Dr. Amiya Prasad: Oculofacial plastic surgeon – eyelid expert

Dr. Amiya Prasad | Cosmetic Oculofacial Plastic SurgeonNew York City-based oculofacial plastic surgeon Dr. Amiya Prasad, M.D. is an expert in eyelid surgery with extensive experience treating under eye bags and hooded eyes, with over 20 years of practicing routine and specialized eyelid surgery. Dr. Prasad is Board-certified with American Board of Cosmetic Surgery and a Fellow of The American Society of Oculofacial Plastic and Reconstructive Surgery(ASOPRS). He has received special training in eye microsurgery as well as cosmetic surgery of the eyelids and the orbit (the bones that surround the eye).

People come from all over the world for Dr. Prasad’s artistic, precise, and natural-looking approach with under eye bags, as well as other cosmetic and reconstructive surgery procedures of the eyes and face. If your puffy eye bags are making you tired of looking tired, or making you look older than you actually are, or are frustrated with under eye creams and treatments that don’t work, Dr. Prasad can help you look like you never had eye bags.

Treating Puffy Eyes & Under Eye Bags

Eyelift plastic surgery or blepharoplasty is an art, as achieving natural-looking results requires a masterfully deft touch. The thin, sensitive skin around and under the eyes is one of the most complex areas to work with, as successful surgery is measured in millimeters. It takes a significant amount of expertise, experience, and precision to work with the eyelids and eye area. Choosing an oculofacial plastic surgeon like Dr. Amiya Prasad, who is considered by many to be one of the best eyelid surgeons practicing in Manhattan and Garden City, Long Island, ensures expert hands working in such a delicate area for under eye bags, hooded eyes, or drooping upper eyelids. Under eye bags are a common genetic problem that affects all ages, and is an issue Dr. Amiya Prasad treats daily for patients in his practice. Take the next step and contact our offices to learn more and schedule your consultation.

Hooded eyes are a result of excess skin that droops over and covers the eyelid, causing the eyes to look heavy and tired. Hooded eyes can be especially be a problem for people who enjoy working out because the combination of sweat and excess eyelid skin rubbing can cause irritation. Hooded eyelids also make it difficult for women to apply makeup like eye shadow.

Causes for Hooded Eyelids

Heredity — Hooded eyes may be a trait that runs in the family.

Age — As we get older, the skin around the eyes and the folds over our upper eyelids tend to and become thinner. For many people, this leads to the eyelids drooping and skin hanging over the eyes, which can obstruct vision.

Ethnic background — About half of people of Asian decent are born without a natural eyelid crease, also known as monolids. The desire to create a natural-looking eyelid crease, or an eyelid fold, is common in the field of plastic surgery for the eyes called double eyelid surgery or Asian eyelid surgery.

Allergies — Swelling from allergies and frequent rubbing of the eyes and can cause damage to thin eyelid skin, making it less elastic and more wrinkled over time, resulting in eyes which make you look older than you actually are.

Sun exposure — Ultraviolet light, in particular UVA light, causes a process called “photo-aging” which speeds up the aging process of the skin. Sun damaged skin is the result of a breakdown of the collagen support structure of the skin.

Smoking — Smoking deprives the skin of oxygen, generates harmful molecules known as free radicals, and promotes poor circulation. Free radicals damage blood vessels and the collagen that supports the skin and gives it its youthful glow and elasticity.

Puffy-looking eyes and pronounced under eye bags, which remain visible despite sufficient sleep and/or appropriate allergy treatment, is due to orbital fat. Either by age or genetics, orbital fat naturally around the eyes prolapses into the space where the eye sits, also known as the orbit, causing a bulge, or what we commonly call eye bags.

This prolapsed fat may be removed, sculpted and reduced through two surgical approaches: (1) the transcutaneous method (external incision), or (2) the transconjunctival method (internal incision).

Under eye bags have been approached by a majority of surgeons through an external incision or the transcutaneous method. In the external approach, an incision is made directly below the eyelashes. The skin is then lifted, after which the surgeon must go through the orbicularis oculi muscle to get to the fat pads. Dr. Prasad, however, prefers the latter internal approach called atransconjunctival blepharoplasty, as it requires no external incision, so it leaves no visible scars and retains the natural shape and support structures of the lower eyelids.

Drooping eyelids may be caused by more than just excess eyelid skin. A combination of several factors can cause drooping or hooded eyelids, such as:

Loose Skin — Generally, as we get older, the skin gets thinner and more loose. In addition, the fat in our cheeks diminishes so they become more hollow, so eyelid skin can appear  more loose, almost to the point where they look like they are hanging.

Lower Eyelid Support Becomes Weak — Lower eyelid support is complicated and under appreciated by many plastic surgeons. Lower eyelid support is a combination of muscle (orbicularis oculi), tendon (lateral canthal tendon) and anatomy such as prominence (deep set or bulging) of the eyes. Arguably, a significant reason for hollow eyes, dry eyes, rounded under eyes and general dissatisfaction after lower eyelid surgery is due to plastic surgeons (Board-certified plastic surgeons) not taking lower eyelid support into consideration during surgery, which can lead to lower eyelid retraction (pulled down lower eyelids), ectropion (eyelids everting or turning outward), or entropion (lower eyelids turning inward). Preserving lower eyelid support requires specialized techniques, experience and finesse of eyelid specialist, which are factors often overlooked by more generally trained surgeons.

Upper Eyelid Support Becomes Weak — Drooping eyes can also be caused by the weakening of the levator muscle, the muscle that lifts the upper eyelid.  The levator muscle can become thin or stretched as we age, which leads to droopy upper eyelids in a condition called ptosis.



Fine Art of Looking Younger



Our Expertise

  • Eyelid Surgeries

Dr. Amiya Prasad is a Cosmetic Oculofacial Plastic and Reconstructive Surgeon. He specializes in facial cosmetic surgery, cosmetic surgery for the eyes and eyelids, and revision and reconstructive surgery for eyes and face. Dr. Prasad is also an ophthalmologist as it a prerequisite of oculofacial/oculoplastic surgery training, so his work ensures both healthy and beautiful looking eyes.

  • Puffy Eyes Treatments

When puffy eyes are slight, you may consider non-surgical cosmetic treatments like dermal fillers and laser therapy. More prominent puffiness and bags under the eyes require surgical treatment, which is conveniently and comfortably done within Dr. Prasad’s accredited operating facilities within his office.

  • Complex Procedures

The eye is a very delicate and complex structure that requires the skills of an eye/eyelid specialist. Many general plastic surgeons often have problems with the eye because of limited training and experience with eye anatomy and more complex surgical techniques. Given the small spaces and the fact the eyelid surgery is measured in millimeters, precision is another important skill in eyelid surgery.

Why Eyelid Surgery?

You may have tried creams, lotions, and other non-invasive treatments, and maybe even injections to avoid eyelid surgery, yet the results boasted in ads and infomercials haven’t lived up to their promise. You may be weighing the pros and cons of getting eyelid surgery to fix your problem. With the internet, more consumers are able to voice their opinions about topical creams that cannot possibly melt the fat beneath the skin that causes eye bags.

With instant access to information and research, people can share their own experiences with solutions that worked for them, including eyelid surgery. To gain a better understanding of eyelid surgery and to see if it’s the right choice for you, we’ve provided important information to help you in your decision.

upper eyelid blepharoplasty
upper and lower eyelid blepharoplasty

Joint Commission-Certified Facilities

As an Oculofacial plastic surgeon performing specialized eyelid surgery for more than 20 years, Amiya Prasad, M.D. is best qualified to deliver optimal results in his state-of-the-art, Joint Commission-certified operating facilities. Dr. Prasad’s reputation for attentive one-to-one patient care and his artistic approach to eyelid surgery has distinguished himself as one of the best cosmetic surgeons for eyes in Manhattan and Long Island, with clients coming to see him from around the world.

We are proud to say that our offices are certified by the Joint Commission, the leading hosptial and surgical facility accreditation in the US and around the world. More about this here.