Norman Pastorek, MD, PC, FACS


Blepharoplasty—aesthetic surgery of the eyelids—improves the aging or baggy appearance of your eyelids. Often, the first sign of aging is looseness of the upper lid skin. While loose eyelid skin and lax eyelid muscles can be an effect of age, heredity, and/or sun damage, eyelid bagginess is usually a pure expression of heredity, especially in young patients. If it bothers you that your appearance shows signs of sleeplessness, tiredness, and exhaustion, it’s time to explore the option of an eyelid rejuvenation procedure with a qualified facial plastic surgeon like Dr. Pastorek. If you’re still young, but have inherited familial baggy eyes, you probably just want to look normal. Dark circles, fine skin wrinkles, and tiny eyelid skin lesions may also be a part of the baggy eyelid problem. Each of these symptoms require special attention and treatment. Moreover, Dr. Pastorek must evaluate any medical cause for your eyelid appearance.

Like rhinoplasty, blepharoplasty is aesthetic surgery of extreme accuracy and delicacy. The surgeon must be highly focused because of the required symmetry required of blepharoplasty. The anatomy and nature of the eyelids make secondary surgery problematic. Dr. Pastorek and his surgical team focus all their efforts to get the best possible results with the initial surgery. Years ago, Dr. Pastorek developed a suspension suture technique to permanently support the lower eyelid. It allows him to tighten the lid, move a small amount of upper cheek laxity upward, and prevent a displacement of the eyelid, assuring that the position and appearance of the lower lid remains normal.

The ease of local anesthesia required for totally pain-free surgery of the eyelids and the small surface area involved make the office or the Manhattan Eye, Ear, and Throat Institute outpatient surgery ideal for blepharoplasty procedures. Most patients recover within 60 minutes following the procedure. Before your discharge, you are instructed to rest for the remainder of the day, use cold compresses, and enjoy a quiet day of music or books on tape. Discomfort is minimal. Sutures are removed on the fourth post-op day. Make-up can be applied directly to the incisions on the 6th post-op day. Most patients return to business on the seventh day. Activities and cautions are discussed at the time of your consultation and when your sutures are removal. You will realize the final result of your blepharoplasty about one month after the operation.

Dr. Pastorek has performed over 4,900 blepharoplasty procedures.