About Dr Kotlus Brett Kotlus, MD, FACS is a New York City oculofacial plastic surgeon who specializes in both non-surgical and surgical cosmetic and reconstructive procedures of the eyes and face. He is one of only a few specialists who is certified and fellowship-trained in both oculoplastic surgery and general cosmetic surgery.

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Reviews(348)

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jcnuc9136 on Realself

★★

a month ago

53 year old male - Look significantly younger I'm an extremely particular and experienced consumer when it comes to cosmetic procedures. Dr. Kotlus is one of the best I've encountered in almost 25 years of doing procedures. He is extremely communicative, explains things in a clear but very detailed manner, and is just a generally nice and friendly person. I went to him for under eye surgery, hell bent on getting it done. He could have easily just done the surgery and collected fees. Instead, he talked me through why I'm not ready for surgery and that under eye filler was the best route for me. I was adamant about getting surgery and pushed back hard. He held his ground kindly and respectfully explained in even more detail why he advised against it at this time. Under eye filler is a very difficult and delicate procedure and can have terrible results. I've had numerous terrible results in the past looking overfilled, uneven, unnatural and on multiple occasions resulting in the formation of puffy areas after some time because of poor technique. I'm a 53 year old male. I can also be prone to overdoing it when it comes to procedures and Dr. Kotlus talked me through my expectations, explained what was reasonable and what wasn't very clearly, and pointing to very specific areas of my under eye. And he explained why to avoid overcorrection and how chasing unrealistic goals could result in poor results. In the end, my results were absolutely exceptional. The best I've ever had. They look extremely natural, and I look significantly younger. I'm thrilled with my results and if you knew me, you would be shocked to hear me say that about any procedure. I'm highly critical and very difficult to impress. I cannot recommend Dr. Kotlus highly enough.

suby412 on Realself

★★

2 months ago

Absolutely amazing lower eye blepharoplasty for under eye bags I have had under eye bags for over 15 years (since I was 29 years old). Over the years, I spent thousands of dollars on eye creams or gimmicky procedures to try and get rid of my bags and of course nothing worked. My under eye bags effected my self-esteem and I always wanted to hide behind glasses or sunglasses. I did a lot of research and knew that a lower eye blepharoplasty was the only thing that would get rid of my eye bags. I went to a consultation with a reputable doctor in NYC and he sent me away. He basically told me since I have very large eyes, he couldn't do my surgery because it may cause refraction in my lower eye lids. I got somewhat discouraged but then found Dr Kotlus. My consultation with Dr Kotlus went amazing. He looked at my eyes and was very confident that he could do the procedure and his technique would not put me at risk for refraction. He is absolutely one of the nicest, most personable and humble doctors that I have ever met. He is such an expert in this field and I highly recommend anyone that needs this procedure to go see him. He is not pushy and doesn't try to sell or recommend procedures that you do not need. I was extremely nervous before the procedure (and almost chickened out) and he was so kind and put me at ease. After the surgery, I emailed Dr Kotlus a few times to ask questions and he was always so responsive and kind. You can trust him. Dr Kotlus does excellent work. I highly recommend him.

Mellooo on Realself

★★

2 months ago

New bag under the right eye after lower blepharoplasty fat removal & laser Hello, It took me a while to write this review because I wanted my results to settle and make sure that what I was seeing was the final result. I had Lower Blepharoplasty February 2021. I just had the fat removed, no skin incision and I had fat transfer to the undereye area and fraxel laser under the eyes. At first I loved the way it looked , but as the swelling went down I noticed that there was a bag under my right eye that I had not had before. There was also still a bag under my left eye and. So I went back to the doctor to discuss and he acknowledged that the bag was there. At first he said that it was probably left over filler because I did have filler prior to the surgery which he dissolved. So he injected the area again. Nothing. I told him that it was still there. I went to see him again and he told me that it may seem more obvious because he removed the fat above it. Or that it might be skin. So he offered to perform Co2 laser. I had it done February of this year, the recovery took a while and the bag was still there. I sent him a picture of my under eyes to show him that it was still there. He said that it can take 5 months to see the final result of the laser. Sooo..its been 5 months and it still looks the same. I think that the bag is from either the fat injections or that he didn't make them even. He will not admit to either and that is why I am disappointed. My final thoughts are Dr Kotlus is a very nice guy, I think that he is very talented. However, even the most talented doctors sometimes do not have a satisfactory result and the fact that he doesn't take responsibility for maybe messing up is what I find disappointing. My eyes do show some improvement, except the new bag under the right eye, but I do not think that it was worth the money that I spent. I had 6 consultations before choosing Dr Kotlus, Would I have had a better result with another doctor? Who knows.

CosMyc19534 on Realself

★★

3 months ago

Closest thing to perfection! Amazed at facial fillers & Botox results My best experience with a plastic surgeon yet! Doctor Kotlus has everything anyone would want to find in a doctor.Professionalism, very detailed oriented, excellent hands, good listener ,manners and very pleasant to talk with. I went with different procedures in my and after his advice I ended up getting just facial fillers and Botox . I amazed by the results. I consider myself a perfectionist and leave his office feeling like a million bucks already! Make a consultation with him and I promise you won't regret it.

Sociable198089 on Realself

★★

5 months ago

Very personable and available - excellent from the first appt Very personable and available. Excellent experience from the first appt. I will stick with this dr indefinitely. He did not try to upsell and actually talked me out of an extra procedure. I would record moment him to anyone.

thatchris on Realself

★★

6 months ago

Amazing experience - my results came out exactly like I hoped Dr. Kotlus was warm, professional, and walked me through my options in a straightforward manner. I felt listened to and my results came out exactly like I hoped! His office staff is kind and helped me get an appointment after months on the waitlist. Dr. Kotlus is always very booked but very very worth the wait!

Susan11021 on Realself

★★

7 months ago

Highly recommend him - very happy with my Botox brow lift Dr. Kotlus is an amazing doctor! Aside from being s plastic surgeon, he is an oculoplastic surgeon and therefore has specialized knowledge about the eyes and eye area- (a specialist like this was important to me when dealing with my eyes.) He cares only about what the patient wants to achieve and provides options on how to do it. do it. He doesn't "push" anything. He has an excellent eye, and I am very happy with my Botox brow lift. He also addresses and answers all of your questions without making you feel rushed. I highly recommend him!

FancyFalcon on Realself

★★

8 months ago

Thrilled to be rid of the eye bags that marred my self image I previously left a review for Dr. Kotlus repairing/adjusting tear trough filler for me last year. The results were great, but we both discussed that the scope of my issue would more effectively be addressed though surgery. I've had eye bags my whole life, and after hitting my late 30s, there was no amount of sleep, hydration, or concealer that would help. It took a few months to get a consult lined up, but I finally got one late last year, and had my filler dissolved in January to proceed with surgery. I was a little nervous about dissolving the filler because of the horror stories I've heard about tissue damage, but Dr. Kotlus was very careful and reassuring, addressing all my concerns. He showed me examples of patients with a similar skin tone and eye type (I'm South Asian) and it was great seeing him acknowledge the nuances of working with diverse clients. Before surgery, I was sent very thorough documents detailing how I should prepare, what I would need for the day of, and aftercare. I also had a bunch of random questions in between, which were answered promptly by the staff. All invoicing and payments for surgery were done easily online, and payment for the surgical center/anesthesia is done day of at the surgical suite. A few days before the surgery, the anesthesiologist, Dr. Axelrod, reached out to go over what to expect with anesthesia. I was nervous about anesthesia because my last experience with it was getting my wisdom teeth out, and it was a nightmare of pain, swelling, and unpredictable nausea/vomiting. He was very personable and patient, just like Dr. Kotlus. It really means a lot when questions, even if they seem silly or redundant, are met with kindness, compassion, and patience. It has restored my faith in humans! I was also given both doctors personal cell numbers in case of any issues. My surgery date was 2/2/22. I had a lower blepharoplasty, fat removal and repositioning, with transconjunctival approach, twilight anesthesia. Day of surgery, I was very nervous! Even with all the reassurance and research, my eyes are my livelihood, so I was just a ball of nerves. But just as in pre-op stages, I was handled with gentleness and care. The surgery itself was short, I don't remember anything beyond the IV being inserted, and had no pain or nausea when I woke up. It was like someone unplugged my batteries then plugged me back in. I was loopy waking up, but felt fine enough to take a cab back home after with my spouse as a chaperone (though I slept all the way). Dr. Kotlus followed up that evening with a phone call to check in. During the first few days of healing, I had some swelling and bruising, as expected, a bit of dry eye and discomfort, and mild pain/pressure. I followed the prescribed routine of rest, gentle movement, extra strength Tylenol, medicated eye drops, cold compresses, warm compresses, and sleeping with my head elevated. I was mindful about eating well and staying hydrated, and healing went smoothly. The transconjunctival approach meant no outside incision or scars, as scars can be tricky on brown skin. Today I had my 1 week recheck and am so happy! I still have light yellow bruising and some very minor swelling, but am thrilled to be rid of the eye bags that marred my self image. I am not someone who gets a lot of invasive cosmetic procedures done (I'm more of a facials and touch of filler type) but I was tired of looking tired. This doctor listened to what I wanted, managed my expectations with honesty, and made it happen. Though there's more healing to go, I'm so impressed by the work and spirit of Dr. Kotlus and his team. He is truly an artist, and I'm so grateful to be his patient. I'll be moving my lip filler and other procedures to his office too, why have anyone else touch my face. There's a reason his waitlist is so long-totally worth it! I'll update with my recheck in 6 weeks as well, but in the meantime, highly recommend Dr. Kotlus and his team.

Junebug452 on Realself

★★

8 months ago

My under eye bags are gone - no one believes I am 51 I had several procedures performed by Dr. Kotlus. I had a lower blepharoplasty with fat grafting and a left sided brow lift to improve the symmetry of my eyebrows. My under eye bags are gone and I definitely look so much better. No one believes I'm 51. The work also looks natural which was very important to me. Dr. Kotlus was very patient and explained the procedures in detail. He made me feel very comfortable. I am so happy that I went to him. He really does amazing work. His staff is excellent too!