Cosmetic Eye Care Services
What Oculoplastic Surgeons Offer
Oculoplastic surgeons are ophthalmologists who have completed advanced fellowship training in plastic and reconstructive surgery of the eyelids, orbit, and surrounding facial structures. This unique background means they approach every cosmetic procedure with both eye health and aesthetic outcomes in mind.
Oculoplastic surgeons complete at least five years of specialized training, including four years of ophthalmology residency followed by one to two years of fellowship focused on eyelid and orbital plastic surgery. This training blends microsurgical precision with aesthetic principles.
Their detailed understanding of the muscles, nerves, and blood supply around the eye sets them apart from general cosmetic providers. Throughout every procedure, your surgeon monitors how treatment affects your vision, tear production, and eyelid function.
The most common surgical services include upper and lower blepharoplasty (eyelid lift surgery), brow lift, and eyelid reconstruction for both functional and aesthetic purposes.
- Upper blepharoplasty removes excess skin and sometimes fat from the upper eyelids, with incisions hidden in the natural eyelid crease
- Lower blepharoplasty reduces puffiness, bags, and excess skin beneath the eyes
- Brow lift surgery elevates descended eyebrows using small incisions hidden in the hairline
Both blepharoplasty procedures are performed on an outpatient basis. Most patients plan for one to two weeks of recovery time.
Non-surgical treatments are a popular starting point for patients with mild to moderate concerns. These procedures are performed in our office and require little to no downtime.
- Neuromodulator injections (such as botulinum toxin) smooth crow's feet, frown lines, and forehead wrinkles, with results lasting roughly three to four months
- Hyaluronic acid dermal fillers address volume loss in areas like the tear trough and temples, with results lasting six to twenty-four months depending on the product used
- Filler placed in the periocular area (around the eye) can be reversed with an enzyme called hyaluronidase if needed
Your provider will discuss which injectable option is most appropriate for your specific concerns and anatomy.
Energy-Based and Skin Treatments
Beyond surgery and injectables, we offer a range of energy-based and skin-care treatments designed to improve skin quality, reduce fine lines, and address pigmentation around the eyes. These options work well on their own or as part of a broader treatment plan.
Energy-based treatments use controlled light, heat, or sound energy to improve the skin around the eyes. Each technology targets a different concern.
- Intense pulsed light (IPL or BBL) targets pigmentation and redness in the skin
- Fractional laser resurfacing creates tiny treatment zones in the skin to stimulate collagen production and smooth fine lines
- Radiofrequency microneedling heats the deeper layers of skin to improve firmness and texture
- Ultrasound-based devices help tighten loose skin around the eyes and brow area
Your provider will select the right technology based on your primary concerns, skin type, and treatment goals.
Chemical peels improve skin texture, reduce fine lines, and brighten uneven pigmentation. Your provider uses formulations specifically suited for the thin, sensitive skin around the eyes.
Light peels require minimal recovery. Medium-depth peels may cause a few days of peeling and temporary redness. Your provider recommends the appropriate depth based on your skin concerns and your tolerance for downtime.
For many patients, combining surgical and non-surgical treatments produces the most complete and lasting result. A blepharoplasty can correct structural changes that injectables alone cannot fix, while neuromodulators and fillers help maintain and refine the outcome over time.
Your provider builds a staged plan based on your goals, budget, and recovery preferences. Some patients start with non-surgical options and consider surgery later. Others prefer to address structural concerns first and maintain results with periodic treatments afterward.
What to Expect From Your Consultation
Your first visit is an opportunity to share your concerns, ask questions, and learn which treatments are most likely to help. We take time to understand your goals before making any recommendations.
During your first appointment, your provider will examine your eyelids, brows, skin quality, and overall facial structure. Photographs are taken to document your starting point and to support treatment planning.
You will be asked about your medical history, current medications, previous cosmetic treatments, and any existing eye conditions. This information helps ensure that all recommendations are safe and appropriate for you.
Your provider will walk you through a personalized set of treatment options, along with realistic expectations for each. You will learn what each procedure involves, what recovery looks like, what results to expect, and what costs are involved.
There is no pressure to make a decision during your first visit. Many patients prefer to take time, review their options, and return when they feel ready.
Once you choose a plan, your provider gives you clear preparation instructions. Surgical procedures may require adjusting certain medications and arranging a ride home. Injectable and skin treatments typically involve little to no preparation.
Pre-treatment photos serve as a useful baseline for tracking your improvement over time. Your provider answers all questions before any procedure begins.
Some concerns that appear cosmetic can also affect how well you see. Drooping upper eyelids that block your field of vision, or brow descent that pushes skin onto your lashes, are considered functional problems as well as aesthetic ones.
Your provider may perform visual field testing and eyelid measurements to determine whether a functional component is present. Procedures that correct a functional problem may be covered by insurance with proper documentation, while purely cosmetic procedures are typically out-of-pocket expenses.
Frequently Asked Questions
Here are answers to some of the questions we hear most often from patients considering cosmetic eye care.
The right choice depends on the nature and degree of your concern. Significant excess skin, structural drooping, or prominent under-eye bags generally respond best to surgery, because injectables cannot physically lift or remove tissue. If your concerns are mild, such as early fine lines or subtle volume loss, non-surgical treatments can produce meaningful improvements with little to no downtime. Your provider will assess your anatomy during your consultation and give you an honest recommendation based on what is likely to help most.
When performed by a provider with specialized training in periocular anatomy (the structures around the eye), cosmetic procedures in this area have well-established safety records. The key advantage of oculoplastic care is that your provider understands exactly how these treatments interact with your vision and eyelid function. All procedures carry some degree of risk, and your provider will discuss those risks with you in detail before you make any decisions.
Surgical results from blepharoplasty or brow lift can last many years, though natural aging does continue after surgery. Neuromodulator results generally last three to four months before a touch-up is needed. Filler results vary by product and placement, lasting anywhere from six to twenty-four months. Energy-based treatments produce gradual improvements over weeks to months as collagen rebuilds, and results can be maintained with periodic sessions.
Yes, many patients combine periorbital (around the eye) procedures with broader facial rejuvenation. When multiple treatments are involved, staging them appropriately allows for proper healing between sessions and gives your provider the opportunity to assess results before adding more. Your oculoplastic provider can coordinate with other specialists when a combined approach makes sense for your goals.
Oculoplastic surgeons have completed full ophthalmology training before adding fellowship-level education in eyelid and orbital plastic surgery. This means they have detailed knowledge of how the eyelid, orbit, lacrimal system (tear drainage), and visual function all interact. General cosmetic surgeons and non-physician injectors may not have the same level of training specific to the eye area, which is especially important when working this close to such a sensitive structure.
Most patients do not need a referral to schedule a cosmetic consultation with an oculoplastic specialist. However, if you already see one of our optometrists or general ophthalmologists, they may identify periocular concerns during a routine exam and coordinate a referral to the appropriate provider within our practice. Either way, the process begins with a consultation where your concerns and options are thoroughly reviewed.
Schedule Your Cosmetic Eye Care Consultation
Advanced Eye Care Center is proud to offer oculoplastic and cosmetic eye care services to patients across New Jersey, with convenient locations in Randolph and Wayne. Our team brings together specialized training, advanced technology, and a genuine commitment to your comfort and satisfaction. We invite you to schedule a consultation and take the first step toward addressing your concerns with confidence.
I wanted to express my deepest gratitude for the remarkable care and expertise Dr. Garrana provided during my PRK surgery with cross-linking. Her skills and dedication have truly changed my life in ways I never thought possible. Thanks to the exceptional treatment, my vision has been transformed.
Ramzi C.
Advanced Eye Care Randolph, NJ is fantastic. Dr. Feng and Dr. Reing combined expertise to make my pre and post surgery a success. Dr. Feng is also an excellent surgeon. I am eternally grateful.
Bev D
Excellent team! Dr. Feng and Michelle were kind and Knowledgeable. I felt comfortable and confident about the care provided
Shaquille Brown
I normally don't write reviews, but I have been having such a hard time finding a good place with fair prices. Very pleased and will return again.
Sarah J
My eyes are more of a cause of panic for me. The Ophthalmologists and clinical/service teams are great. They have in office Optometrists to address your eye wear or contact needs.
Stephen Sottile