giyaur uses eyelid lift enhancers such as ResurFX™ and photofractional laser treatments or our unique Opus Plasma™ resurfacing that can make your results even better. Dermal fillers or Botox® can also help you look your best after blepharoplasty and are sometimes recommended as an additional treatment to your procedure. 


Some bruising and swelling after an eyelid lift in Brooklyn are normal. Bruising may last for about two weeks, and swelling may continue for several weeks after the bruises subside. Your stitches will be removed 4 to 7 days after your surgery. Immediately after your eyelid surgery, you’ll need to rest for the remainder of the day, gently applying ice packs on and off for two days. Avoid high-intensity exercise, heavy lifting, and swimming for two weeks after the procedure. Sleep with your head elevated for one week afterward.

What to expect during your consultation

Dr. Giyaur will take a thorough history of any illnesses, surgeries, and medication use. She will perform a thorough evaluation of your upper facial structure, and conduct an eye exam. 

During your consultation, you will have plenty of time to discuss your expectations and goals with Dr. Giyaur. She will evaluate possible functional problems associated with droopy eyelids (peripheral vision testing may be needed for this). All of your questions and concerns will be answered.

Dr. Giyaur will go over your surgical and non-surgical options and ensure you understand everything in detail and feel confident going forward. Photographs will be taken in order to compare your appearance before and after surgery.

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Who is a good candidate for an eyelid lift?

An eyelid lift in Brooklyn is an amazing procedure (with a fairly short recovery time) that can take years off the overall appearance of your face and make you look and feel much younger.

If you notice that the skin of your eyelids is starting to droop and hang down a bit more than it used to, that eye shadows are hard to apply or that mascara smudges, or that your eyelids feel heavy and make you look older, it might be time to consider an eyelid lift.

Ideal candidates for blepharoplasty meet the following requirements:

  • Are generally in good health
  • Do not have a serious medical concern such as a bleeding disorder
  • Do not have an eye infection or rash around the eyes
  • Are not taking blood thinning medications or supplements (or can
  • safely stop taking these)
  • Have eyelids that are aging and/or causing discomfort 
  • Have excess skin, puffiness, or sagging of the eyelids
  • Don’t have any pre-existing eye conditions
  • Want a procedure that will allow their eyes to be “seen” again

Eyelid Surgery at Juno Aesthetics in Brooklyn

As a board-certified ophthalmologist, Dr. Julia Giyaur has extensive knowledge of the eye, as well as of the skin and tissues surrounding the eye. Her training and expertise allow her to avoid common problems of blepharoplasty, such as poor eyelid closure and dry eye exacerbation. Her top-notch technology, expertise, safety, personalized approach, and highly trained personnel further ensure a highly satisfactory outcome.

Dr. Giyaur applies meticulousness and precision to each and every procedure she performs, and her love for the arts and her feel for proper proportions have helped her develop the extra artistic touch needed in aesthetics. Her patients love the feeling of her steady hand, compassionate demeanor, and her true understanding of their needs. At Juno, we believe that by enhancing beauty and bringing back youthful appearance, we improve our customers’ sense of well-being — and that is our most important goal. If you’re in the Brooklyn area and you’d like to learn more about blepharoplasty,  contact us today. 

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