Eyelid Retraction

Functional oculoplastic surgery focuses on the eyelids, eye sockets and facial structures around the eye area. It’s a highly specialised surgical procedure combining ophthalmology and plastic surgery. The surgeries are also delicate and involve operating on incredibly fine structures.


Eyelid retraction, whether caused by thyroid eye disease, unsuccessful previous eyelid surgery, trauma, or the natural effects of ageing and mid-face area, can result in various symptoms such as dry eyes, excessive tearing, or loss of symmetry that can greatly impact self-confidence.

How is eyelid retraction treated?

The primary approach to treating eyelid retraction is surgical, and in most cases, Dr Nick Koutroumanos will employ scarless techniques.

The surgical procedure is usually conducted under local anaesthesia and as a day case.

Will there be any scarring after eyelid retraction surgery?

Experienced oculoplastic surgeon Dr Nick Koutroumanos will employ an internal approach to address upper eyelid retraction, avoiding any incisions on the skin’s surface. This results in a shorter recovery period and no visible scarring.

For lower eyelid retraction, the internal approach is also favoured, except in cases of severe retraction due to previous poorly performed non-specialist aesthetic surgery, where excess skin removal may necessitate skin grafting.

Upon a thorough assessment of functionality, anatomy, and aesthetics, Dr Koutroumanos will explain the problem, the most appropriate treatment strategy, and what you can expect in terms of recovery and success rates.

Oculoplastic surgeon London


Dr Nick Koutroumanos

Dr Nick Koutroumanos is a London-based Ophthalmic & Oculoplastic surgeon, with particular subspecialty expertise in ophthalmic plastic & reconstructive eyelid, orbital and lacrimal surgery.

His private practice, based at The Hospital of St John & St Elizabeth in St John’s Wood complements his work in charge of a large NHS oculoplastics practice at the Royal Free Hospital in Hampstead.

A qualified senior trainer and Royal College Examiner in ophthalmic plastic surgery, cataract surgery and general ophthalmology, he runs an Oculoplastics Fellowship training programme that is highly sought-after by both UK and international candidates.

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.