In terms of facial rejuvenation, the eyes often represent the greatest opportunity to restore a more youthful look. The skin around the eyes is very delicate and sensitive, and the supporting structures less robust. The eye area is, therefore, more susceptible to sagging, wrinkling and bagging, and patients often complain the appearance of the eyes can make them look unnecessarily tired or cross.

A blepharoplasty or eyelid lift is a highly effective procedure to rejuvenate the eyes and is one of the UK’s most popular cosmetic surgeries. In recently released cosmetic surgery figures, blepharoplasty appeared in the top five, up 74% on the previous year’s numbers.

Yet, as with any surgical procedure, an eyelid lift is not without risk and some patients may require corrective surgery in the form of Revisional Eyelid Surgery. Dr Nick Koutroumanos is highly experienced in performing revisional eyelid surgery for patients that are unhappy with their previous surgeon’s work. However, this risk can usually be minimised by careful surgeon choice when first planning surgery.

Why you should choose an oculoplastic surgeon

General plastic surgeons perform surgery to address the breast, body and face, whereas oculoplastic surgeons specialise in surgery of the eyes and eyelids. Their ophthalmology training means they can also examine the eye and anticipate any eye problems, such as ptosis, entropion and lid malposition, which could complicate eyelid surgery and affect the outcome. They can also manage any eye-related post-operative complications.

Check your surgeon’s qualifications and ensure they are registered with the General Medical Council (GMC), have undergone specialist ophthalmic training, and are a member of the Royal College of Ophthalmologists. An oculoplastic surgeon is a specialised ophthalmologist who has undergone further training in eyelid and facial plastic surgery relevant to the eyes.

Other essential factors include their level of seniority and how many years they have been practicing.

Dr Nick Koutroumanos is a Consultant Ophthalmologist at the Royal Free Hospital in Hampstead, London, where he serves as head of the NHS Oculoplastic service. Dr Koutroumanos also has a private practice for general Ophthalmology and Oculoplastic surgery with locations at The Hospital of St John & St Elizabeth in St John’s Wood.

He has undergone extensive training in eye health and eyelid surgery. Dr Koutroumanos completed a 7-year training program in Ophthalmology, primarily at the esteemed Moorfields Eye Hospital. He then received additional scholarship-funded Oculoplastic fellowships in London, Vancouver, New York, and San Francisco. This extensive training has given him a wide range of expertise in various eyelid surgery techniques allowing him to achieve natural-looking results for his patients consistently.

Seek referrals and read reviews

During your research, asking for recommendations from friends and family can be helpful as that can provide reassurance when choosing a surgeon. The proliferation of online reviews now means there are several platforms where patients share their experiences, some of which only accept verified patient testimonials.

Mr Koutroumanos is incredible. Not only did he take great care of my health needs condition & worries in explaining everything that was going to happen before, during & after my blepharoplasty surgery, he was patient & caring. I would highly recommend.

AJ. Verified patient from

The importance of the blepharoplasty consultation

Good rapport between patient and surgeon is a critical component. It is essential you can describe your ageing concerns and what you are hoping to achieve from surgery, so your surgeon can assess whether you have realistic expectations and they can deliver the outcome you want.

I knew from the first consultation with Dr Koutroumanos that I was in very safe hands for my blepharoplasty procedure. He is friendly, professional, and a very talented surgeon. Importantly, he maintains excellent communication and is very responsive to any queries or worries.

JO. Verified patient from

During your blepharoplasty consultation, your surgeon will also carefully explain all potential risks. A botched blepharoplasty can avoided by careful pre-operative planning. Before any procedure, Dr Koutroumanos takes precise measurements under high magnification, with patients sitting upright and lying down, to take into account the patient’s individual anatomy.

Eyelid Surgery with Dr Nick Koutroumanos: Your Solution to Rejuvenated Eyes

London Ophthalmic and Oculoplastic surgeon Dr Nick Koutroumanos is an expert in ophthalmic plastic and reconstructive eyelid surgery including upper and lower blepharoplasty.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

A top London Oculoplastic Surgeon shares his journey

Blepharoplasty, commonly known as eyelid lift surgery, has the power to transform appearances and boost self-confidence. This delicate procedure, which can address droopy upper lids, puffy under-eye bags, and ageing-related changes, requires the expertise of an experienced oculoplastic surgeon.

In this article, we have the privilege of speaking with Dr Nick Koutroumanos, a top Oculoplastic surgeon in London who has dedicated his career to perfecting the art of blepharoplasty surgery.

Join us as we explore the making of a blepharoplasty expert, and learn what it takes to excel in this demanding yet rewarding field.

Embracing Precision: The Allure of Ophthalmology

Dr Koutroumanos’ path to becoming a respected oculoplastic expert began with a strong foundation in medical training at Newcastle University. It was during this time that he discovered the field of Ophthalmology through a two-week elective – and he has never looked back.

“The use of technology, microscopes, and very fine, extremely detailed instruments attracted me to it,” he recalls. “It’s an amazing specialty, and I think the moment someone is exposed to Ophthalmology, there’s no way you’re not going to go for it,”

Dr Koutroumanos went on to train in Ophthalmology at the world-leading Moorfields Eye Hospital in London. His rigorous seven year training programme prepared him to provide medical and surgical care for all aspects of the eye.

“Moorfields is a fantastic place to learn because it’s the oldest eye hospital in the world. It’s been there for 200 years, and there’s a culture of learning and teaching,” he says.

A Passion for Oculoplastics

I had my lower eyelid rectified as it had drooped due to facial palsy from a brain tumour. Tissue removed from my upper eyelid and a brow lift to alleviate drooping. It is miraculous! I can now see and have no discomfort. Mr. Koutroumanos was fantastic!

AA, verified patient from

During his Ophthalmology training, he eventually pursued the opportunity to become a subspecialist. He was particularly drawn to Oculoplastics because it offered a wide range of techniques to fix problems not just related to the eye, but also systemic issues.

As he explains, “It requires more thinking and planning more than your everyday intraocular or eye-related surgery. There is more than one way of doing things, and I found that intellectually stimulating.”

The variety of work in Oculoplastics, including addressing imperfections in children, ageing-related issues, injuries, and cancers, made the field even more appealing. The pursuit of perfection also seems to have been a significant attraction for the surgeon.

“One of the main things is to conceal incisions as much as possible, that’s a big thing in oculoplastics training. You aim to marry the aesthetic outcome with a function, and that’s very satisfying. The ability to change what you want without showing any external signs that anyone’s been there is cool.”

Learning from the Best: Cross-Specialty Collaboration

To further refine his skills, Dr Koutroumanos pursued scholarship-funded Oculoplastics fellowship training abroad. This allowed him to learn from other specialists in related fields, such as ENT surgeons, maxillofacial surgeons, and general plastic surgeons. The diverse exposure provided him with comprehensive training in different tools and techniques to manage complex cases.

Dr Nick recalls that the best way to learn was by observing and working alongside accomplished surgeons. “You need to be able to watch the greats and see how they do it, learn their techniques, and then adapt them to your own practice,” he explains. The hands-on approach enabled him to build a solid foundation in oculoplastic surgery and continually refine his methods.

Challenges in Oculoplastic Surgery

As with any surgical specialty, oculoplastic surgery comes with its unique set of challenges. One of the most demanding aspects is paediatric surgery.

Dr Koutroumanos explains, “Paediatric surgery is technically challenging. The tissues are smaller, they’re much less forgiving, and incisions need to be completely invisible because the skin is very soft and has no lines to hide the incisions in.”

The need for precision is paramount, because even the smallest error can have lasting consequences on a child’s development. Dr Nick rises to the challenge of paediatric surgery and operates on many children in both his NHS and private practice.

Balancing functionality and aesthetics is another challenge in oculoplastic surgery. Dr Nick stresses the importance of protecting the eye while maintaining symmetry and beauty.

“With the eyelids, there’s a huge functional component. That’s why it’s important to have an ophthalmologist look after you. Because any intervention around the eye tissue has to agree completely with the eye,” he says. This delicate balance requires a keen eye for detail and a deep understanding of both the eye’s anatomy and the patient’s desires.

Mr Koutroumanos performed a miracle for me. I’ve had an asian blepharoplasty and lacrimal gland repositioning and I am extremely happy with the result.

GH, verified patient from

Rewards of Being an Oculoplastic Surgeon

Despite the challenges, there are many rewards to being an oculoplastic surgeon. One such reward is the opportunity to train others.

“Training others in techniques that you have refined and developed yourself is rewarding,” he tells us. This allows for the continued growth and development of the specialty, as well as the satisfaction of passing on valuable knowledge to future generations of surgeons.

But perhaps the most gratifying aspect of the profession is seeing the positive impact on patients.

“With any medical discipline, the rewarding thing is to see that something you did has paid off in terms of symptoms or patient satisfaction,” the surgeon shares. In oculoplastic surgery, the results are often visible to everyone, which makes it crucial for the surgeon to be at the top of their game. The ability to improve a patient’s quality of life through expert care and precision brings a sense of fulfilment that is difficult to match in other fields.

My cataract and blepharoplasty operations have been a resounding success. With my eyelids lifted, my daughter tells me I look ten years younger. It’s as if I have had a mini facelift. Mr K is a lovely man, an amazing surgeon and also a miracle worker.

CS, verified patient from

Final Thoughts

The journey to becoming a top Oculoplastic surgeon in London has required dedication, expertise, and a focus on patient satisfaction. Dr Koutraoumnos’ extensive training allows him to deliver life-changing results with precision and care. As an Oculoplastic surgeon, he is able to ensure exceptional outcomes while maintaining the safety and functionality of the eye. Ultimately, his specialised knowledge and skills help to improve his patients’ lives.

About Dr Nick Koutroumanos

Dr Koutroumanos is a Consultant Ophthalmologist at the Royal Free Hospital in Hampstead, London where he serves as head of the NHS Oculoplastic service. Dr Koutroumanos also has a private practice for both general Ophthalmology and Oculoplastic surgery with locations at The Hospital of St John & St Elizabeth in St John’s Wood.

He has undergone extensive training in eye health and eyelid surgery. Dr Koutroumanos completed a 7-year training program in Ophthalmology, primarily at the esteemed Moorfields Eye Hospital. He then received additional scholarship-funded Oculoplastic fellowships in London, Vancouver, New York, and San Francisco. This extensive training has given him a wide range of expertise in various eyelid surgery techniques allowing him to consistently achieve natural-looking results for his patients.

Highly recommend!! Very knowledgeable / experienced, took time to listen to my concerns, explained the proposed care plan to me, ensuring I understood what was happening at each step in the process. His staff are also fantastic & super helpful/responsive.

CC, verified patient from

All surgical procedures come with risks and should only be done after a thorough assessment by a qualified surgeon. To find out whether you’re suitable for this type of operation, please contact the clinic for an appointment with Dr Koutroumanos.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Blepharoplasty, or eyelid lift surgery, is a very precise procedure that takes both skill, and an eye for beauty. In the hands of an experienced surgeon, a blepharoplasty can restore youthfulness and symmetry, while leaving no signs of surgery and zero risk to your eyes or eyesight.

On that note, Dr. Nick Koutroumanos, a top Ophthalmic and Oculoplastic surgeon based in London here at Clinic LOOP, has five questions you should ask when looking for the right surgeon to perform your blepharoplasty.

1. Is the surgeon GMC registered?

Blepharoplasty surgery should only be performed by a qualified doctor. You can check that your surgeon is a qualified doctor by searching on the General Medical Council (GMC) medical register.

Ideally, your blepharoplasty should also be on the GMC Specialist Register for Ophthalmology – a specialty that deals with all conditions affecting the eyes and eyelids. This ensures that they have completed rigorous postgraduate specialist training in this field.

2. What training have they received in eyelid surgery?

You might be surprised to learn that there is no standard training pathway for blepharoplasty surgery. Some surgeons may complete training that lasts only a few weeks, while others may train for several years perfecting their skills.

For Oculoplastic Surgeons like Dr Koutroumanos, the training starts with seven years of residency in Ophthalmology.

“During my Ophthalmology training at Moorfields Eye Hospital, I became interested in Oculoplastics. It provided for a wide range of different techniques to fix problems that are not necessarily eye related, but more systemic [conditions that affect the body as a whole]. By operating on the eye, skin, muscle, and bone, you can deal with all kinds of imperfections around the eye and upper face that can develop due to ageing, injuries, chronic illnesses or cancers.”

Dr Koutroumanos pursued three scholarship-funded fellowships specifically for Oculoplastic surgery to further expand his expertise in this highly specialised field. During these fellowships, he had the privilege of learning surgical techniques from distinguished surgeons in both the UK and Canada.

As a result of this extensive training, Dr. Koutroumanos has developed impressive mastery of eyelid surgery.

An absolutely amazing surgeon. He immediately puts you at ease. I have had a life changing result with my perfect painless upper lid blepharoplasty. Absolutely symmetrical result !I am an Optometrist myself and I will most definitely always recommend Nick.

FA, verified patient at

3. What other types of surgery does your blepharoplasty surgeon perform?

Practice makes perfect, therefore the more time your surgeon spends operating on other parts of the body, the less time they have available to perfect their blepharoplasty techniques.

“Because Oculoplastic Surgeons solely work on the upper face, we have the techniques and tools to be extremely precise. We can operate on patients in millimetres, while general plastic surgeons operate in centimetres,” explains Dr Nick.

Dr Koutroumanos tells us that Oculoplastic Surgeons exclusively operate on the eyes and eyelids throughout their career, both in the NHS and in the private sector. Because of this small area of focus, they are able to accumulate an extensive wealth of experience and expertise in these procedures.

4. What do former patients say about the blepharoplasty surgeon or the clinic?

In today’s world, it’s easy to find reviews for almost any product or service, including medical procedures. By reading through testimonials from real patients, you can gain insight into a surgeon’s approach.

According to Dr Koutroumanos, “Our patients say that we listen, are friendly and approachable, and don’t rush them. We’re always with them throughout the process and make things easy.”

As he explains, “We call patients afterward to see how they are doing. The surgeries—whether it be upper blepharoplasty, lower blepharoplasty, or an eyebrow lift—are exclusively carried out by me. And I’m with them throughout the journey as opposed to a patient seeing someone different pre or post op.”

Dr. Koutroumanos’ London clinic takes a personal and responsive approach, working closely with each patient to ensure that they are happy with the results of their blepharoplasty.

5. What is the consultation process for blepharoplasty surgery like?

Dr Koutroumanos advises patients to look for a surgeon who really takes their time in the initial consultation to truly understand your goals with a blepharoplasty.

“I used to work with someone who said that mistakes happen in the clinic and not in the operating room. And that’s because some doctors may take a “cookie cutter” approach. They may believe they have delivered a perfect result, but unless this is what the patient actually wants, then this is not the perfect result.”

In order to fully understand what a patient is looking for, Dr Koutroumanos takes a meticulous approach during the first consultation for blepharoplasty. This involves examining past photos, conducting precise measurements under high magnification, performing a full eye examination, and actively listening to the patient’s specific concerns.

However, the consultation process does not end with the initial visit.

Dr Koutroumanos always recommends another conversation before scheduling the operation, either in-person or virtually, to ensure that any remaining questions are answered and expectations are aligned. He believes that at least two consultations are necessary to provide the best possible outcome.

Eyelid Surgery Patient Testimonials

I researched online to find someone who combined ophthalmology with plastic surgery. From past skin cancer I realised that the tiny carcinoma next to my tear gland might have spread widely. I envisaged ending up with a large hole in my cheek.

Literally the moment I found Dr Koutroumanos a weight lifted from my shoulders. From our initial consultation I felt supported and he explained in honest detail what the two-part operation would entail.

His work was so intricate and skilled that friends and family were amazed at how good my appearance was after only a matter of days. By week six it is already remarkable how little cosmetic difference there is between both eyes, scars have almost disappeared and the new tear duct functions.

Nick is not only a master in his field but warm, reassuring and approachable. I wholeheartedly recommend him.


Final Thoughts

Choosing the right blepharoplasty surgeon is crucial for achieving natural-looking, safe and successful results. Dr. Nick Koutroumanos, an Ophthalmic and Oculoplastic surgeon practising in London, hopes that by following these guidelines, patients can feel confident that they are in good hands with a skilled and experienced surgeon.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Although always looking tired may be affecting you in both your personal and professional life, you might still be hesitant to have a surgical procedure like a blepharoplasty performed around your eyes.

This hesitation is completely understandable, and we hope to reassure you today as we address some of the common fears about eyelid lift surgery with Dr Nick Koutroumanos, Consultant Ophthalmologist, head of the Oculoplastics service at the Royal Free Hospital.

1 & 2. Can my eyes be damaged during a blepharoplasty procedure? And can my vision become blurred or damaged with eyelid lift surgery?

There is no need to worry about the risks of eyelid lift surgery when it is performed by an experienced Oculoplastic Surgeon.

As a qualified Ophthalmologist and triple-fellowship trained Oculoplastic Surgeon, Dr Nick Koutroumanos has the necessary expertise to safely assess and treat both the eyes and eyelids. His background in comprehensive eye care allows him to perform surgery with almost zero risk of damaging the eyes.

Before the surgery, Dr Koutroumanos also performs a full eye assessment to address any concerns you have about your vision before the operation. You can trust that you will receive the highest level of care and safety when you choose a surgeon who operates exclusively on the eyes and eyelids.

My cataract and blepharoplasty operations have been a resounding success. With my eyelids lifted, my daughter tells me I look ten years younger. It’s as if I have had a mini facelift.

Catherine S, London-Melbourne, 9th June 2021

3. Will I look like I’ve had surgery after my blepharoplasty?

“This is one of the top concerns my patients have when considering eyelid lift surgery,” shares Dr Koutroumanos. “Addressing this concern is a top priority in my practice.”

“My philosophy for any type of eyelid surgery is focused on the natural restoration of the area around the eyes. I carefully and individually plan conservative interventions that aim to preserve personal facial characteristics.”

“The goal of facial surgery, including eyelid surgery, should be to enhance one’s own beauty and youthfulness while avoiding any visible signs of surgery. It is important to me to help my patients look and feel their best while maintaining their unique appearance.”

When performed by a skilled surgeon like Dr Koutroumanos, eyelid lift surgery will help you achieve a younger look while preserving your unique facial features. A correctly performed blepharoplasty should be virtually undetectable to others, with no scars or other signs that you’ve had any surgery.

Extremely excellent from start to finish. Very subtle change to my eye that has completely transformed my face and life. I researched for a long time to find Dr Koutroumanos and very pleased with my choice – can recommend him with absolute confidence

M, verified patient on

4. Will my eyes look symmetrical after a blepharoplasty?

Each eye heals differently, so a tiny degree of asymmetry might be measurable following eyelid lift surgery. This is normal, even without having an operation, we are all born with some level of natural asymmetry. However, with careful pre-op measurements and skillful surgery, Dr Koutroumanos explains that, “chances are you’re going to end up being more symmetrical afterward than you ever were before.”

The measurements taken by a surgeon with specific Oculoplastic training like Dr Koutroumanos are extremely precise. In your initial consultation, Dr Koutroumanos will take measurements under high magnification with you sitting upright so that the effects of gravity can be taken into account. Further measurements are taken with you lying down.

Together with a careful assessment of your unique anatomy and your specific concerns, you will receive a highly individualised surgical plan optimised to achieve both symmetry and a refreshed, youthful and bright outcome.

An absolutely amazing surgeon. He immediately puts you at ease. I have had a life changing result with my perfect painless upper lid blepharoplasty. Absolutely symmetrical result !I am an Optometrist myself and I will most definitely always recommend Nick

FA, verified patient on

5. Is a blepharoplasty painful?

Many people are understandably concerned about experiencing pain during surgery. Dr Koutroumanos wants to reassure you that a blepharoplasty is not painful during the procedure or immediately afterwards.

“Your anaesthetic plan will be tailored to your preferences and needs. The surgery can be performed in the office with or without sedation, or with total anaesthesia. We take every precaution to minimise discomfort and most of our patients find the procedure to be smooth and comfortable.”

Pain during recovery is rare, however some people may experience some discomfort for the first few days after the surgery. In some cases, taking paracetamol can help alleviate any discomfort.

The staff are there to support you on your recovery journey. “Our team will provide detailed instructions on how to prepare for the surgery and how to ensure a smooth recovery. We will also be available to offer guidance and support throughout the entire process.”

Eyelid Surgery with Dr Nick Koutroumanos: Your Solution to Rejuvenated Eyes

London Ophthalmic and Oculoplastic surgeon Dr Nick Koutroumanos is an expert in ophthalmic plastic and reconstructive eyelid surgery including upper and lower blepharoplasty.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

In the right hands, eyelid lift surgery (blepharoplasty) is a highly successful procedure to achieve a younger look without changing the unique facial characteristics that make you look like you. But what are the criteria for success, and how can you maximise your chances of a successful operation?

In this article, we have a detailed discussion with Consultant Ophthalmologist and Oculoplastic Surgeon Dr. Nick Koutroumanos, about what a successful operation means to his patients, and how he strives to ensure their satisfaction with the results.

What makes an eyelid lift surgery (blepharoplasty) successful?

Simply put, Dr Koutroumanos says that, “Success is that the patient is completely happy afterwards.”

For both men and women, this means that a youthful appearance is achieved in a way that is natural-looking and totally undetectable by others.

Accomplishing success like this requires that the expectations of both the patient and surgeon are fully aligned. Dr Nick puts a lot of time and effort into ensuring that he and his patients have the same vision of the result which he explains in further detail.

I had a blepharoplasty in February ’22 and Dr Koutroumanos did a great job. I still look like me, but I can now keep my eyes open without having to constantly pull up my eyebrows. I’m very happy with the result. Thank you!

A.C, verified patient from

How do you ensure that each blepharoplasty is successful?

“The only way to ensure a high success rate is to listen to what the patients want. You need to ensure that their expectations are totally aligned with what you can offer.” Dr Koutroumanos goes on to say, “that requires honesty from the patient, but it also requires huge honesty from your surgeon about what they can offer.”

Being honest about what a surgeon can offer relies heavily on their skill and experience, but it all starts with a detailed assessment.

Dr Koutroumanos’ first consultation for blepharoplasty is extremely thorough and includes reviewing past photos, taking very precise measurements under high magnification, performing a full eye examination, and listening intently to your specific concerns. After gathering all this data, he is able to provide an honest assessment of what can be achieved with surgery.

But the consultation doesn’t end at the first visit.

“I will always recommend another conversation prior to arranging the operation. This can either be virtually or in person. I don’t tend to plan any surgery unless we’ve had at least two opportunities to answer questions and align our expectations.”

This comprehensive approach is what enables Dr Koutroumanos to provide a top-notch service to his many happy patients.

Dr Koutroumanos was so amazing from start to finish. I received a blepharoplasty and a brow lift. He explained the procedure. He helped me understand the process that I would undergo. Very talented doctor and charismatic. Would highly recommend!

M.M, verified patient from

How likely is it that you need more than one blepharoplasty operation to achieve the desired look?

It is uncommon for patients to need more than one eyelid lift surgery, or blepharoplasty, to achieve their desired results.

Although some people may desire further refinements, Dr. Koutroumanos has a wealth of experience and knowledge in different blepharoplasty techniques which allows him to produce natural-looking results in a single procedure. In rare cases, he may perform a revision surgery once a year for his own patients, or up to once a month for patients who were referred to him after having their surgery performed elsewhere.

Due to having poor surgery in Turkey, Dr N Koutroumanos thankfully corrected the procedure. He and his team were very thoughtful and compassionate and I am grateful for his dedicated professionalism

F, verified patient from

How long does a successful eyelid lift surgery (blepharoplasty) last ?

Although no cosmetic procedure lasts forever, both men and women can typically expect to enjoy the results of a successful eyelid lift for 10 years or more. However, this can vary from person to person. Factors include age, overall health, sun exposure, smoking history, and even genes.

What should you look for in a surgeon for a successful blepharoplasty?

The two main areas you should focus on are the specific training and experience with eyelid surgery, and the experience of actual patients.

These two things will ensure that your surgeon is not only capable of providing the best outcome, but is also an active listener who is willing to work with you to achieve a result that you are happy with.

Nick is a skilled surgeon and has a great way with his patients. Throughout, from the first consultation to the follow up, he has been patient and answered all my questions. He was able to put me at ease throughout. I would highly recommend Nick.

DM, verified patient from

Eyelid Surgery with Dr Nick Koutroumanos: Your Solution to Rejuvenated Eyes

London Ophthalmic and Oculoplastic surgeon Dr Nick Koutroumanos is an expert in ophthalmic plastic and reconstructive eyelid surgery including upper and lower blepharoplasty.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Eyelid lift surgery, also known as blepharoplasty, is a safe and effective way to rejuvenate your appearance and restore a more youthful, rested look without altering your facial features.

When performed by a skilled surgeon, this procedure can produce a subtle, natural-looking result that is virtually undetectable to others. You can achieve a vibrant younger appearance that will boost your confidence in both social and work settings.

In this article, we interview Dr Nick Koutroumanos about how the eyes change with age, causing a tired look. He explains how eyelid lift surgery (blepharoplasty), both upper and lower, can help to reverse these changes and refresh the eye area.

What happens to the eyelids as we age to make us look tired?

“A lot of the changes that occur with age in the periocular area [area around the eyes], have so many things in common with changes that occur with age in our entire body,” explains Dr Nick. These changes include loss of skin elasticity, the effect of gravity and volume loss.

“With the loss of skin elasticity, the skin stretches and becomes more abundant. The tissues behind the skin also lose volume, and therefore support.” Dr Nick says this results in sagging skin around the eyes.

He goes on to describe the role of gravity.

“Gravity mainly affects the tissues that hold the skin in place. There are tiny little adhesions that effectively support the skin, and everything behind that effectively holds our face on to a bone. So as we age, gravity makes those adhesions weaker. The effect of this on the skin, coupled with loss of elasticity results in wrinkles or extra skin that sags.”

But extra skin around the eyelid isn’t the only characteristic feature that can give you a tired look. Loss of volume also plays a role, as Dr Nick explains.

“Volume loss can create visible tear troughs which can then create shadows and dark circles. Volume loss can also create a difference in how much of the eyelid you can see, which we call the eyelid show. This is one of the main characteristics we address with a blepharoplasty.”

In practical terms, all these changes result in excess skin on the eyelids and a hollowed appearance that results in a characteristic tired look.

When do these changes start happening?

Both men and women can experience changes in the appearance of their eyes as they age. These changes usually start in the mid-20s, but may not become noticeable until later in life, such as in your 40s or beyond.

However, the timing and extent of these changes can vary greatly from person to person. Some people may notice excess skin around the eyelids and hollowing of the eyes in their 30s or earlier. while others may not experience these changes until later in life, or not at all. The shape of a person’s eyes can also influence when and if these changes occur.

How can a blepharoplasty reverse the ageing changes?

My cataract and blepharoplasty operations have been a resounding success. With my eyelids lifted, my daughter tells me I look ten years younger. It’s as if I have had a mini facelift.

Catherine S, London-Melbourne, 9th June 20211

Eyelid lift surgery or blepharoplasty may seem like a single procedure, but as Dr Nick explains, there are actually several different surgical techniques and approaches that can be used. The techniques used depend on the specific ageing changes being treated. This allows for a more customised and effective treatment plan.

Upper blepharoplasty

In upper eyelid surgery (upper blepharoplasty) the primary concern is excess tissues around the eyelids, but that doesn’t mean that every operation is the same. Dr Nick elaborates.

“Every case is designed according to the patient. You don’t just offer a cookie cutter approach. So you either remove skin, or skin and muscle, or skin muscle and fat, and you reposition the crease. All of this is done in a hidden incision which heals within a couple of weeks, you can’t see anything.”

Lower blepharoplasty

In lower eyelid surgery (lower blepharoplasty), Dr Nick says that the main goal is to smoothen the surface between the eyelid and the cheek.

“In the lower blepharoplasty, you can shrink lower lid bags and smoothen the interface between the lower eyelid and the cheek. This is achieved either by removing or repositioning the orbital fat using different techniques depending on the patient,” says Dr Nick.

Whether your lower eyelid surgery involves removing excess skin or fat or restoring volume for deep tear troughs, creating a smooth, cohesive transition between the eyelid and cheek can drastically improve the overall appearance of the eye area and give a more rested and youthful look.

So, can eyelid lift surgery make you less tired?

In the right hands, absolutely yes. Eyelid surgery can restore a younger look, but it requires an individualised approach to the upper and lower lids.

A surgeon with in-depth Oculoplastic training will be able to create a bespoke surgical plan to essentially sculpt the eyelids to your desired outcome. Importantly, they are able to do this without leaving any scars or other signs that you’ve had any surgery.

Eyelid Surgery with Dr Nick Koutroumanos: Your Solution to Rejuvenated Eyes

London Ophthalmic and Oculoplastic surgeon Dr Nick Koutroumanos is an expert in ophthalmic plastic and reconstructive eyelid surgery including upper and lower blepharoplasty.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Blepharoplasty is a safe and effective way to rejuvenate the appearance of the eyes and help patients achieve a more youthful look. Before undergoing any surgical procedure, you should know the recovery process to prepare yourself mentally and physically.

Dr Nick Koutroumanos at London Ophthalmology and Ophthalmic Plastics is a highly skilled and experienced surgeon. We’ll help you achieve your desired results in the shortest time possible.

How Long Does It Take To Recover From Blepharoplasty?

The recovery process is different for everyone. Most patients feel well enough to return to normal activities after one week following standard blepharoplasty surgery. You experience some bruising and swelling around the eyes after the eyelid procedure, but it resolves over time. One way to help with post-surgery recovery is by placing cold compresses on the eyes and using eye ointment or lubricating drops to help with discomfort.

Stitches are removed shortly after surgery. During this time, you should avoid strenuous activity or contact sports to allow your incisions time to heal. It would be best to avoid exposure to sunlight or bright lights, as this irritates the eyes.

Following your surgeon’s instructions during recovery is advisable for optimal results. We provide all our patients with specific instructions on caring for their eyes after surgery.

Factors That Affect Recovery Time

  • Age: As you age, your skin becomes thinner and less elastic, taking more time to heal from surgery. Since the skin surrounding the eyes is susceptible, the recovery period after eyelid surgery is lengthier in older patients.
  • Extent of Surgery: It takes longer to recover from surgery if you have a more extensive procedure, such as lower and upper blepharoplasty. When the upper and lower eyelids are operated on, the incisions are wider, and there is more tissue to heal. If you only have a small amount of skin removed, your recovery time is shorter than with a more extensive procedure. Swelling and bruising are more for extensive procedures, increasing the recovery time.
  • The Type of Blepharoplasty: If you have an endoscopic blepharoplasty, which is a minimally invasive procedure, you have a shorter recovery time than a traditional eyelid surgery. Endoscopic surgery has no visible incisions, leading to minimal swelling and bruising. Traditional eyelid surgery involves incisions along the lash line, taking longer to heal.
  • Your Overall Health: Patients with diabetes or other medical conditions that affect healing have a longer eyelid surgery recovery time. If you are healthy, you can expect to recover from surgery more quickly.
  • Your Body’s Ability to Heal: Everyone heals at different rates; some people recover faster than others. Many factors, including your genetics, determine the body’s ability to heal.
  • How You Take Care of Yourself After Surgery: You heal faster when you follow your surgeon’s recommendations and care for yourself following surgery. These include:
  • Getting Plenty of Sleep: Sleep helps the body heal. Get at least eight hours of sleep every night to improve your recovery.
  • Eating a Healthy Diet: Eating a healthy diet helps the body heal. Eat plenty of fruits, vegetables, and lean protein to promote healing.
  • Taking Your Antibiotics as Prescribed: This helps prevent infection.
  • Applying Cold Compresses: It reduces swelling and bruising.
  • Wearing Sunglasses: This protects your eyes from the sun and wind.
  • Quitting Smoking: Smoking decreases the blood flow to the skin and delays healing. If you smoke, quit at least two weeks before surgery.

Improve Your Appearance and Vision Through Eyelid Surgery

If your vision is impaired or if you are unhappy with the appearance of your eyes, eyelid surgery may be right for you. It improves your vision and self-confidence by making your eyes look younger and more alert. Recovery times vary from patient to patient, but with proper care, you can expect to recover quickly and enjoy your new look.

Dr Nick Koutroumanos will individualise blepharoplasty surgery to meet your specific needs and goals. He will work with you through the entire process to get you the best possible results.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Are you considering eyelid surgery? Dr Nick Koutroumanos has performed many procedures and specialises in eyelid, eye socket, and peri-ocular surgeries. Eyelid surgeries have many benefits, from an improved field of view to a refreshed, youthful appearance.

Here’s an overview of five benefits of professionally done eyelid procedures:

1. Improved Field of Vision

Droopy eyelids are part of ageing. The muscles lifting your upper eyelid naturally become weak gradually, with changes too subtle to notice. Over time, the drop grows and can get in the way of your vision. Eyelid procedures like blepharoplasty can improve your field of vision if sagging eyelids are getting in the way. Most people who consider droopy eyelid surgeries seek cosmetic improvements, but the procedure primarily results in functional benefits.

If you have hereditary sagging eyelids, the droops can become more pronounced. Some cases are so severe they block or restrict vision. Try pushing your eyebrows up using your thumb. If this gives you a better field of vision, an upper eyelid lift could be a beneficial long-term solution. Dr Nick Koutroumanos can can perform upper blepharoplasty to remove the excess eyelid tissue and restore your normal field of vision.

2. Youthful, Rested Look

Saggy eyelids are mostly a sign of aging. Eyelids become droopy when the amount of collagen drops, which happens more rapidly as you age. Collagen is a natural protein responsible for making the skin firm. Some people may develop droopiness in their 20s or 30s due to genetics. If saggy eyelids make you appear aged, sleepy, or tired, upper blepharoplasty can improve the look. We can get rid of droopy eyelids to restore your youthful appearance.

The procedure removes excess fat and skin that cause your eyelids to sag. After surgery, you’ll look more rested and alert. People who are genetically predisposed to droopy eyelids can benefit from surgery. You can also consider blepharoplasty to fight the effects of aging and achieve a refreshed appearance. Our surgeon is experienced in upper and lower blepharoplasty, so you can get rid of under-eye bags.

3. Convenience and Confidence

Dr Nick Koutroumanos can help you eliminate excess fat, skin, bags, and dark circles from your eyes. If you’re self-conscious about saggy eyelids, it can affect your daily routine and interactions. Our surgeon can eliminate the nagging discomfort to give you an amazing appearance. Eyelid surgeries will improve your look, naturally restoring your confidence for better social interactions.

Eyelid procedures also make it easier to apply and remove makeup. The surgery removes the excess skin that causes folds and is more effective than Anti-Wrinkle Injections. You’ll need less time in front of the mirror trying to blend in the fine lines using other tricks. Blepharoplasty offers long-term results, so you can forget about drooping eyelids for several years. Our surgeon will customise the procedure to give you the best results.

4. Offers Minimal Scarring

Eyelid surgeries are minimally invasive and involve tiny incisions. Dr Nick Koutroumanos will hide the incisions behind the natural folds of your eyelids. The scarring is minimal and heals fully after surgery, becoming virtually unnoticeable. If you want to get rid of droopy eyelids without leaving scars behind, blepharoplasty is among your top options.

After you heal from surgery, the scars will be minimal and your eyes will have a natural, youthful appeal. Blepharoplasty also diminishes the number of fine lines around the lower eyelids and outer corners. Our surgeon can get rid of dark circles and reposition fat to create a natural appearance. Simply follow all post-surgery care for maximum healing.

5. Customisation & Cosmetic Creativity

Procedures like blepharoplasty allow you to enjoy more freedom with your cosmetic creativity. Working with droopy eyelids may restrict you to specific make-up shades as you struggle to mask the folds and lines. After your surgery, you can try everything from a smoky eye to colorful eyeshadows. You’ll have more space to work with and don’t have to worry about excess skin and folds getting in the way.

Eyelid surgeries are also customised to your needs and involve subtle improvements that look natural. Our surgeon can perform multiple procedures as part of comprehensive treatment to improve your overall appeal. Droopy eyelids often accompany other conditions that can be improved during treatment. We can perform brow lifts and other procedures to help you have a complete result.

Trustworthy Eyelid Surgery

Eyelid surgery can improve your appearance and field of vision for years to come. Dr Nick Koutroumanos has years of experience and specialises in detailed, customised eyelid procedures. He can also perform eye socket and peri-ocular surgeries, so you’ll be in great hands.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Are you planning to undergo droopy eyelid surgery (blepharoplasty)? Dr Nick Koutroumanos is here to help. He specialises in eyelid surgery, eye sockets, and peri-ocular surgery focused on improving your sight and appearance.

Blepharoplasty removes excess skin and fat cells from the eyelids. The procedure is done by a qualified ophthalmologist and has both cosmetic and functional benefits.

You can have a lower or upper eyelid blepharoplasty, and each has unique characteristics.

Blepharoplasty Duration

Typical blepharoplasty lasts two hours if the procedure involves both eyelids. The duration depends on what area the ophthalmologist is working on and the severity of the drooping. Some surgeries involve brow lifts, which increase the total time.

When you visit Dr Nick Koutroumanos, he will start by examining your condition and medical history. He will determine the required duration based on the expected work. Most patients are back home within a few hours.

Blepharoplasty Results

Lower eyelid blepharoplasty results may last a lifetime, while upper eyelid blepharoplasty results are temporary. The difference stems from the distinct nature of each surgery. Lower eyelid blepharoplasty involves removing excess fat and skin cells.

Upper eyelid blepharoplasty involves lifting the sagging tissues, which may end up sagging later in life. On average, upper eyelid blepharoplasty will last five to ten years. You’ll continue ageing after surgery, but we rarely need to perform repeat surgeries for the lower eyelid.

Maintaining Blepharoplasty Results

Dr Nick Koutroumanos recommends taking good care of your skin to keep your collagen and elastin healthy. Stay hydrated to decrease the effect of ageing. Dehydration can hurt collagen and elastin production, which rely on water.

Drink fluids even when you don’t feel thirsty. A good sign of hydration is clear urine. You should eat foods rich in liquids, such as soups, fruits, and veggies. Other ways to avoid ageing effects include staying nourished with a diet featuring plenty of protein and vitamin C. Wear sunscreen to reduce UV-induced ageing.

How Soon Will Blepharoplasty Results Show?

Blepharoplasty results are apparent immediately after the surgery, but it may take a few weeks before they become fully evident. You’ll see the outcome once the swelling and bruising stop, which requires 10 to 14 days. Dr Nick Koutroumanos will provide guidelines to help you recover after surgery.

Make sure you stay away from strenuous activities. Each client has unique needs, so follow only what the surgeon instructs.

How Long Does It Take To Recover Fully

Recovering from eyelid surgery requires one to two weeks. You won’t be able to drive machinery within 48 hours of using general anaesthesia. Swelling/bruising may continue for up to 14 days, and healing may take up to six weeks. You can return to work once the swelling and bruising stop, provided you stay away from strenuous activities. Follow every direction of the surgeon regarding wearing glasses, working out, reading, and watching television.

Reliable Droopy Eyelid Surgery

Dr Nick Koutroumanos is dedicated to providing reliable droopy eyelid surgery. He specialises in eyelid surgeries and is an expert in eye socket and peri-ocular surgery. You can get in touch to learn more about our eyelid surgeries and general ophthalmology services.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos:

Oculoplastic surgery treats eye conditions like droopy eyes, eye tumors, tear duct problems, and eyelid issues. An oculoplastic surgeon specialising in plastic surgery around the eyes performs this procedure. Dr Nick Koutroumanos uses various oculoplastic surgery techniques to treat different eye conditions. Some of the commonest operations are:


With age, your eyelids can loosen and sag as the muscles that typically support them begin to weaken. Excess fat and skin build up above or below your eyelids, making you look older. Extremely droopy upper eyelids can also cover your pupils and obscure your vision.

Dr Nick Koutroumanos performs blepharoplasty to remove excess skin and fat from your eyelids. This will improve your eyelids’ shape and restore a more youthful appearance.

Oculoplastic surgeon Dr Koutroumanos conducts both upper and lower blepharoplasty. Upper blepharoplasty removes unneeded fat and skin from the upper eyelids. This procedure expands the visual field and prevents eyebrows from sagging.

Lower blepharoplasty gets rid of unwanted skin and fat from the lower lids. It prevents bags under the eyes making your eyes look younger and more alert.

When performing blepharoplasty, Dr Koutroumanos will use anaesthesia to relax the patient and reduce the pain. The surgical technique employed is carefully pre-determined for each individual case given that not one pair of eyes is the same, in terms of structure or desired outcome.

After the procedure, he applies antibiotic cream over the surgical site to prevent infections.

Ptosis Surgery

Ptosis occurs when the upper eyelids droop over the eyes due to loose muscles and tendons. Unilateral ptosis causes a single eyelid to sag, while bilateral ptosis affects both. Either of these conditions can interfere with your vision.

Ptosis also causes difficulties in keeping the eyelids open. Patients suffering from the condition arch their eyebrows to elevate the droopy eyelids. Constantly straining the muscles in this way can cause frequent headaches. In severe cases, people with Ptosis may use their fingers to lift their eyelids to be able to see.

Dr Nick Koutroumanos conducts ptosis surgery to correct this condition. The surgery tightens the levator muscle and raises the droopy upper eyelids.

Before the surgery, Dr Koutroumanos performs a full eye exam to determine the severity of Ptosis. Based on the results, he determines if you’re eligible for surgery. Then, he conducts a safe procedure to restore a normal field of vision. The presence or not of ptosis will be discussed at any consultation for upper lid rejuvenation given that it is a profoundly important aesthetic element often missed by less experienced practitioners.

Entropion Surgery

Entropion is a condition where eyelids fold inwards, making the eyelashes and the skin rub against the eye surface. In most cases, this condition occurs on the lower eyelids and can affect a single eye or both.

Entropion causes red-eye, discomfort, and irritation on the cornea. Other symptoms of entropion include:

  • Blurry vision
  • Tearing
  • Eye pain
  • Drainage or crusting
  • Itching
  • Sensitivity to light and wind

Seek immediate medical attention to prevent severe complications if you notice these symptoms. If left untreated, entropion can damage the cornea and cause eye infections and sight loss.

Dr Nick Koutroumanos carries out entropion surgery to repair this condition in both adults and children. The procedure is performed as a day case surgery under light sedation or anaesthesia alone. He uses scarless techniques when conducting the surgery to prevent lasting marks on the skin.

Visit an Oculoplastic Surgeon

Eye conditions can affect your daily life and your overall well-being. Our oculoplastic surgeon uses several techniques to correct different eye conditions. If you have such conditions, seek medical attention to prevent them from worsening.

Book Your Consultation

Ready to explore how eyelid surgery can enhance and rejuvenate? Book a consultation with Dr Nick Koutroumanos: