Parker Center for Plastic Surgery:
Paul M Parker MD
122 East Ridgewood Ave
Paramus, NJ 07652
Call Us: (201) 967-1212
Text us: (201) 231-8662
Office Hours
Monday - Tuesday: 9 a.m. – 5 p.m.
Wednesday: 9 a.m. – 7 p.m.
Thursday - Friday: 9 a.m. – 5 p.m.
Saturday: 9 a.m. – 2 p.m. (Med Spa only)
Look alert, rested, and youthful
Eyes communicate a lot about your mood and energy level. People also get a sense of your age based on the area around the eyes. If your eyes signal that you’re tired or grumpy when you feel alert and content, eyelid surgery, a brow lift, or both at our Paramus, NJ, practice for patients from Hackensack, Ridgewood, Mahwah, Somerset and throughout Bergen County, North New Jersey, will help you look refreshed and youthful.
Featured
The delicate area around the eyes often shows signs of aging earlier than other areas of the face. As the production of collagen and elastin slows, your skin naturally loses its elasticity. You also lose fat and bone around the eyes, contributing to sagging in the eyelids and brows. Years of changing expressions lead to dynamic wrinkles, such as crow’s feet and worry lines.
These changes can make you look tired, angry, and older than you feel. In addition to cosmetic changes, loose skin accumulating around the eyes and eyelids may obstruct your peripheral vision.
Our Experienced surgeon
Board-certified plastic surgeon Dr. Paul M. Parker combines an unwavering dedication to patient satisfaction with surgical expertise to create aesthetically pleasing, natural-looking results.
Meet Dr. ParkerCredentials You Can Trust
Even though both procedures target sagging skin around the eyes, the approaches are different.
Eyelid surgery, also called blepharoplasty, focuses specifically on the skin right around your eyes. Upper eyelid surgery removes skin (and sometimes fat) from your upper eyelid. Dr. Parker conceals the incisions within the natural creases of the eyelid. Lower eyelid surgery addresses bags and hollows beneath your eyes. Dr. Parker tailors his technique to your specific concerns.
A brow lift elevates eyebrows and lifts heavy skin from the eyelids but doesn’t remove extra eyelid skin.
Here’s a closer look at each of the procedures:
Before performing the surgery, Dr. Parker draws lines where he’ll make upper eyelid incisions. The lower incision is placed in the upper eyelid crease, called the “supra tarsal fold.” The upper incision is carefully placed to remove the excess skin while ensuring you can close your eyelids after surgery. Dr. Parker reviews the surgical plan in detail with you using a hand-held mirror.
During the procedure, Dr. Parker removes excess skin, fat, and a small amount of underlying muscle to sculpt a cleaner, more youthful-looking upper eyelid. He closes incisions with very fine sutures. The incision almost always heals as a thin, inconspicuous scar hidden in the lid’s natural fold. Upper eyelid surgery takes about 45 minutes to perform. Dr. Parker uses local anesthesia, alone or with intravenous sedation, to keep you comfortable.
Some patients choose to have Dr. Parker remove their corrugator muscles during upper eyelid surgery. He’ll discuss this option with you during your initial consultation. The paired muscles cause frowning and wrinkling between your eyebrows and contribute to horizontal forehead wrinkles. Dr. Parker can remove these muscles during upper eyelid surgery using the same incisions. This adds approximately 30 minutes to the blepharoplasty procedure. BOTOX® andJeuveau® are nonsurgical options that soften the lines for 3 to 6 months.
Dr. Parker can elevate the outer (lateral) eyebrows during upper lid eyelid surgery using the same incision. A lateral browpexy provides long-term results and adds about 15 minutes to the procedure.
Our nursing staff briefly monitors you in our recovery room before you go home. Most patients experience little pain after the operation. Dr. Parker doesn’t bandage the eyes, and he removes the sutures within 5 to 6 days. Swelling and discoloration subside within 10 to 14 days. You can apply makeup to camouflage bruising after one week. Patients may return to normal activities in 7 to 10 days and exercise in 2 weeks.
Dr. Parker’s approach to lower lid blepharoplasty is highly personalized because each patient’s face and eyelids age in a unique way. After evaluating your facial features, he recommends a course of treatment based on the condition of your skin, fat, and muscle, as well as the contour where your eyelids and cheek meet.
Lower eyelid procedures take approximately 45 to 90 minutes, and they are most commonly performed using intravenous sedation or general anesthesia. Dr. Parker does not bandage the eyes, and there are no sutures to remove except in the case of skin removal.
Transconjunctival blepharoplasty minimizes puffiness under your eyes, making you look well-rested and younger without visible scarring. Dr. Parker usually performs this procedure on patients who have good skin quality but have puffiness caused by herniated fat. He makes an incision inside the lower eyelid to avoid an external scar and then removes the fat.
The procedure takes approximately 45 minutes and typically uses intravenous sedation.
Younger and older patients with under-eye puffiness caused by herniated fat who also have depressions in the tear trough area are good candidates for this procedure. After making an incision inside the lower lid, Dr. Parker repositions the fat instead of removing it to fill the tear trough. The first patient in the before and after photos below is 34, while the second patient is 73.
This procedure takes approximately 1 hour.
Women or men with crepey skin, fine lines, discoloration, and puffiness can benefit from this approach to lower eyelid surgery. Dr. Parker makes the incision inside the lower lid and repositions the herniated fat if there is a tear trough depression. If not, he removes the fat. He then uses a trichloroacetic acid (TCA) chemical peel to address creepy skin, discoloration, or fine lines, which also results in tighter skin.
This procedure takes approximately 75 minutes.
Dr. Parker uses this technique if you have puffy lower lids and excess skin. He repositions fat after making an incision inside the lower lid if there is a tear trough depression. Otherwise, he removes the fat. Dr. Parker then suspends the lateral canthal tendon (on the outer aspect of the eyelid) upward with sutures to minimize the risk of lower lid retraction during the healing process. Finally, Dr. Parker makes an incision just beneath the lash line and conservatively removes excess skin. The lower lid scar is barely perceptible after healing.
This procedure takes approximately 90 minutes, with sutures removed within 4 to 5 days.
Fat grafting to the lower eyelid area, which plastic surgeons refer to as the nasojugal groove and tear trough areas, reduces the apparent length of the lower eyelid. This results in a youthful, attractive, and smooth transition from the lower eyelid to the cheek.
After Dr. Parker harvests the fat, it is purified and carefully injected deep into a sub-muscular/pre-periosteal plane. He then carefully massages the fat to help create a smooth contour.
Dr. Parker typically performs this procedure if you have:
This procedure takes approximately 90 minutes, and sutures are removed within 4 to 5 days.
This technique follows the same steps as transconjunctival fat repositioning and skin removal, along with performing a TCA chemical peel.
Consultations at the Parker Center are special. Dr. Parker will spend extra time with you, ensuring that he understands your goals and that you are fully educated about each potential solution. Additionally, our imaging expert will help you see the possibilities with digital photo imaging to show you what you will look like after surgery. Patients who are comparing providers often tell us our consults are the most thorough and informative they’ve ever experienced!
One to two weeks before your scheduled eyelid or brow surgery, you will undergo a one-hour, in-office, face-to-face education session with one of Dr. Parker’s Nurse Educators. During this session, the nurse educator thoroughly reviews a detailed information packet to further educate you about your procedure. This includes a discussion of what to do to prepare for surgery, what occurs on the day of surgery, and what to expect after surgery during your recovery. It’s a detailed session that really educates our patients about the entire surgical process at the Parker Center. Patients tell us they love it because they feel so well-prepared for their surgery. Learn more about what to expect during your pre-op education session.
Most patients spend about an hour in our recovery room after their surgery, then they are allowed to return home in the care of a responsible friend or loved one.
We believe plastic surgery should be accessible to as many people as possible. That’s why we offer financing through lenders that specialize in setting up payment plans for elective cosmetic surgery. We can discuss financing during your consultation.
Learn More About Financing OptionsWhen performed by an experienced and skilled plastic surgeon, upper or lower eyelid surgery results last for years. You can keep your rejuvenated eyes looking their best by practicing good skincare habits, wearing sunscreen daily, and maintaining a healthy lifestyle.
Dr. Parker offers an array of brow lift options to accomplish several goals:
During your initial consultation, Dr. Parker listens to what bothers you, takes a medical history, and examines your forehead and face, focusing on the areas around your eyes. He will assess your eyebrow position, upper eyelid skin excess, the wrinkles on your forehead and between your eyebrows, and the quality of your forehead skin. Dr. Parker then reviews his findings with you and discusses the various treatment options available.
A patient undergoing upper eyelid surgery who is also concerned about sagging of the outer third of the eyebrows—which typically descend first—is a good candidate for a temporal brow lift. The procedure involves making approximately 1-inch incisions behind the hairline near the temples and elevating the underlying muscle and tissue to a more youthful position. Dr. Parker may also remove the corrugator muscles during this procedure using the upper eyelid incisions.
During an endoscopic brow lift, Dr. Parker makes 2 small incisions, each about 0.75 inches long, hidden in the hairline. He also makes a somewhat longer incision behind your temporal hairline. He then inserts a thin telescopic probe, called an endoscope, that’s connected to a camera and television monitor. Guided by the endoscope, he surgically lifts your forehead skin from the underlying tissues.
Dr. Parker then removes a significant portion of the corrugator muscles using the endoscope for optimal visualization. He elevates your eyebrows into a more youthful position and holds them in place with sutures and 2 devices called Endotine® tines. He then closes the incisions with sutures.
Patients concerned about their low brows and high hairlines will merit additional discussion with Dr. Parker. He will offer 3 options:
If you choose the last option, Dr. Parker carefully makes an incision along the axis of the frontal hair follicles, then curves the incision back into the temporal scalp recess to hide it. He then lifts your forehead skin from the underlying tissues using this incision and removes a significant portion of the corrugator muscles. He elevates your eyebrows to a more aesthetically pleasing and youthful position, holding them in place with sutures, and then removes some forehead skin and somewhat lowers the hairline. There is a permanent scar along the frontal hairline, but careful design and closure of this incision typically lead to a well-concealed scar.
Our Signature
Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.
Learn MoreBrow lift surgery usually takes approximately 1 to 2 hours, depending on the details being performed. We ensure your comfort with monitored intravenous sedation or general anesthesia administered by one of our board-certified anesthesiologists.
The Parker Center’s Rapid Recovery techniques, used during and after your blepharoplasty or brow lift, help you heal more rapidly and comfortably than you might experience at another practice. This means less time off from work and a sooner return to your normal activities.
Dr. Parker’s Rapid Recovery protocol includes:
You can shower and resume light activities the day after your blepharoplasty or brow lift surgery. We encourage you to move around briefly starting the first day to boost circulation.
The recovery after lower eyelid surgery is a bit longer than the time needed after upper blepharoplasty. You can expect moderate swelling with minimal skin discoloration, which typically subsides within 10 to 14 days. You can apply makeup after 10 days, which is when you should expect to return to normal activities. Wait 2 weeks before resuming exercise.
There is usually very little postoperative pain for a brow lift. Patients may shower and shampoo their hair the day after surgery. We remove sutures within 10 days. Swelling and discoloration typically subside within 10 to 14 days. You can apply camouflage makeup after 1 week and resume exercise in 2 weeks.
Explore your options for rejuvenation around the eyes with Dr. Parker by requesting a consultation using the online form or by calling us at (201) 967-1212. He will listen to your concerns, answer your questions, and explain the procedure with no pressure to make an immediate decision.
After deciding on eyelid surgery, New Jersey resident Joe consulted Dr. Paul M. Parker at the Parker Center for Plastic Surgery. Joe is a 42-year-old father of two young children. While his wife and family are busy taking lots of photos of the kids, Joe has been avoiding the camera…
Read MoreFifty-one year old Lisa is a homemaker with two grown children who initially came to see Dr. Parker for a consultation regarding her eyes. In the past two years Lisa had noticed that the skin around her eyes had become saggy, and putting on makeup was more difficult. Lisa consulted…
Read MoreWe’re not all millionaires, but most of us have cosmetic issues we’d like to correct through plastic surgery procedures such as liposuction, face lifts and eyelid surgery. New Jersey salesman, Robert, spent years unhappy with how his eyes were aging. He noticed his eyes made him look tired, and he…
Read More5 Reasons to Choose
We believe plastic surgery should be accessible to as many people as possible. That's why we offer financing through lenders that specialize in setting up payment plans for elective cosmetic surgery. We can discuss financing during your consultation.
Results: Dr. Parker is known for remarkable results that may surpass your expectations
Your ResultsSafety: Our state-of-the-art, fully licensed, Medicare-accredited surgical center meets the highest standards of safety
Your SafetyEducation: We give you all the information, empowering you to make informed decisions
Your EducationRapid Recovery: Our protocol includes massage, medications, and advanced surgical techniques for reduced downtime
Your Rapid RecoveryPatient Experience: We create a positive, supportive environment in our beautiful, private facility
Your Atmosphere
