Eyelid surgery can help you get back to not just feeling but loving how you look. In addition to addressing under-eye bags, Dr. Ramesh offers upper and lower blepharoplasty to rejuvenate droopy or heavy eyelids and refine the entire eye area for a brighter appearance.
Dr. Ramesh can help people with the following eye complaints:
Eyelid bags can be caused by extra skin, herniated fat pads, hollowness and shadowing, or pigment in the skin. These structural changes often accumulate with age and genetics, and are a major reason patients seek eyelid bag surgery or blepharoplasty. Dr. Ramesh’s latest research paper on eyelid bags details the optimal treatment strategies for long-lasting improvement.
A 52 year old woman after lower eyelid bag surgery with fat transfer and chemical peel.
The lower eyelid is full of fat that normally surrounds the eyeball and acts as a “shock absorber”. As people age, the tissues that hold this fat behind the eyeball stretch out, allowing this fat to descend downwards and appear as a “bag”. This is corrected with lower blepharoplasty or eyelid bag surgery in New Jersey, which repositions or removes excess fat.
Treatment of lower eyelid bags due to herniated fat, with lower blepharoplasty and fat grafting.
Treatment of upper and lower eyelid extra skin with upper and lower blepharoplasty, skin removal, fat transfer, and laser resurfacing.
As you blink hundreds of times per day over the years, the repeated stretching force on the skin, combined with sun damage, causes thinning and stretching of the skin. This skin can appear wrinkly, or like “crepe-paper”. Upper blepharoplasty can remove sagging skin that droops over the lash line, while lower eyelid procedures address wrinkles beneath the eye.
The border between the eyelid and the cheek is formed by a ligament called the “orbital retaining ligament”. As people age, this ligament stretches, and the cheek descends. When the cheek fat drops lower, it exposes the underlying bony orbital rim and creates a dark circle over this bone. Lower blepharoplasty can soften this transition and reduce dark circles.
Treatment of lower eyelid hollows and dark circle with lower blepharoplasty, fat grafting, and cheek implant placement.
Treatment of droopy upper and lower eyelids with endoscopic brow lift, upper/lower blepharoplasty, fat grafting, and laser resurfacing.
The upper eyelid crease and lash line are supported by a thin lifting tendon and surrounding tissues that help keep the lid looking open and smooth. Over time, these structures can weaken and the skin and fat of the upper eyelid can become heavier and settle downward. This can create a “hooded” appearance, make the eyes look tired or weighed down, and in some cases even interfere with peripheral vision. Upper eyelid surgery (blepharoplasty) can remove or reposition excess skin and fat to restore a lighter, more refreshed eyelid contour—helping the eyes look brighter, more awake, and less fatigued.
Eyelid surgery in New Jersey rejuvenates the areas around your eyes by correcting excess skin, displaced fat, shadows, and heaviness that make you look tired. Whether your main concern is puffiness beneath the eyes, sagging upper lids, or a hollowed, aged appearance, Dr. Ramesh can customize a surgical plan to restore a smoother, more refreshed look.
Eyelid bag surgery
Also known as under-eye bag surgery, this procedure targets puffiness and loose tissues beneath the eyes. Strategic incisions inside the lower eyelid allow excess skin and fat to be removed or repositioned, reducing bags and smoothing the lid-cheek junction.
Lower blepharoplasty
Lower blepharoplasty refines the contours beneath the eyes by addressing herniated fat, wrinkles, and hollowing. This procedure may include fat repositioning, tissue tightening, and filling techniques to soften dark circles and create a more youthful, rested appearance.
Upper blepharoplasty
For sagging or heavy upper eyelids, upper blepharoplasty removes excess skin and, when needed, adjusts fat and muscle to restore the eyelid crease. This opens the eyes and reduces hooding that can make you look fatigued or even obstruct vision in advanced cases.
Treatment of tired eyes and eyelid bags with upper and lower blepharoplasty, fat grafting, and ptosis repair.
Dr. Ramesh, MD, FACS, is an esteemed authority in eyelid bag surgery and blepharoplasty, offering tailored solutions for comprehensive eyelid rejuvenation. Trained at UCLA’s prestigious Jules Stein Eye Institute, he employs advanced techniques to address excess skin, fat pads, and hollowing. With thousands of successful surgeries, Dr. Ramesh provides personalized care, ensuring natural-looking results and minimizing risks. Patients choose him for his expertise, dedication to safety, and compassionate approach, resulting in enhanced aesthetics and renewed self-confidence.
Treatment of lower eyelid bags with filler.
In younger patients (less than age 40), the tissues have typically not stretched so much that patients need surgery to get aesthetic improvement. In these cases, treatment with lower eyelid filler can hide early hollowness and smooth the eyelid-cheek contours.
For older patients or younger individuals with genetically prominent bags, surgery is often the most effective solution. A customized plan considers skin quality, fat distribution, tissue laxity, facial structure, and desired recovery time.
Eyelid surgery options include scarless eyelid bag surgery in New Jersey, lower blepharoplasty to reposition or remove fat and refine contours, and upper blepharoplasty to address sagging or hooded upper eyelids. Additional enhancements may involve chemical peel or laser resurfacing, fat transfer, or adjunctive procedures such as brow lifting, face and neck lifting, or facial implants to achieve balanced and harmonious facial rejuvenation.
Male patient after lower blepharoplasty, fat transfer, skin pinch, and laser resurfacing.
Eyelid bag surgery offers long-lasting results, and most patients do not require repeat procedures for under-eye bags. Upper and lower blepharoplasty results are also durable, though natural aging and sun exposure can continue to affect the skin over time. Wearing sunscreen and using a quality moisturizer can help maintain your refreshed appearance.
Eyelid creams cannot typically help eyelid bags when they reach a certain point. Surgical procedures, such as lower eyelid bag surgery or blepharoplasty, provide the most reliable, lasting improvement. However, it is important to have a good skincare regimen (possibly including a retinol) to maintain results after surgery. These can be found in our skincare shop.
Yes. Dr. Ramesh frequently combines lower eyelid (under-eye bag) surgery with upper eyelid surgery, also known as upper blepharoplasty. Performing both procedures together can create a more balanced, refreshed look. You can learn more about upper blepharoplasty here.
An oculoplastic surgeon is a facial plastic surgeon who has dedicated his/her career to focusing on the delicate interplay between the eye and the eyelids. An oculoplastic surgeon certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery will have the most experience in providing safe, effective, and long-lasting results.
Eyelid bag surgery in New Jersey usually lasts 60-90 minutes, and the same applies to upper and lower blepharoplasty. Patients are under twilight anesthesia or sedation, which minimizes risks. Patients are bruised and swollen for 7-10 days, but are able to open their eyes and see. There are no patches or bandages over the eyes after surgery. While complete healing takes 2-3 months, your eyes will already be more open and refreshed after the initial week.
All surgeries carry inherent risks, which is why your surgery must be performed by a highly-rated oculoplastic surgeon. The most common risks of eyelid surgeries, including eyelid bag surgery and upper or lower blepharoplasty, may include excessive bleeding, dry eye, infections, and asymmetry issues. However, Dr. Ramesh performs all eyelid surgeries under strict safety protocols and guidelines to minimize the risks.
Center for Eye and Facial Plastic Surgery
35 Clyde Road, #104
Somerset, NJ 08873
Livingston Office
22 Old Short Hills Rd Suite 202
Livingston, NJ 07039
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Dr. Ramesh, a board-certified oculofacial surgeon, offers specialized, minimally invasive facial plastic surgery including blepharoplasty, facelift, and more. Located in Livingston and Somerset, serving all of New Jersey.
