Upper Blepharoplasty Gallery
Here is a small selection of our before and afters. During your consultation with Dr Nick Koutroumanos, you will be shown more before and afters.
Upper and lower blepharoplasty
Being asked ‘are you tired’ all the time can be very annoying and can interfere with career progression, relationships and mood.
Fixing this in a cautious, subtle manner while preserving one’s masculine features and imperfections can be just what is requested and a good result; it can be of great service to people’s quality of life.
Thank you for trusting me with your eyes.
Upper blepharoplasty
Two things worth noting about this case.
The first is scarring. There’s widespread concern that eyelid surgery in darker skin tones will leave a visible mark, which puts many people off having a blepharoplasty. It doesn’t have to go that way. Careful scar design, surgery, suturing and attentive aftercare keep pigmentation down and produce beautiful incision lines.
The second is about eye size. Our patient had an element of ptosis which she did not want addressed. As such, this was the right answer for her.
Enlarging the opening of an eye up is not always in the patient’s interest and can take a face somewhere it shouldn’t go. This sort of thing only surfaces in conversation, which is why non-rushed consults, follow-up consults, and an in-depth understanding of one’s wishes are important.
You can buy a dress off the peg, and it will do the job. If you’re going to wear something on your face for the rest of your life, it’s worth finding someone with the time to fit it to you.
I think she was right. I am grateful for her trust in me.
After pictures are taken at both two and five months.
Upper blepharoplasty and lower blepharoplasty
Male blepharoplasty, like all surgery, must be carefully considered, identity-preserving, conservative, and natural.
We say this about men, but it applies just as much to women.
In men particularly, the brow position must be respected; an over-elevated brow might not look good at all. More important than anything is listening to the patient’s wishes and expectations.
Not everyone wants their brows lifted, even if they’re droopy. East Asian phenotype eyelids, as in this case, absolutely need to avoid a significant increase in eyelid show, while still reducing the heaviness. This is achieved by certain suturing techniques and careful sculpting of the soft tissues beneath the skin.
In this lower blepharoplasty, fat transposition was used to subtly volumise the midface and soften the tear-trough deformity, which would have worsened had the fat simply been removed.
We’re both very happy with the result, and I am deeply grateful for my patient’s trust and collaboration.
Upper blepharoplasty and lower blepharoplasty
This image illustrates early healing and identity preservation, as well as patient expectations for conservative surgery.
Remember that eyes and faces belong to individuals with very individual ideas and expectations about the change they hope to see.
The patient presented with a malar oedema: pre-existing malar fluid does not typically improve with transconjunctival surgery. In certain, typically more serious cases, additional surgical steps may be added to help improve it.
Those extra surgical steps are not to be employed in mild cases such as this one. Other non-surgical procedures may help, after surgical healing is complete. There’s lots more healing to come.
Fluid will temporarily be worse, and that’s important to explain to patients: just as a freshly operated ankle will lead to more ankle swelling on a long-haul flight than the same ankle might have swollen before surgery.
Upper blepharoplasty and direct brow lift
Some eye shapes make blepharoplasty considerably more difficult than it appears.
To the untrained eye, the anatomy looks straightforward but combining a prominent supraorbital ridge with deep-set eyes and a heavy outer brow, while needing to maintain one’s identity and thus avoid an overcorrected brow position, creates a real surgical challenge for blepharoplasty.
This case had an additional constraint: intravenous sedation and general anaesthesia both needed to be avoided.
We therefore carried out a combination of upper blepharoplasty and direct brow lift under local anaesthesia alone.
Upper & lower blepharoplasty with temporal brow lift
Two months post upper and lower blepharoplasty with a temporal brow lift: these are actually still early results. In the next 4 to 6 weeks, the scars will have vanished and so will the redness from that stye.
Patients with constitutionally heavy or full eyelids like this one present a particular surgical challenge. The tissues are more resistant to lifting, symmetry is harder to maintain, and there is a real risk of either under- or over-correcting. Aggressive surgery changes a person’s appearance in ways that can be difficult to reverse.
The op involves not only removing tissue but sculpting and suspending.
The focus on identity preservation just can’t be overstated. If it can’t look natural, then don’t do it.
At two months, the result is still settling. Thank you to our patient for trusting me with your eyes.
Upper blepharoplasty
Immediately after surgery, there’s the initial ‘downtime’ (limited activity, careful healing) and then this middle phase, where life has largely resumed, and things are looking good with make-up, but surgery still shows.
Clinicians should show this stage more. Before the final result. So patients can plan better around their treatment.
This is five weeks post-op. A huge thank you for trusting me with your eyes.
Upper blepharoplasty
A fresh example of a precise, qualitative upper lid blepharoplasty, designed as a refinement on a flawless face, and how it can serve as an almost-magical tweak to the facial aesthetic balance.
Thank you for trusting me with your eyes and your livelihood.
Upper blepharoplasty
This patient presented with concerns about upper eyelid heaviness. She was also noted to have swelling around the eyes, which we felt warranted investigations before proceeding.
All tests and imaging were reassuring, and having observed her status for some time, we went ahead with surgery.
Now, at three months, some residual swelling remains, which is entirely expected given her history. I managed this proactively with a short course of oral steroids during early healing, and she is doing well.
A couple of points highlighted:
- Careful pre-operative workup is not a delay; it is part of the surgery.
- Not every aesthetic presentation is straightforward, and that is precisely why assessment matters.
Upper & lower blepharoplasty
There is a sweet spot in eyelid surgery for me.
Refreshed and brighter patient results while still looking completely like themselves.
Aim for that, ensure to blend carefully with the rest of the face, and the results can be overwhelming.
A great big thank you to my very cool patient for her trust in our work.
Upper blepharoplasty & brow lift
Early results of an upper blepharoplasty combined with a direct brow lift.
Like in many of our cases, our aesthetic objective here was very specific about eyelid show and upper lid volume.
The aim was not to significantly increase lid show or alter her look.
The approach was conservative, prioritising a natural result, good proportionality between the eyelid and the eye, and avoiding a hollowed appearance.
I also addressed a mild asymmetry in the brow tail height, achieving better balance.
Scars are already settling very well and will continue to vanish.
The key in aesthetic eye surgery is for the result to sit comfortably within one’s overall facial aesthetic, and this is the goal. Not lid show or removing stuff.
Upper blepharoplasty
Aesthetic upper lid surgery required the exact opposite of a cookie-cutter approach. Individual results vary based on anatomy and expectations. Thank you to our patient for allowing us to share her results.
Upper blepharoplasty & ptosis repair (anterior approach)
The skin hooding over the eyelid and the eyelid itself act a little like a sash window with roman blinds, the two connected like a counterweight system.
Lifting the closed window only – ptosis repair – lowers the blinds with more fabric (or skin hooding) showing.
Lifting the blinds alone – blepharoplasty – without dealing with a closed window, makes the window seem more closed.
Both need assessment in every upper lid surgery and, if needed, both need correction.
- Ptosis surgery defines how open the window is.
- Blepharoplasty defines the length of fabric showing.
The combination of ptosis repair and blepharoplasty in both eyes is challenging and requires careful measurements and considerable patience during surgery.
Upper blepharoplasty
Healing progress unfolding in real time. This patient has shared selfies to illustrate how well she is healing since undergoing an upper eyelid lift. When it comes to how blood clots, blood vessels heal, and tissue reacts with swelling, some are, of course, a little luckier than others.
Upper blepharoplasty
This patient underwent an upper blepharoplasty, and you can see her healing progression at one week and five weeks.
The eyelids continue to refine, with less swelling and a more natural contour. Healing is still ongoing, and the scars are slowly fading.
Bilateral upper blepharoplasty
Blepharoplasty is widely known as a powerful rejuvenation tool, softening signs of ageing and restoring a fresher appearance.
But just as often, its greatest impact lies in the subtle refinement of a single detail that feels slightly out of harmony.
Sometimes the eyes convey a hint of tiredness, anger, or heaviness that does not reflect how someone truly feels. With this small, thoughtful adjustment, the natural balance of the face can quietly emerge.
I am always grateful to play a small part in these journeys.
Bilateral upper blepharoplasty and ptosis repair
We spend a lot of time during consultations describing all the stages of healing and how your eyes will look every week after surgery.
Showing them ‘in progress’ results helps to make this process easier and less stressful for my future patients. We can spend more time discussing eyelid design and nuances. The bottom line is this: surgery might be a one-day event, healing, though, takes time, and the more prepared one is for it, the faster and easier it will be.
The first three images are what an upper blepharoplasty typically looks like at four weeks. Often better, occasionally worse than this.
Then we have the results at ten weeks, with a smoother lid show and better lid-eye size proportions. The scars have also faded significantly.
Bilateral upper blepharoplasty
Asymmetric upper blepharoplasty, volume preservation with medial fat pad transposed laterally and brow fat suspension.
This case is still healing. Note the little imperfection on the outer ends of the incision on one side.
Such little marks can often remain for several weeks, and it’s important for surgeons to warn their patients to expect them, as they can give one away. This one will have vanished very soon.
Bilateral upper blepharoplasty
Blepharoplasty in ‘full-sulcus phenotype’ (heavy full eyelids by birth) is not that straightforward.
I find that it involves, beyond skin removal, a fair bit of fat sculpting (roof and orbit fat) as well as various internal suspension sutures, which can give a somewhat odd look for the first few weeks. But all of this is worth it in the end.
Here are some early results from a stunning pair of eyes which were slowly getting lost in excessive heaviness.
The little dimples in the outer corners can take some time to totally fade, and it is worth warning our patients about them.
Bilateral upper and lower blepharoplasty ROOF debulk in thyroid eye disease
Most of the skills we have in this business we have learnt and practised in reconstructive surgery: eyes and faces affected by disease, trauma, or tumours. Aesthetic surgeons of the highest calibre will always have many years of this type of work in their CV.
Thyroid eye disease can profoundly alter the appearance of women’s eyes and eyelids, often in ways that feel sudden, unfair, and deeply distressing.
Beyond the very real functional impact on comfort, vision, and eye health, it can erode confidence and self-esteem, particularly for women who no longer recognise themselves in the mirror.
Results of this kind are often not perfect, but it is a genuine privilege to be trusted to play a small part in restoring confidence, dignity, and quality of life.
Upper blepharoplasty with extra procedures
“The first time I looked in the mirror shortly after the procedure was an emotional one, as I saw a familiar pair of eyes looking back at me that I hadn’t seen in 15 years.”
No matter how much surgeons try to describe what we perceive as the value of the kind of work that we offer, it’s almost always expressed better by those who experience it first-hand.
To this day, I’m still often surprised by its power. Thank you for your immense trust and your beautiful writing.
Bilateral upper blepharoplasty with adjuncts
This patient is just one week post-surgery. As expected, there are some early asymmetries, slight bruising, and swelling. It’s essential to trust and enjoy the process and listen to your surgeon.
Bilateral upper blepharoplasty with adjuncts
Upper blepharoplasty is not a single operation but a group of procedures for sculpting the upper eyelid.
There is much more to it than removing skin, and small techniques can make a big difference.
It is also a great example of a procedure where the planning requires more thought and expertise than carrying out the surgery.
Upper blepharoplasty with ptosis repair
Cases like this are a good reminder that our surgeries don’t create beauty; it is uncovered.
Two months after blepharoplasty and ptosis repair. Still early days, yet I find that this patient’s eyes already shine in a way I hadn’t noticed when I met her before surgery.
Upper blepharoplasty with brow lift
Blepharoplasty alone could not address the excess hooding in this case, as brow drooping was also a factor. A combined upper eyelid blepharoplasty and brow lift addressed excessive hooding on the outer aspect of the eye, producing a clean, rejuvenated look.
The first image was taken early on in her recovery. The following images show her final result at three months following an upper eyelid lift and direct brow lift to address ptosis.
By this stage, the swelling has settled, the scars are softening, and the excessive heaviness has improved, no longer hiding her green eyes.
Upper blepharoplasty
Beyond rejuvenation, the true objective of upper blepharoplasty is to ‘open the eyes up’.
This case beautifully demonstrates how a few precise techniques, when combined, can create that subtle change: wider, more awake, lighter eyes that still feel completely natural.
As always, my priority was to preserve my patient’s identity and the unique aesthetic of their eyes.
It’s not always easy to achieve meaningful change while maintaining that authenticity, but identity preservation should always come before making a big change.
I’m very pleased with my patient’s results, and deeply thankful to her for sharing her journey and, even more so, for trusting me with her eyes.
Upper and lower blepharoplasty
Did you know that eye bags often look their worst when you look upwards?
That’s the truest way to see how much they stand out.
If you want to test it, simply look up and take a photo.
In the case, this very test shows how much of the ‘weight’ under the eyes has been lifted along with improvements in the sling laxity and excess.
The difference is subtle, natural, and exactly what we set out to achieve.
Upper and lower blepharoplasty, when done carefully, doesn’t just remove, it restores.
It’s about lightening the eyes while preserving identity.
In-office upper blepharoplasty, ptosis repair and direct brow lift
In my clinic, my guiding principle is simple: achieve the greatest impact with the least intervention. It’s a mindset shared by many surgeons whose roots are in reconstructive work.
Upper blepharoplasty is in many ways a superhero procedure, offering unmatched rejuvenation with minimal invasiveness. That said, even it often needs help.
In your consultation, you might be surprised to learn about complementary treatments that can elevate your results. Do not be surprised. The key is to choose a surgeon you trust and approach the process with an open mind.
Fact: Removing eyelid skin (blepharoplasty) when the brow is low will pull the brow further down, worsening the ‘sad appearance’
Fact: Removing eyelid skin (blepharoplasty) when the eye size is small (ptosis) won’t make them appear larger. Commonly missed.
Fact: Blepharoplasty is often technically straightforward to perform.
Myth: Eye rejuvenation equals blepharoplasty.
Myth: Eye rejuvenation is simple.
Upper blepharoplasty, direct brow lift, lower transconjunctival blepharoplasty with fat transposition
This case is a great example of how surgical choices are guided not only by technique but by a shared aesthetic understanding between surgeon and patient.
This particular result reflects both my aesthetic judgment and the patient’s vision.
There were multiple ways to approach this, each with potentially different stylistic outcomes but we collaborated closely to choose the one that matched our shared goals.
I’m grateful to this and every single patient who agrees to share their journey and who entrust me with their eyes.
Bilateral volume preservation upper blepharoplasty
The objective here was to deliver a brighter, younger, less tired look without changing her eye shape.
During surgery on this type of eyelid, the temptation to excessively remove volume must be resisted as it can lead to horribly unwelcome identity changes to patients.
These cases are not as straightforward (as bulkier tissues on the lid & eyebrows respond a little less predictably) and getting it just right is not easy.
Key as always: review your patients’ older photographs, spend time understanding what they are after and make a precise three-dimensional surgical plan.
Upper blepharoplasty
A smooth, painless journey to transformation and one that made it to national TV.
This beautiful patient’s experience was recently featured on ITV’s Drop a Decade, where she shared just how easy and empowering the process of cosmetic eye surgery felt.
I had the pleasure of performing her upper eyelid lift surgery, and it was a true team effort with laser rejuvenation performed by Professor Firas Al-Niaimi and aesthetic injectables by Dr Wassim Taktouk.
Grateful to be part of a transformation that left her not just looking refreshed, rested and younger but feeling confident too.
Bilateral upper blepharoplasty
Even in the most unblemished faces, the eyes are the first to reveal signs of change – making their meticulous refinement especially impactful and rewarding.
Here is an example of how a minor change can help restore harmony and elegance.
Bilateral volume preservation upper blepharoplasty, bilateral asymmetric ptosis repair, bilateral lower transconjunctival blepharoplasty
I do not use the word ‘transformation’ lightly. Here’s an example of a female patient whose eyes were beginning to let her face down.
She identified this, did her research, we met, planned and carried out the appropriate treatment combination.
At her four-month follow-up yesterday, I was genuinely stunned. Had we been given permission to show the entire face, the transforming effect of what eye surgery can at times achieve would really be demonstrated. Thank you so much for your trust and cooperation.
Bilateral anterior ptosis repair, bilateral conservative upper blepharoplasty with fat transposition and brow lift
This patient came to us with very precise instructions. “Fix the ptosis without changing anything else at all.”
As ever it is crucial to listen to your patient’s wishes and not assume that everyone is after some textbook definition of surgery.
Simply repairing the lid droop would have created unacceptable hooding. This case required a combined approach with the following steps. We are both delighted with her result.
Upper blepharoplasty, ptosis repair, internal eyebrow pexy
Before & afters serve to reassure patients of a surgeon’s basic skill and abilities. They should also help prospective patients align their personal aesthetic to that of their surgeon of choice.
This alignment in facial plastic surgery is an often-neglected point which matters hugely.
Listen to your patient, understand exactly where they are coming from and what they are looking for. Then and only then, go on to examine their eyes.
With this patient, we aimed for an understated and strictly identity-preserving outcome with minimum downtime.
Early results from in-office upper blepharoplasty
Great fun getting to know and looking after our gorgeous patient last year and even more flattered that she trusted me for carrying out this gentle rejuvenation of her eyes. It meant a lot!
We aimed for volume preservation and a subtle and natural upper eyelid show, respecting her facial characteristics and feel the results speak for themselves.
Bilateral upper blepharoplasty with local anaesthesia
Happy outcome eyelid surgery has got to be all about the subtle things.
Designing each eye’s sculpting independently so as to deliver a good result with an as close as possible symmetry (absolute symmetry is not really possible nor really desirable).
This upper blepharoplasty case highlights a few subtle design tweaks:
- Different design in the skin, muscle and fat sculpting between R and L eye
- Subtle ptosis repair
- Brow stabilisation
- Left medial fat pad transposition to fill a hollow
Upper and lower blepharoplasty & right ptosis repair
Even if not that apparent immediately, it always pays off correcting asymmetric eye sizes (ptosis) when planning hooding/bags blepharoplasty surgery.
Very excited with our patient’s outcome in its early days and certain she will keep improving.
Anti-ageing upper blepharoplasty
Dr Nick Koutroumanos performed an upper blepharoplasty on this 61-year-old patient as part of the Drop a Decade team on ITV’s This Morning.
As part of her transformation, she also underwent composite bonding to rejuvenate her smile, anti-ageing injectables, laser to treat facial redness, and brow microblading, alongside her eyelid lift – see the full review on This Morning.
Bilateral upper blepharoplasty
“There’s nothing I love more than seeing my patients’ eye colour shine after a blepharoplasty.
“I find it amazing how, with a well-executed upper blepharoplasty, not only does it rejuvenate the periocular area and create a more youthful appearance, but it also reveals the true colour of their eyes. The patient and I are quite delighted with the results.”
– Dr Nick Koutroumanos
Upper blepharoplasty, ptosis repair & direct brow lift
An early results example of the rejuvenating power of eyelid surgery.
This patient also underwent facial laser resurfacing for a natural facial rejuvenation.
Bilateral upper blepharoplasty under local anaesthesia
Happy outcome eyelid surgery has got to be all about the subtle changes.
Designing each eye’s sculpting independently to deliver a good result with an as close as possible symmetry (absolute symmetry is not possible nor, in fact, desirable).
This upper blepharoplasty case highlights a few subtle design tweaks:
- Different design in the skin, muscle and fat sculpting between right and left eye
- Subtle ptosis repair
- Brow stabilisation
- Left medial fat pad transposition to fill a hollow
Upper & lower blepharoplasty
Always offer to show your surgeon old pictures of yourself.
Aesthetic eye surgery (carried out for rejuvenation) must always aim to land as close as possible to those.
Get involved with the surgical plan design, voice your wishes and expectations, and avoid a generic, cookie-cutter approaches!
Bilateral volume preservation upper blepharoplasty with medial fat pad transposition, internal brow lift (pexy) and MMCR
A little catch up on the early recovery of an upper blepharoplasty case full of little adjunct techniques which are often really worth adding to your surgical plan.
Our patient – a facial aesthetics expert – is progressing beautifully through the healing phase, full of positivity and of course helped by her intrinsic understanding of optimising post-operative recovery.
Bilateral upper & lower blepharoplasty
I often talk about all the special tricks (surgical techniques) for carrying out advanced blepharoplasty surgery.
This is not to mean that blepharoplasty alone is not a fantastic tool for eye rejuvenation, where indicated.
Here is an example of such a case where a four-eyelid blepharoplasty was carried out without added interventions on the adjacent facial areas, with rejuvenating, and above all, natural results.
As always, each case must be assessed individually, and a personalised plan designed.
Qualitative blepharoplasty under general anaesthesia
Still only one-week post-procedure but this case nicely highlights the surgical adjuncts available for symmetrising the eyes when simply removing different amounts of skin from the upper eyelid is not an option.
This patient had less skin available on the more hooded side.
The procedure involved right sided only internal retro-orbicularis fat lifting (brassiere) and internal brow pexy, asymmetric sculpting of muscle and skin, septum engaging closure on the right and bilateral medial fat pad reduction.
Really delighted with her progress, symmetry and smooth recovery.
The second image shows surgical planning and just prior to suture removal.
Ptosis repair and upper blepharoplasty
Here is a detail-oriented case nicely demonstrating that aesthetic eye surgery can and must address more than the amount of skin hooding above the eye (aka ‘eyelid show’).
Here we aimed to:
a) symmetrise the eyelid show,
b) enlarge the size of the eyes, and
c) improve the contour and shape of the upper eyelid (by ptosis repair).
Through carefully planned minor retouches, eye surgery can deliver disproportionally impressive outcomes. In this case, a more youthful, confident and welcoming look.
This kind of power is what makes eye surgery so unforgiving, but also so effective and rewarding!
The second image is a close-up of the healed eyelid crease incision at 4 months.
Bilateral upper and lower blepharoplasty
Our patient’s wishes and ensure your result matches their expectations.
Blepharoplasty is not one procedure but a group of procedures and not everyone wants or needs the same thing.
Aim to blend aesthetic eye surgery with your patients face, personality and lifestyle.
Technicals: Skin only upper blepharoplasty and conservative transcutaneous lower eyelid blepharoplasty with mid face lift under general anaesthesia.
We are as delighted as our patient is with her results and I would like to thank her for trusting me with her eyes.
Upper blepharoplasty and ptosis repair by levator resection
Drooping of the eyelids can be from birth or acquired in later years and can be caused by a large number of conditions. The most challenging cases to treat are those where the eyelid lifting muscle is pathologically weakened. In such cases, advanced techniques and several sutures are needed to permit a significant enough lift while maintaining the protective function of the eyelid.
I found this a tricky case to perform due to a very poor levator muscle function which proved during surgery to be even weaker than anticipated. Symmetrising blepharoplasty was carried out to help with the eyelid show and the crows feet.
Recovery was very smooth with good symmetry and eye size and a healthy eye surface.
Upper blepharoplasty
I really love our last patient’s result, but what is even cooler is the way her note to me has summarised exactly what aesthetic eye surgery is about!
“Thank you for your skilful work. Amazing to see the difference in pics. Nobody has said anything other than I look younger, and last night whilst walking in town some boy shouted to my partner that he was too old to be with me! I’ll take that as a sign that it’s worked.”
Bilateral upper blepharoplasty under local anaesthesia
Happy outcome eyelid surgery has got to be all about the subtle things.
Designing each eye’s sculpting independently, so as to deliver a good result with as close as possible symmetry (absolute symmetry is not really possible nor really desirable).
This upper blepharoplasty case highlights a few subtle design tweaks:
Different design in the skin, muscle and fat sculpting between right and left eye
Subtle ptosis repair
Brow stabilisation
Left medial fat pad transposition to fill a hollow
Congenital ptosis repair with blepharoplasty
Surgical repair of non-severe drooping eyelid (ptosis) in young children is occasionally delayed, so that accurate outcomes can be achieved when the individuals are older.
There is always a great argument for not delaying this treatment any longer than early adulthood.
It is always humbling when patients trust us with such decisions and I am seriously delighted with her result! This patient’s comment clearly demonstrates the benefit that this treatment can bring about:
“I recently had ptosis repair surgery with Dr Koutroumanos to treat congenital ptosis. I felt at ease throughout the process and I completely trusted in his knowledge and skillset. His work was excellent and very detailed and I am extremely happy with the result! I have gained a lot of confidence back and feel like I can finally look people in the eye without being ashamed of my ptosis. I highly recommend Dr Nick Koutroumanos to anyone considering having ptosis repair surgery!”
Upper blepharoplasty under local anaesthesia
Eyelids and eyebrows come in all sorts of shapes.
Full and heavier eyelids can be the trickiest to rejuvenate naturally especially when associated with thicker skin and darker skin tones.
Besides the aged and tired look and aesthetic concerns, individuals with this kind of eyelid shape often also describe issues with forehead tension from constantly having to lift their eyebrows.
I felt this case nicely highlights the aesthetic effects of blepharoplasty in one such case where the design objective is not only to lift skin off from the eyelashes but also to shorten the vertical height, or distance between the eye brow and eyelid which also contributes to the tired heavy appearance.
Our patient has achieved a much younger and completely natural look with tons of improvement in the heaviness previously experienced.
Ptosis correction combined with blepharoplasty & brow lift
This patient underwent a blepharoplasty with a direct lateral brow lift and ptosis correction, performed under local anaesthesia.
We divide the human face in imaginary ‘aesthetic units’ and ageing changes in these different parts affect the others.
This is why the eyebrow is often discussed in an aesthetic eye consultation and why sometimes – like in this example – it requires simultaneous treatment for the most optimal eye rejuvenation.
Bilateral upper blepharoplasty
This patient underwent a Bilateral Upper Blepharoplasty and we also performed subtle sculpting of the Orbicularis and brow fat, addressing outer brow heaviness. This minor surgery delivers refreshed and brightened up eyes.
Upper blepharoplasty under local anaesthesia
A wonderfully simple example of the power of upper blepharoplasty in addressing the outer heaviness without the need for brow lifting. And at six weeks, an imperceptible scar.
This patient underwent an upper blepharoplasty under local anaesthesia.
Upper blepharoplasty with fat redistribution
Key factor in any cosmetic intervention: Listen to what your patient wants.
Removing skin from the upper eyelid is easy but restoring the eyes shape to exactly what your patient demands, less so.
In this case, our goal was: symmetric eyelid show and fullness, removal of excess eyelid folds on the left, and to strictly retain the upper eyelid fullness which had always defined our patient’s beautiful eye shape.
This patient underwent a qualitative upper blepharoplasty with fat redistribution under local anaesthesia, and both of us are delighted with her outcome and feel it is mission accomplished.
Upper blepharoplasty under local anaesthesia
Downtime, in surgeons’ talk, means the average length of time after surgery before patients can resume most of their normal activities. It does not mean the time it will take to go from the before image showed here to the after.
I feel it is important to show prospective patients that the process of healing after eyelid surgery involves a journey, sometimes of a few weeks, characterised by a fair amount of bruising, swelling and visible scars.
Though most are lucky to look amazing within a week, one should embark on surgery expecting this journey as this will mean a much less stressful recovery period.
Ask your surgeon direct questions about what you should expect during the recovery period, based on your specific case and surgical plan.
Thank you to our patient for sharing his journey. Before, at one week and six weeks after upper blepharoplasty under local anaesthesia.
Bilateral upper blepharoplasty
This patient underwent a Bilateral Upper Blepharoplasty. Though nothing is ever guaranteed in surgery, the expectation really should be that the blepharoplasty scar will disappear.
If during your assessment there is suspicion that this may not happen, surgery should be avoided.
Us surgeons should be doing more to show the progress of these scars, because they do not disappear in two weeks.
There are two ingredients to ensure good healing: precise surgery and patients that closely heed our post-surgery instructions. Both are equally crucial.
Here is a fresh example of an upper blepharoplasty incision at one week and then at four weeks. We will update with a final recovery image in a few months.
Bilateral upper blepharoplasty
The textbook approach to a case like this, where there is significant drooping of the brow, is to combine brow lift surgery with upper blepharoplasty.
The idea is that with a blepharoplasty alone, only removing the amount of skin needed to tidy the eyelid would otherwise further pull the brow down.
In the real world however not all patients want, or can have a brow lift and those cases require fine balancing.
This patient of ours was seeking minimal surgery, quick downtime and no visible incision lines for any length of time.
I loved this case as it nicely highlights the power of blepharoplasty in natural facial rejuvenation and functional improvement.
Upper eyelid lift
Nothing makes our day brighter than seeing our postoperative patients return with this kind of secret smile in their eyes.
Eye rejuvenation really seems to be the cornerstone of facial rejuvenation.
This patient underwent an upper blepharoplasty; a minor intervention which when done tidily delivers tons of brightness, youth and confidence.
Upper & lower eyelid lift plus treatment for watery eyes
The majority of our male patients express one main surgical wish: Subtlety.
Technically, this means a few things, but mostly it ‘s about:
- Completely scarless surgery
- Staying true to age
- Avoiding feminisation of the brows
For this reason, brow lifting is often not desirable unless the position is very low.
Here is an example of natural upper and lower blepharoplasty, before surgery and at the one-week review.
Our patient also suffered watery eyes due to lower eyelid laxity and this was simultaneously addressed with lateral canthal tightening leading to full resolution of these symptoms.
Over the following couple of weeks, any residual bruising and swelling will also settle.
Upper eyelid lift
Here is a case of a successful interior designer who initially saw us reporting dissatisfaction with upper eyelid heaviness. Very well informed about his aims and objectives and certainly on the younger end of our spectrum of patients, he was after a light touch, natural looking opening up of his upper eyelid heaviness, while showing absolutely no evidence of surgery.
In the after image, six weeks later, we both felt that mission was very much accomplished!
The magic in blepharoplasty surgery in the detail: Super precise interventions leading to significantly more youthful appearance with zero evidence of any intervention having taken place.
Upper eyelid lift
Dr Nick Koutroumanos prides himself on his natural outcomes and rapid recovery.
Here’s a guide to what you can expect in the first few weeks after an Upper Blepharoplasty.
Click through to see our patient immediately after surgery, one week after and three weeks after surgery.
Upper blepharoplasty
The eyes are our face’s main aesthetic unit. It is what defines us the most. Aesthetic eye surgery is all about retaining one’s identity. Expect a younger, fresher version of yourself with absolutely no signs of surgery.
Make sure to see a specialist surgeon who will work with you to clearly define your goals.
This patient of ours came with clear expectations of wanting to retain her attractive upper lid fullness. She underwent a volume-preserving upper eyelid blepharoplasty and achieved exactly that, with a fresher, less tired version of herself.
Upper blepharoplasty
The ABC of our approach to upper blepharoplasty:
- Still look like yourself
- Natural results
- Zero signs of surgery
Typically, a small procedure with a big effect as this upper blepharoplasty patient exemplifies.
Upper eyelid lift
Dr Nick Koutroumanos enjoys looking after detail-oriented individuals seeking specific alternations to their eyes, requiring minute surgical adjustments.
The precision required and the results that can be achieved are gratifying.
This patient visited us in London specifically desiring a symmetric upper eyelid show, without any evidence of surgery or the loss of her ethnic eyelid characteristics.
We carried out a right upper eyelid crease lowering and left sided blepharoplasty under local anaesthesia, and we are both delighted with her outcome.
In aesthetic eye surgery, even small changes can make a great difference.
Upper & lower eyelid lift
Aesthetic eyelid surgery is a timeless option for addressing concerns that affect you. Our approach to surgical planning is always individualised and considers your age and specific requirements.
We understand that male patients particularly value natural-looking outcomes, and we are committed to ensuring that no traces of surgery are ever evident. Here’s one of our recent patients, a busy professional, who had been grappling with the frustration of sagging and puffy eyelids. Despite putting off the decision for quite some time, he ultimately opted for treatment.
The results, presented here at 3-weeks post-surgery, have exceeded his expectations, leading to a restoration of his confidence and a renewed sense of satisfaction. He has continued to improve since.
Surgery: Bilateral upper and lower blepharoplasty and ptosis repair
Duration: 90 minutes
MORE ABOUT UPPER BLEPHAROPLASTY
Upper eyelid lift & removal of xanthelasma
This lovely gentleman came to us to refresh his eye area by removing the xanthelasma and excess skin on his upper eyelids.
(Xanthelasma are yellowish bumps on or near the eyelids formed by cholesterol/fatty deposits that build up under the skin.)
Dr Koutroumanos performed a bilateral xanthelasma removal and upper blepharoplasty under local anaesthetic. The combined procedure took 60 minutes to complete.
A carefully constructed blepharoplasty can incorporate the fatty deposit lesions in a way that removal of the lesions and rejuvenation of the eye area, were achieved with a single procedure.
Upper blepharoplasty
Very much like rhinoplasty and aesthetic breast surgery, Upper Blepharoplasty objectives vary between patients and therefore need careful alignment prior to surgery. Talk to your surgeon about the type of eyes you wish to have and bring photographs in your younger years.
Trends in upper lid aesthetic surgery keep changing, but the only trend which matters is your own expectations.
Thank you to our wonderful patient for sharing her images.