Minimally Invasive Endoscopic Surgical Solutions Upper East Side

When tear ducts don’t function properly, persistent tearing and discomfort often follow. Endoscopic surgery offers a precise, incision-free way to restore tear flow from the inside out.

Advanced Technology for Quicker Healing, Fewer Scars, and Exceptional Results

Minimally invasive endoscopic surgery has transformed how we treat blocked tear ducts. These advanced procedures offer internal access to the nasolacrimal system, often eliminating the need for external incisions or facial scars. Dr. Allison Coombs is a board-certified oculofacial plastic surgeon and ophthalmologist who specializes in endoscopic approaches that prioritize safety, comfort, and natural-looking outcomes.

Known for her precision and thoughtful approach, Dr. Coombs blends cutting-edge technology with extensive experience in reconstructive and functional surgery around the eyes.

About Minimally Invasive Endoscopic Surgical Solutions

These procedures use a small endoscope—a thin, camera-equipped device—to access the tear drainage system through the nasal passage. The most common procedure, Endoscopic Dacryocystorhinostomy (DCR), creates a new channel between the tear duct and nasal cavity to bypass the blockage and restore proper flow.

By avoiding external incisions, endoscopic surgery preserves facial appearance while effectively correcting the underlying issue. It is particularly useful for treating nasolacrimal duct obstructions that cause chronic tearing or recurrent eye infections.

What Are the Benefits of Endoscopic Dacryocystorhinostomy (DCR)?

Endoscopic DCR is a safe, effective, and cosmetically favorable alternative to traditional tear duct surgery. It offers long-term relief with minimal disruption to surrounding tissues.
The benefits of this technique include the following:

No visible scarring
Shorter recovery time compared to external surgery

High success rate for restoring tear drainage
Reduced risk of complications

Improved eye comfort and function
Can be performed under local or general anesthesia

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*Real Patient

About Candidacy for Endoscopic Surgery

Candidates are typically individuals with a confirmed blockage in the nasolacrimal duct that’s causing chronic tearing or recurrent infections. An in-office exam and imaging help confirm whether the endoscopic route is appropriate.

The following are ideal candidates:

Adults in good general health
Patients with acquired or age-related tear duct obstruction
Individuals without active nasal infections or severe sinus disease
Non-smokers or those who can pause smoking during recovery

Why Choose Us?

Dr. Allison Coombs is among the few oculofacial plastic surgeons in NYC who are trained specifically in both ophthalmology and facial reconstructive surgery. Her fellowship with ASOPRS and board certification through the American Board of Ophthalmology reflect the highest level of specialization in procedures involving the tear ducts and surrounding anatomy.

She completed elite training at Tufts Medicine, Weill Cornell, and MEETH, where she now leads the oculofacial plastic surgery division. Patients choose Dr. Coombs not only for her surgical precision but for the clarity and compassion she brings to every interaction. Her deep understanding of tear duct function ensures that your procedure isn’t just successful—it’s sustainable, comfortable, and aesthetically sound.

Your Consultation

At your consultation, Dr. Coombs will perform a full evaluation of your symptoms, conduct tear drainage testing if needed, and use in-office imaging to determine the cause and location of the obstruction. She will go over your treatment options, including whether an endoscopic approach is right for you, and answer all questions about what to expect.

Cost

The cost of endoscopic tear duct surgery varies based on complexity, anesthesia, and surgical facility fees. According to CareCredit, the average cost of an endoscopic procedure like DCR is about $4,000 to $7,000. If your symptoms are medically necessary to treat, insurance may cover a portion of the procedure. A detailed cost estimate will be provided at your consultation.

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The Endoscopic Surgery Treatment Experience

Endoscopic DCR is typically performed under local anesthesia with sedation or general anesthesia, depending on your needs and comfort level. The procedure generally takes 30 to 60 minutes.
The procedure involves the following basic steps:

The nasal cavity is prepared and anesthetized.
A tiny endoscope is inserted to visualize the blocked duct.
A small surgical opening is created to bypass the blockage.
A soft stent may be placed to support healing.
The nasal cavity is gently packed, and recovery instructions are given.

After the Procedure

Patients typically go home the same day. Mild nasal congestion, bruising, or tearing is usual for a few days. Most patients return to work within a week. Any temporary stents are removed after four to six weeks. Full recovery, including resolution of tearing, usually occurs within six to eight weeks.

FAQ Endoscopic Solutions

Is endoscopic DCR better than external DCR?

For many patients, yes. It avoids facial incisions and offers a faster recovery, but some complex cases still require external surgery.

Will I have a scar?

No. Endoscopic surgery is performed entirely through the nose, leaving no external scar.

Is the procedure painful?

Discomfort is typically mild and short-lived. Most patients describe it as nasal pressure or congestion, manageable with over-the-counter or prescribed medication.

Are there risks?

Risks are low but can include bleeding, infection, or failure of the new drainage path to remain open. These are minimized in experienced hands.

Can I combine this with other procedures?

Yes. Endoscopic DCR may be combined with eyelid or orbital procedures, depending on your needs.