Eyelid surgery expert

Blepharoplasty: the solution to tired, sagging, ageing eyes


I did my research and chose Dr Koutroumanos

“Nick is very personable, reassuring and probably one of the best eye surgeons. I am totally elated with the results. He achieved exactly what I wanted him to, fixing some asymmetry as well as restoring them to how they looked a decade earlier, better than in fact. Very happy.”

Why choose blepharoplasty

The ageing process is unavoidable, and the eyes are one of the first areas where we notice ageing changes. Heavy upper eyelids, dark circles and bags around the eyes can make you look tired, sad or angry, when you want to look dynamic and refreshed.

Eyelid surgery, also known as a blepharoplasty can have such a dramatic impact, restoring a more youthful, rejuvenated appearance and boosting your confidence and self-esteem.

The skin around the eyes is very thin, so it’s more prone to laxity and sagging as collagen and elastin break down over time, causing hooding and wrinkling on the upper lid. The relaxation of the muscles causes the fat under the eyes to push forward, causing eye bags to appear. A blepharoplasty is a quick and effective way to eliminate the tell-tale signs of ageing around the eyes.

Dr Koutroumanos is an ophthalmic plastic surgeon who exclusively carries out plastic surgery on or around the eyes.

What can eyelid surgery treat?

Excess skin

As we age, the skin on the eyelids loses elasticity, causing it to sag. Blepharoplasty can remove this excess skin to give a more youthful and open appearance to the eyes.

Eye bags under the eyes

The descent of fat and loss of skin tension in the lower eyelids can create a puffy or ‘baggy’ appearance. A lower eyelid lift can remove and reposition this excess fat.

Hooded eyelids

As the skin on the upper eyelids droops, a hooded appearance is created which can often be asymmetrical.

Obscured vision

In more severe cases, excess skin on the upper eyelids can even obstruct vision. This is solved with a functional blepharoplasty to remove excess skin.

Bespoke Eyelid Surgery with Dr Nick Koutroumanos

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? Fill in the contact form and the team will be in touch to arrange your consultation with Dr Nick Koutroumanos.


Dr Nick Koutroumanos?

Dr Koutroumanos has developed a reputation for bespoke eye surgery which rejuvenates yet maintains all characteristics of one’s eyes. Our patients seek a back-in-time effect with their eyes looking and feeling like they used to. We receive referrals and self-referrals from all continents and take particular pride in the minimal post-surgical downtime and natural effect of Dr Koutroumanos’ techniques.

Blepharoplasty 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. Dr Nick Koutroumanos, one of the busiest London Oculoplastic surgeons, has dedicated his career to perfecting the art of blepharoplasty surgery.

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

Dr Nick Koutroumanos Eyelid Surgeon

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. This delicate balance requires a keen eye for detail and a deep understanding of both the eye’s anatomy and the patient’s desires.

Sagging eyes treatment

Procedure at a Glance

Procedure time
1-2 hours

Local or General

Length of Stay
Day case

Up & Mobile
Same day

1 week

Back to Work
1-2 weeks

1 week

Post-op Care
Ice pack for first 2 days

On back, sleeping upright for 1 week

Resume Exercise
2 weeks

Full Recovery
4-6 weeks

Final Results
3 months

Upper eyelid surgery before and afters

Upper Blepharoplasty

The upper eyelid lift procedure is designed to address excess skin and fat on the upper eyelids, which can cause drooping or hooding of the eyes. In some severe cases, it can even obscure vision. During surgery, Dr Nick Koutroumanos will make an incision along the natural crease of the eyelid, removing the excess tissue and tightening the skin to give the eyes a more open, youthful and refreshed appearance. Surgery under our care never results in visible scars or telltale signs of surgery.

Eye bag removal

Lower Blepharoplasty

The lower eyelid lift focuses on the lower lids, specifically to address the bags and puffiness or deep hollows that can form beneath the eyes. The majority of cases will be offered a scarless lower blepharoplasty (transconjunctival). Even when a skin incision is required, this will result in no visible scar. Excess fat is removed or repositioned and support for the muscles and tendons will be added if needed. This smooths the area, reducing the appearance of bags or dark circles and improving the youthfulness of the entire face.

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? Fill in the contact form and the team will be in touch to arrange your consultation with Dr Nick Koutroumanos.

Our Results

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.

“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.”

Dr Nick Koutroumanos has recently been nominated for a prestigious award: The Best Surgical Transformation Award 2023 in the Safety in Beauty Diamond Awards.

Other cosmetic procedures we offer

Revision eyelid lift

Blepharoplasty is typically a very safe and effective procedure that achieves high patient satisfaction. Still, like any cosmetic surgery operation, it is not without risk of complications or an adverse aesthetic outcome, and, in some cases, revision eyelid surgery may be required.

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.

Ptosis surgery

One of the commonest conditions Dr Nick Koutroumanos treats is ptosis, or upper eyelid drooping. There are several causes for eyelid ptosis, the commonest one being the gradual stretching and wear-and-tear of the muscle which lifts the eyelid.

Ptosis should not be confused with hooding or bagginess of the upper lids which occurs due to excess skin or fatty tissue and requires different treatment in the form of blepharoplasty. Upper eyelid ptosis surgery works by surgically tightening the levator muscle to raise the droopy upper eyelid.

Brow lift

As we age, the tissues on the upper face descend and the eyebrows start drooping. Patients often feel they look tired or cross, and a brow lift is a surgical procedure to rejuvenate the brow, opening up the eye area and restoring a more youthful, rested appearance.

As a qualified Ophthalmologist and triple-fellowship trained Oculoplastic Surgeon, Dr Koutroumanos specialises in treating the forehead and eye area, making him well qualified for performing a natural enhancement of the brow.

Kind Words from Our Patients


A true perfectionist

Words are not enough to express my sincere gratitude for the care and dedication Dr Koutroumanos put into my journey. I felt safe and secure in his hands. This is someone who truly cares about outcome and ethics of practice. A true perfectionist. I would not hesitate to wholeheartedly recommend him.

100% worth it

I had surgery a few days ago with Dr Koutroumanos for congenital ptosis. It’s early days but I don’t think it’s too early to say the results will be life changing for me in terms of confidence levels. I struggled at school due to the condition and have learnt to live with it – that is until I saw the doctor who was reassuring from the start and has just done the best job. 100% worth it and amazing to know I was in such safe hands. I can’t thank him enough.

I’m really happy with my results

I’ve recently had a brow lift and blepharoplasty with Mr N Koutroumanos. The whole process from start to finish was handled professionally and each process was very informative. I’m still at the recovery stage, so far I’m really happy with my results. Highly recommend using Mr N Koutroumanos services.