How Long Does It Take To Recover From Eyelid Surgery? (Blepharoplasty)

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 


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.
  • Quit 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. At London Ophthalmology and Ophthalmic Plastics, we individualize blepharoplasty surgery to meet your specific needs and goals. We will work with you through the entire process to get you the best possible results. Read more

5 Benefits of Getting Eyelid Surgery

Are you considering eyelid surgery? London Ophthalmology and Ophthalmic Plastics is here for you. Our surgeon has performed many procedures and specializes 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 aging. 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. At London Ophthalmology and Ophthalmic Plastics, we 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

London Ophthalmology and Ophthalmic Plastics 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 Botox. 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 customize the procedure to give you the best results.

4.    Offers Minimal Scarring

Eyelid surgeries are minimally invasive and involve tiny incisions. At London Ophthalmology and Ophthalmic Plastics, we 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.    Customization & Cosmetic Creativity

Procedures like blepharoplasty allow you to enjoy more freedom with your cosmetic creativity. Working with droopy eyelids may restrict you to specific makeup 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 customized 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. Whether you seek cosmetic or functional eyelid surgeries, our specialists at London Ophthalmology and Ophthalmic Plastics can complete successful procedures. Our surgeon has years of experience and specializes in detailed, customized eyelid procedures. We can also perform eye socket and peri-ocular surgeries, so you’ll be in great hands. Read more

How Long Does Droopy Eyelid Surgery Last?

Are you planning to undergo droopy eyelid surgery (blepharoplasty)? London Ophthalmology and Ophthalmic Plastics is here to help. We specialize 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 London Ophthalmology and Ophthalmic Plastics, we will start by examining your condition and medical history. Our surgeon 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 aging after surgery, but we rarely need to perform repeat surgeries for the lower eyelid.

Maintaining Blepharoplasty Results

Our surgeon recommends taking good care of your skin to keep your collagen and elastin healthy. Stay hydrated to decrease the effect of aging. 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 aging effects include staying nourished with a diet featuring plenty of protein and vitamin C. Wear sunscreen to reduce UV-induced aging.

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. London Ophthalmology and Ophthalmic Plastics 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 anesthesia. 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

London Ophthalmology and Ophthalmic Plastics is dedicated to providing reliable droopy eyelid surgery. Our ophthalmologist specializes 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. Read more

Oculoplastic Surgery Techniques Used at ClinicLoop

Oculoplastic surgery treats eye conditions like droopy eyes, eye tumors, tear duct problems, and eyelid issues. An oculoplastic surgeon specializing in plastic surgery around the eyes performs this procedure. ClinicLoop was created by an expert surgeon who 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. ClinicLoop performs blepharoplasty to remove excess skin and fat from your eyelids. We improve your eyelids' shape and restore a more youthful appearance. Our oculoplastic surgeon conducts both upper and lower blepharoplastyUpper 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 anesthesia 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. ClinicLoop 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 importnant 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. ClinicLoop 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 anesthesia alone. Our surgeon 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. Contact us at ClinicLoop for consultation and quality eye treatment today. Read more

What Is the Recovery Time for Upper and Lower Blepharoplasty?

Eyelid surgery, also called blepharoplasty, is a common procedure where the skin around the eyelids is removed or altered. The surgery can be performed on the upper eyelids, lower eyelids, or both. There are two types of blepharoplasty: functional and cosmetic. Functional blepharoplasty is performed to improve vision by correcting eyelid deformities that interfere with vision such as drooping eyelids, eyelid tumors, or eyelid malposition. Cosmetic eyelid surgery is performed to improve the appearance of the eyelids. Most people who have eyelid surgery are happy with the results. Understanding the eyelid surgery recovery process can help you set expectations and plan accordingly for a successful recovery post-operation.

First Day After Upper or Lower Eyelid Surgery

The first day after blepharoplasty is usually the most uncomfortable. After the surgery, you will likely have some swelling and bruising around your eyes, which is normal. Your eyelids may also feel tight and sore. When you get home, remember to keep your head elevated. Consider using a few  pillows to keep your head propped up while you sleep for the first few days after surgery. You will have ice packs to use on your eyelids and an eye shield in place when you leave the surgical center. The ice packs help reduce swelling and the eye shield protects your eyes from accidental injury.

First Few Weeks After Eyelid Surgery

Plan on taking it easy for the first few weeks after your surgery. Avoid activities that increase your heart rate or blood pressure, such as exercise, bending over, or lifting heavy objects. These activities can increase swelling. Most people take approximately one week off from work or their normal activities after blepharoplasty surgery. You may have some residual swelling and bruising for several weeks after surgery. However, this can vary depending on the type of eyelid surgery you had and your own individual healing process. After 10 days, you can resume applying light makeup and contact lenses. However, you will need to wait until all of the swelling has resolved before using eyeliner, mascara, or other cosmetics near your eyelids. Avoid rubbing your eyes, as doing so can cause irritation and delay healing. Follow-up appointments to remove the incision stitches are typically scheduled 6-10 days after surgery. At your follow-up appointments, we will check your incisions and remove any sutures. You will also be given specific instructions on how to care for your eyelids as they heal. These instructions may include:
  • Applying ointment to your eyelids
  • Wearing an eye shield at night
  • Using artificial tears to keep your eyes lubricated
  • Avoiding makeup or contact lenses for a specific period of time
  • Taking oral pain medication
  • Wearing sunglasses when you are outdoors
  • Drinking a lot of water and liquids, but avoiding alcohol

The Next Few Months After Eyelid Surgery

Most people see a significant improvement in the appearance of their eyelids within the first few weeks after surgery. However, it can take several months for the final results to be apparent. At this point, you will start to see your eyes in a new light.  Slight swelling may still be visible, but your eyelids will look rejuvenated with younger-looking skin around them. The process of adjusting can take some time so do not worry if you are unable to see the final results at this stage yet. Blepharoplasty is a very individualized procedure, and your recovery may vary depending on your specific case. If you have any concerns about the healing process or the results of your blepharoplasty, be sure to contact us.

Factors That Affect the Duration of Recovery

There are a few factors that can affect the duration of your recovery after blepharoplasty, including:
  • The type of blepharoplasty you had: Upper eyelid surgery recovery time is typically shorter (about one to two weeks) than lower blepharoplasty recovery time (up to four weeks) because the incisions are smaller.
  • Your age and general health: Older patients or those with underlying health conditions may take a bit longer to recover from eyelid surgery than young, healthy patients.
  • Whether you had any other procedures done at the same time: If you had blepharoplasty as part of a more comprehensive facial rejuvenation treatment plan, your recovery time may be longer.
  • How well you follow your eyelid surgeon's postoperative instructions: If you fail to take care of your eyelids during the recovery process, you may experience complications that could prolong your recovery.

Transform Your Appearance with Eyelid Surgery

Upper and lower blepharoplasty can rejuvenate your appearance and correct your vision. If you are considering blepharoplasty then schedule a consultation with Dr Nick Koutroumanos at London Ophthalmology and Ophthalmic Plastics. We are a London-based oculoplastic service with years of experience in eyelid care. While we specialize in cosmetic and functional eyelid surgery, we do also offer general ophthamology services, cataract surgery, and more. Contact us today to discuss your options. Read more

What Is the Typical Cost of Blepharoplasty Surgery?

Blepharoplasty surgery is a common eyelid procedure that can help with the appearance of drooping eyes. The total cost of this surgeon depends on the oculoplastic surgeon you choose, the hospital they work out of, and what kind of treatment you want. Here are the top things to know if you're thinking about this kind of procedure.

Types of Blepharoplasty Surgery

As we age, the fine skin around our eyes stretches and becomes less elastic. This stretchy skin creates a hooded effect on our top eyelids and a sagging effect on the bottom eyelids. Hooded lids can impact your field of vision. Many people also find that sagging lids detract from the beauty of their eyes. There are two types of blepharoplasty that target the top lid and bottom lid. You can also combine these surgeries and have them done at the same time. The surgeries only differ slightly from top lid to bottom lid. The upper eyelids are done with tiny incisions along the crease, and the lower eyelids are done with a completely invisible incision or less commonly one just under your lash line.

Fixed Price Surgery Costs

There are some general costs for all surgeries. This may include the cost of use of the operating room (theatre), the cost of anesthesia, pharmacy costs, and the costs of post-op care. Location is a large factor in the total cost. Urban hospitals treat more people and have a greater demand for their equipment. They also spend more on new technology and skillful staff. Expect to pay more if you seek treatment in London versus the provinces. The experience of your doctor may also influence the cost of your treatment. A tenured surgeon will come at a higher cost than a junior plastic surgeon. Contracts differ from hospital to hospital. One hospital may include all follow-up appointments and pharmacy costs, others may only cover costs incurred within hospital walls. Make sure that you read the fine print to find out about any hidden fee-per-service charges.

Average Cost

The average cost varies hugely in the UK with promotional fees and very economical rates offered by non-specialist clinics. By and large, lid surgery carried out by oculoplastic surgeons tends to be somewhat pricier due to the expertise involved. Having both upper and lower eyelids done at the same time will be more expensive than just the top or bottom lid but one can usually expect a four eyelid blepharoplasty to cost them less that having the uppers and lowers done separately due to economies of scale.

Insurance Coverage and Private Pay

The NHS does not usually cover blepharoplasty surgery. It is considered a cosmetic procedure, and these are generally not covered. Exceptions may be made for drooping eyelids that significantly impact your vision or quality of life. You'll need to work with a doctor to demonstrate this impact. Otherwise, expect to self-pay for this procedure.

Other Procedures

Some people use the chance while already under anesthesia to get multiple procedures. As long as this is approved by your doctor and tolerated by your health, there is no problem performing multiple procedures. Some treatments that people commonly combine with eyelid lifts are Botox and eyebrow lifts. Adding more procedures will increase the total cost of your surgery. However, this may be less than choosing to have a separate operation later and pay hospital fees again.

How to Decide on an Oculoplastic Surgeon

You have lots of freedom to choose your surgeon when paying privately for your operation. At ClinicLoop, your experience starts with the first phone call to our office. You will feel warm and welcomed by our office staff. You can expect to be greeted by Elaine, Florence, or Vicky when you call. Dr. Koutroumanos is a surgeon with the experience to back up his credentials. You can expect better results from a doctor with an excellent track record than one fresh from college. They may come at a higher cost, but you should not compromise on the quality of your oculoplastic surgeon. Dr. Koutroumanos was awarded three scholarship fellowships all around the world before settling down in his London office. Each surgery is unique to the person it is being performed on, so be wary of one size fits all treatment plans. Dr. Koutroumanos believes that the best kind of cosmetic procedure is one that complements your natural features and is minimally invasive, saving you recovery time and preserving your natural beauty. The professionals at the London Ophthalmology and Ophthalmic Plastics clinic believe that the best outcomes for plastic surgery are those that enhance your existing natural beauty. Dr. Nick Koutroumanos is an oculoplastic surgeon that works with each patient to understand their vision and plans together to make it a reality. Read more

A Day in the Life of an Oculoplastic Surgeon

Have you ever wondered what a day in the life of an oculoplastic surgeon looks like? What about a plastic surgeon that specializes in the area around your eyes? These are doctors that are trained in plastic surgery in the eye area. Dr. Nick Koutroumanos is one such surgeon working in London. Here is a quick look at what he treats and what his daily schedule may look like.

What an Oculoplastic Surgeon Treats

Dr. Koutroumanos targets the area around your eyes. Plastic surgery is not just about how you look. This kind of surgery can be the solution for many medical ailments. Eye surgery can help treat teary eyes and blocked tear ducts. Sometimes eyelids can become misshapen because of other illnesses. Eyelid surgery may address these conditions. Oculoplastic surgeons can also treat cataracts and perform reconstructive surgeries around the eyes. Dr. Koutroumanos is a specialist in addressing cosmetic concerns. Some common cosmetic eye surgeries are brow lifts and eye bag removal. He is also trained to inject fillers and Botox around the eye area. Dr. Koutroumanos has received praise from his patients for their quick recovery times and results from eye bag removal. He will also spend some of his time meeting with patients and making plans for treatment. The other part of his time is spent in surgery. Dr. Koutroumanos splits his time between his private practice clinic, London Ophthalmology and Ophthalmic Plasticsand working for the National Health Service.

Clinic Days

Pre-Op Consults

Before any kind of surgery can take place, Dr. Koutroumanos will get to know you and the reasons for your visit. He will ask about your medical history and any pre-existing conditions. He'll also ask about your desired outcome after surgery. The goal is that your ideas align with Dr. Koutroumanos's practices and that any concerns between both parties are addressed.  Before proceeding with any treatments, you'll also recieve a full eye exam. This is so Dr. Koutroumanos can decide what procedures are best suited for your wishes and to rule out any reasons that surgery may not be suitable. You'll have some clinical photos taken as a reference. Then you and Dr. Koutroumanos will develop a plan for treatment. Dr. Koutroumanos's private practice is based out of The Hospital of St John & St Elizabeth, and he sees his NHS patients at the Royal Free Hospital in Hamstead.

Minor Procedures

These surgeons can do minor procedures like Botox or filler placement. Typically these kinds of appointments will be set for a time that Dr. Koutroumanos is in the clinic rather than the operating room. 

Post-Op Appointments

Dr. Koutroumanos also follows up with patients after their operation. He'll remove sutures and bandages and check to see how patients are healing. He may ask how you're feeling, how the healing process is going, and if any problems have come up since the surgery. Dr. Koutroumanos takes special care to check in with parents of young children since one of his specialties is pediatric oculoplastic surgery. He will also check in at this stage to gauge your reaction to the procedure. This is another chance for you to ask any questions you still have about your surgery or recovery.

Operation Days

Each day spent in the surgery bay will look different depending on what procedures are scheduled. Dr. Koutroumanos employs two secretaries full-time and works with other medical professionals on operation days. He regularly works with Dr. Camilla Davies as his anesthetist. Before each procedure, Dr. Koutroumanos checks in with his patients. He'll ask how you're feeling and explain the procedure once more. He may also draw some pre-operative markings and go over his expectations for your surgery. On the day of surgery, Dr. Koutroumanos will make sure you are comfortable and understand the procedure he's about to perform.  Surgeries last for different amounts of time depending on how complex they are. Simple procedures might be done in under an hour. Complex procedures can take much longer. If it is safe and called for, it may be possible to combine several procedures into one session.  Dr. Koutroumanos specializes in many areas of ophthalmologic surgery. He is an expert in complex tear-duct surgery for pediatric patients and is practiced in reconstructive eyelid and upper facial surgery. Dr. Koutroumanos has also been praised for his skills in aesthetic rejuvenation and cosmetic eye surgeries. 

Training Others

Dr. Koutroumanos also trains other young professionals. He leads a fellowship program that trains surgeons from all over the world. These fellows observe under Dr. Koutroumanos' leadership to better understand this field. He is also a trainer and Royal College Examiner for ophthalmologic plastic surgery, cataract surgery, and general ophthalmology. If you are in need of the services of Dr. Koutroumanos or are interested in learning more about what a day in the life looks like for him, contact our office and set a time to meet. Read more

Bumps on Eyelids: A Guide to Treatment and Prevention

Eyelid bumps can easily go away using home remedies. If the lump interferes with your vision, doesn't respond to home treatment, or is too painful to bear, seek medical treatment. Understanding what causes eyelid bumps can also aid prevention and decision-making as some conditions may require eyelid surgery. Here's an overview of eyelid bumps as well as the different types, symptoms, treatment, and prevention:

What Is An Eyelid Bump?

An eyelid bump is any painful lump at the edge of your upper or lower eyelid. Some appear red and are located where the eyelash meets the eyelid. Bacteria and oil gland blockage are the common causes of most eyelid bumps, and the condition is generally harmless. You don't necessarily require medical treatment as bumps can go away with basic home care. Other cases are severe and call for prompt medical care and diagnosis.

Types of Eyelid Bumps

Before considering treatment for your eyelid issue, you should know the type of bump. Understanding what kind it is and the underlying cause will determine your treatment options. All eyelid bumps can fall into these primary categories: styes, a chalazion, viral papilloma (warts), cysts (sebaceous and apocrine cysts), and xanthelasma.

1.    Styes

A stye occurs when bacteria penetrate the oil glands in your eyelids, Styes are common and round, with a red bump close to the eyelash. It can make you feel sore or itchy around the eyelid and increase sensitivity to light, resulting in teary eyes. A style requires a few days to form, and you can have more than one on the same eyelid.

2.    Chalazion

A chalazion is another common type of eyelid bump stemming from issues with the oil gland. It's an inflammatory lesion that develops when your tear gland or oil-producing glands in the eyelids get blocked. A chalazion can grow to a bigger size than styes and is generally painless. The bump can, however, interfere with your vision, depending on its location and size.

3.    Viral Papilloma (Warts)

Viral papilloma generally occurs in middle-aged or elderly adults. It is benign and painless and appears as a simple skin tag on the eyelid. Standard removal of this eye bump includes excision, where the doctor will surgically remove the wart from the eyelid.

4.    Sebaceous Cysts and Apocrine Cysts

Apocrine cysts are rare but benign cystic tumors of the apocrine sweat glands. These nodules may appear along the eyelid margin. Sebaceous cysts are also benign. Visit your doctor to assess the condition of your eyelid. They will determine whether you have eyelid cysts or a different kind of bump.

5.    Xanthelasma

This eyelid bump stems from fat buildup under the skin. Xanthelasma is generally harmless, yellowish, and occurs more in older people. Such eyelid bumps can also indicate high cholesterol levels. If xanthelasma interferes with your vision or becomes painful, consider medical treatment as this may suggest other issues, such as bacterial infection (stye).

Symptoms of Eyelid Bumps

Eyelid bumps manifest in different symptoms depending on the type. Most lumps are either red or the color of your skin and appear along the edge of the eyelid. The bump may be tender or firm, and others result in watery eyes, gritty, scratchy sensations, and light sensitivity. Eyelid bumps can be mild or harmless, but you should seek medical attention if you experience the following: •    Your eyes become teary/watery •    There’s discharge from your eye •    The white part of your eye changes color •    The bump causes trouble seeing •    Your eyes hurt in low lighting •    The bump grows or gets extremely painful •    You experience eyelid blistering and bleeding in the eyelid bump •    Your eyelid becomes scaly, crusty, or reddish

What Causes Bumps on Eyelid?

Stye eyelid bumps occur when bacteria enter the oil glands in your eyelid, causing inflammation. Those with blepharitis and other eyelid inflammation conditions are more likely to get stye bumps. Chalazion bumps can form when the eyelid oil glands and tear glands are blocked. A style that fails to drain can become a chalazion. Xanthelasma bumps appear when fat collects below the skin surface and may indicate an underlying condition.

Preventing Eyelid Bumps

You can do various things to prevent developing eyelid bumps. Practicing good hygiene is essential in stopping the spread of bacteria and preventing stye eyelid bumps. Make sure you don’t touch your eyes until you’ve washed your hands. If you have blepharitis, rinse your eyelids at least once a day and use a warm compress as soon as you feel irritation. You can also keep xanthelasma bumps at bay by controlling cholesterol levels and eating healthy.

Eyelid Bumps Treatment

Not all eyelid bumps are avoidable or resolved without treatment. If you’re concerned about a stye or chalazion bump becoming bigger or more painful, consult a professional immediately. Some bumps resolve with common home remedies, but others may require advanced procedures like eyelid surgery to restore normal function. Here's a look at popular treatment options for eyelid bumps:

a)    Home Care

A warm compress is a popular home care treatment for eyelid bumps. Holding a warm compress for about ten minutes up to four times a day can help loosen and drain blockages in the glands. Heat and compression can also aid healing, but these homecare practices aren't required for xanthelasma.

b)    Medical Care

If the eyelid bump doesn’t respond to warm compress and routine hygiene, you should involve a medic. The eye is a delicate organ and requires experienced ophthalmologists and eye surgeons to correct. Your doctor will determine whether the bump needs puncturing, draining, antibiotic cream and drops, or eyelid surgery.

Do I Need Eyelid Surgery?

Bumps, such as a large chalazion that doesn't go away on its own, may require surgery. Eyelid surgery will remove the bump and treat the wound to protect your eye from infection. Surgery can also correct fluid drainage and blockage issues. At London Ophthalmology and Ophthalmic Plastics, we specialize in the eyelid, eye socket, and peri-ocular surgery. Contact us today to learn more. Read more

What Are the Symptoms of a Blocked Tear Duct?

A blocked tear duct is common and generally harmless in babies but may signify serious health issues in adults. If you have a blocked tear duct, it's vital to seek immediate medical help. Some cases may resolve with non-invasive treatment, while others will require an oculoplastic surgeon. Here's an overview of the main symptoms of a blocked tear duct and how to fix the condition.

What Is A Blocked Tear Duct?

A blocked tear duct is precisely what the name suggests. When your tear ducts are blocked, the tears can't drain normally. Blocked tear ducts will leave you with a teary eye and irritation and stem from various factors. The prevalent causes include congenital blockage (in infants), age-related changes, infection and inflammation, injury, trauma, tumors, and treatments. Tears come from the lacrimal glands inside the upper lids above your eyes. The tear flows over your eyes and drains into the puncta (openings inside the corner of the eyelids). From the puncta, tears flow to the canaliculi (small canals) then to a lacrimal sac reservoir on the side of the node. The tears then flow to the nasolacrimal duct, from which it drains into your nose and is reabsorbed. Blockage can occur anywhere along the drainage system, from the puncta to the nose. Risk factors such as age, chronic eye inflammation, past surgeries, glaucoma, and cancer treatment increase the likelihood of blockage. A blocked tear duct will affect most drainage system parts, including the conjunctiva (transparent membranes over your eye). The blockage can lead to inflammation or infections.

Symptoms of Blocked Tear Duct

A watery eye or excessive tearing is the main symptom of a blocked tear duct. The condition is almost always treatable and temporary, but some cases require a professional eye doctor to resolve. Apart from excess tears, you may experience the following symptoms: • Redness of the Eye: The white part of the eye may become red and irritated because of excessive tearing and the inflammation of the clear membranes covering it. • Pink Eye: You may experience recurring eye inflammation and infections like conjunctivitis or pink eye. • Blurred Vision: Your vision may become blurry because of excessive tearing,  infections, or inflammation. • Pain and Swelling: Painful swelling is common among those with a blocked tear duct because the blockage puts excess pressure on the glands. The pain and swelling are often near the inside corners of the eye. • Crusting Eyelids: The excess tears and inflammation usually lead to crust forming on or around your eyelids. • Mucus/Pus: You may experience mucus or pus discharge from the eyes and eyelids. Watery eyes may develop alongside a cold, a sinus infection, or an eye infection not related to a blocked tear duct. Symptoms such as swelling and redness may also stem from injuries to the eye, not necessarily affecting the tear ducts. Some teary eyes develop because of bacterial infection, in which case you may experience other symptoms like fever. Exposure to wind, dust, and bright light may also trigger excessive tearing, so professional diagnosis is vital.

Blocked Tear Duct Symptoms in Babies

Babies don't start producing tears until they are a few weeks old. You won't notice the symptoms of a blocked tear duct straightaway. Once they begin producing tears, you may see the following symptoms, which suggest a blocked tear duct: • Redness: The eye surface will become red, usually because your baby is frequently rubbing the eye area. • Unusual Drainage: Tears will drain down the cheek instead of the usual corner of the eye. • No Drainage: Tear may pool near the corner of your baby’s eye without draining. • Discharge: You may notice a yellowish discharge, mucus, or pus in the baby's eye. A blocked tear duct is harmless for babies but may cause distress for you and your baby. If you notice these symptoms in your baby, seek an immediate diagnosis. Popular tests include tear drainage assessment, eye imaging, irrigation, and probing. Treatment may include medication, dilation, probing, flushing, stenting, balloon catheter dilation, and snip punctoplasty.

What to Do For a Blocked Tear Duct

In babies, blocked tear ducts will resolve in a few weeks or months without treatment. As the tear duct and glands mature, they'll naturally remove the blockage. Your post-natal doctor may suggest a special eyelid massage to open the tissues for optimal tear flow. In adults, blocked ducts may resolve naturally or require treatment, such as massage. Other cases may call for surgery from an oculoplastic surgeon. It's vital to wash your hands thoroughly and frequently and avoid rubbing your eyes. If you wear contact lenses or glasses, follow all cleaning recommendations from your eye care specialist. You should also schedule an appointment with your doctor for a professional diagnosis.

When to See an Oculoplastic Surgeon

There’s no home remedy for adults. It’s crucial to seek medical assistance to identify the underlying cause. Conditions arising from bacterial infections can resolve using antibiotic eye drops and pills. If the cause is a narrow punctum, the doctor will use a small probe to increase the opening and irrigate the tear duct with a saline solution. Diagnosis will determine whether you need an oculoplastic surgeon for operations like dacryocystorhinostomy. London Ophthalmology and Ophthalmic Plastics specialize in eyelids, eye socked, and peri-ocular surgery. You can get a professional diagnosis, treatment, and surgery if necessary to restore normal tear drainage. Read more

What Can I Do About My Teary Eyes?

Teary eyes can be uncomfortable and embarrassing. Why it happens vary with age. Some of these problems will go away on their own, some may resolve with medication, and others may require eyelid surgery. Keep reading to learn more about potential causes and treatments for teary eyes.

What Causes Teary Eyes?

Common ailments like allergies or sinus infections can cause watery eyes. This is caused by a narrowing of your tear duct due to infection or swelling. Most people have experienced this kind of watery eyes. Persistent watery eyes are usually attributed to an ongoing problem. Blocked tear ducts are one of the main causes of watery eyes. Tear ducts act as channels to drain tears from your eyes into your sinuses. Tears overflow along your eyelid when these channels become blocked. This causes watery eyes and mucus discharge. Blocked tear ducts are common in infants and young children but happen in adults too. Babies born with a blocked tear duct have congenital nasolacrimal duct obstruction. This usually clears up on its own within the first year of life. However, if it doesn't get better your pediatrician may recommend your child visit an eye surgeon for further evaluation. Watery eyes are due to one of two ailments in older adults. One common problem related to age is the eyelid sagging away from the eyeball, which lets tears leak out. The other common problem is narrowing tear ducts. This is caused by inflammation, injury, or aging. Such narrowing can lead to a blocked tear duct. Ophthalmologists can diagnose these ailments and refer you for further treatment. You may be referred to an eye surgeon, who can provide you with information about eyelid or tear duct surgery.

Less Invasive Solutions for Teary Eyes

Treatment for watery eyes will depend on the route cause. There are some non-invasive methods to repair a blocked tear duct.


For tear ducts blocked due to infection, the first course of treatment will be a prescription to treat the underlying illness. This could be in the form of an eye drop or oral medication. Medication may also be prescribed to relieve blockage from swelling or inflammation.


A special massage technique can encourage a baby's blocked tear duct to open. Parents can be taught this technique to help open their children's blocked tear ducts. Sometimes this works, sometimes not, which is why observation is a critical tool in solving tear duct blockages.


It is important to continue observing tear duct blockages to see if they resolve on their own or will require further medical attention. In infants especially, tear duct blockages often resolve on their own before one year of age. For adults with injuries or swelling that caused their tear duct blockage, you may also be asked to wait and observe if the blockage improves as your injury heals.

Eyelid Surgery and Other Procedures

If you have a severe blockage you may not be a candidate for the procedures in the previous section. Your doctor may recommend other procedures if less invasive methods do not work. Most of these procedures are performed by a surgeon while you are under general anesthesia.

Dilation and Flushing

Your eye surgeon will insert a small probe into your tear duct and dilate it. They will then flush your tear duct with a high-pressure saline solution. You may also see this referred to as irrigation. It is not always a permanent solution but can help clear a blockage.


Another option to help give relief for blocked tear ducts is to place a stent. A stent is another name for a very small tube. These tubes create a passage for tears to drain properly into the sinuses. They are generally not permanent but may cause irritation.

Eyelid Surgery

Eyelid surgery is called dacryocystorhinostomy and is abbreviated as DCR. This surgery makes a shortcut for your tears that bypasses any narrow or blocked passages in your tear ducts. In our practice, more than 90% of patients see a reduction in their watery eyes after the procedure. There are two types of DCR, one called external DCR, and one called endonasal or keyhole DCR. The method your surgeon uses will be based on the severity and location of your blockage. The main difference is the location of the incision. For external DCR your surgeon will make a tiny incision on the side of your nose, and for endonasal DCR your surgeon will make an incision within the nasal cavity. Dr Koutroumanos' practice nearly exclusively uses the endonasal approach which results in absolutely no scarring.

Locating an Opthalmology Office

Start by working with your regular eye doctor and let them know your complaints about watery eyes. They will begin the referral process to get you in touch with an eye surgeon to find you relief. You'll want to work with an expert eye surgeon like Dr. Koutroumanos at London Ophthalmology and Ophthalmic Plastics. You want to work with seasoned experts who can lead you through the process with guidance based on their years of experience. Begin solving your teary eye problem today, and don't suffer any longer. Read more