Close close-icon

Important Alerts:

Update on Monkeypox

CareMount is offering the COVID-19 Vaccination to Babies and Children 6 Months of Age and Older and Booster Dose for Ages 5+, click here to learn more

COVID-19 Guidance and Testing, click here




By Douglas A. Roth, MD, FACS | Plastic Surgery, Cosmetic Surgery


The eyes, eyelids, eyebrows and forehead comprise a special area of the face that plays a critical role in the expression of emotion, health and aging.  In all types of social and business interactions we seek to make “eye contact” and, consequently, we focus our attention on each other’s eyes and adjacent structures.   For this reason, specific aesthetic plastic surgery procedures of the eyes, eyelids and forehead, known as blepharoplasty and browlift, can have a very positive effect on facial appearance and overall self-esteem.  This is now particularly relevant as we get involved in more social media activities with extensive postings of photographs.

The medical term for surgery on the eyelids is blepharoplasty.   This procedure is performed for either cosmetic or functional reasons.  Patients who are unhappy with the amount of upper eyelid skin typically schedule a consultation with a qualified plastic surgeon to discuss the indications and expectations of cosmetic blepharoplasty surgery.  The standard cosmetic blepharoplasty consists of carefully measuring and removing excess overhanging eyelid skin and muscle as well as bulging fat pads from the upper and/or lower eyelids.  The resulting scar is specially designed to lie in the natural upper eyelid skin crease and is very hard to detect after full healing.  Patients with the appropriate indications for eyelid surgery range from the mid-thirties to over seventy years of age.  Functional (medically necessary) blepharoplasty procedures are important for partial visual field obstruction and abnormal drooping of the upper eyelids (ptosis).  Functional blepharoplasty procedures would most likely be performed when your ophthalmologist identifies this problem and refers you to a plastic surgeon.  The goal of aesthetic browlift procedures is to correct excessive forehead wrinkles and sagging eyebrows. There are many browlift procedure options ranging from traditional open techniques to newer endoscopic assisted procedures and non-invasive Botox injections.  Frequently, blepharoplasty and browlift procedures are performed at the same time.

During the initial consultation and evaluation, the indications for aesthetic surgery are assessed by the plastic surgeon and specific procedures are tailored to the individual’s needs.  A comlete opthalmologic history and exam are an important part of the consultation.  Once a strategy for surgical rejuvenation of the eyelids and forehead is developed there should be a full discussion of the risks and benefits of the procedures.  There are many new techniques and approaches available such as: transconjunctival lower blepharoplasty (no lower eyelid skin incision), minimal incision lateral canthopexy (lifting and tightening of the corner of the eye), lower eyelid and periorbital laser resurfacing, transblepharoplasty browpexy, Botox® injections for frown lines and endoscopic browlifting.  These procedures can and usually are combined with facelift surgery.

Blepharoplasty and browlift procedures can be performed safely under local anesthesia with intravenous sedation in an ambulatory surgical setting with the supervision of an anesthesiologist when indicated.

If you would like more information about cosmetic eyelid surgery or non-invasive Botox injections in the forehead or periorbital area please contact Dr. Douglas Roth at 914 242 5647.