Norman Pastorek, MD, PC, FACS

Blepharoplasty (Eyelid Surgery)

The eyes are arguably the most noticeable features of the face. Unfortunately, they are also one of the first areas that truly show our age. 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 eyelid rejuvenation with a board-certified facial plastic surgeon like Dr. Norman Pastorek.

Benefits of Blepharoplasty

Blepharoplasty, also known as eyelid surgery, addresses various conditions of the upper and/or lower eyelids, which require special attention and treatment. Eyelid surgery effectively rejuvenates the eye area by:

  • Removing loose, sagging skin
  • Reducing the appearance of fine lines and wrinkles
  • Removing or redistributing fat deposits
  • Relieving puffiness
  • Improving dark circles under the eyes
  • Removing tiny eyelid skin lesions

Initial Consultation

During your initial consultation, Dr. Pastorek will personally meet with you and perform a complete examination of your upper and lower eyelids. In addition, he will thoroughly discuss your desires to be absolutely certain of your goals and to make sure you understand what will be realistically possible aesthetically. After his examination and evaluation, he will create a surgical plan to address the aesthetic correction you desire. Preoperative photos are taken during this time.

During your consultation, you will be advised to do the following:

  • Begin taking certain medications or adjusting your current ones
  • Avoid from smoking at least one month before surgery
  • Refrain from taking anti-inflammatory drugs and other medications, as they can increase the risk of bleeding
  • Arrange for someone to drive you home from the procedure

The Surgery

Dr. Pastorek performs blepharoplasty on an outpatient basis using local anesthesia and intravenous analgesia for complete pain-free surgery. Surgery on the upper and lower eyelids can be performed separately or in conjunction with one another, depending on the patient’s needs and desires. Dr. Pastorek places small incisions in the natural creases and folds of the eyelids so any resulting scar will be as inconspicuous as possible. He then removes any excess skin, repositions the fat, and tightens the underlying muscles before closing the incisions with sutures. Years ago, Dr. Pastorek developed a suspension suture technique to permanently support the lower eyelid. This technique allows him to tighten the lid, move a small amount of upper-cheek laxity upward, and prevent displacement of the eyelid, assuring that the position and appearance of the lower lid remain normal.


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. Dr. Pastorek removes the sutures on the fourth post-op day, and you may apply makeup directly to the incisions beginning on the sixth post-op day. Most patients return to business one week after surgery. Activities and cautions will be discussed during your consultation as well as during your postoperative visit.


Due to swelling and bruising, the final appearance will not be immediately apparent after surgery; however, with makeup, you will be presentable at six days. Most patients can return to work at seven days following eyelid surgery. You will realize the final results of blepharoplasty about one month after the operation. You can expect the results of your blepharoplasty to be long-lasting.

Why Choose Dr. Pastorek?

Dr. Pastorek has performed close to 5,000 blepharoplasty procedures!

Blepharoplasty is aesthetic surgery of extreme accuracy and delicacy that requires the surgeon to be highly focused in order to achieve the symmetry required for this procedure. In addition, the anatomy and nature of the eyelids can make a secondary eyelid surgery problematic. For this reason, Dr. Pastorek and his surgical team focus all their efforts to achieve the best possible results with the initial eyelid surgery.

Highly trained, experienced, and a world renown teacher in facial plastic surgery, Dr. Norman Pastorek understands that each blepharoplasty procedure requires the total emersion of every nuance of knowledge and experience to assure the best possible results. Not only is Dr. Pastorek certified by the American Board of Facial Plastic and Reconstructive Surgery, but he also has over 30 years of experience in the field of facial plastic surgery. Dr. Pastorek’s extensive education, training, and experience in the field of facial plastic surgery, along with his artistic eye and impeccable attention to detail, are just a few of the many qualities that set him apart and enable him to provide beautiful, long-lasting results for his patients.

To discuss fees, logistics, and scheduling, we welcome you to contact our New York facial plastic surgery practice. Please call (212) 987-4700 or fill out our online consultation form to get started today. We look forward to hearing from you soon!