Here are a small selection of our before and afters. During your consultation with Dr Nick Koutroumanos, you will be shown more before and afters.

Upper Blepharoplasty

Upper blepharoplasty results

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 second 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 bleph before and afters

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 eyelid lift

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 results

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 before and after

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.

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. 


Lower Blepharoplasty

Eye bag removal

This patient chose us for under eye bag surgical treatment wishing to avoid non-permanent treatment solutions.

Her case demonstrates the internal scarless (also known as transconjunctival) lower blepharoplasty. ⁠

This is Dr Koutroumanos’ procedure of choice for most individuals seeking under eye bag treatment where excessive skin is not part of the problem. Down time is typically no longer than one, sometimes two weeks and often very little bruising is seen. ⁠

Transconjunctival surgery is extremely safe and reveals absolutely no signs of surgery having taken place. ⁠

Following aesthetic eye surgery, it’s important for our patients to be prepared for two or sometimes three weeks of noticeable bruising and swelling. However, the majority tend to recover much faster.

We are thrilled to be able to have one of our patients share her photos before the surgery and just seven days after. 

To ensure a smooth recovery, we encourage you to consult our information on the link below. And remember, when you meet Dr Koutroumanos and his team, feel free to ask any questions, no matter how obvious they may seem.

Revision Eyelid Surgery

Revision Blephor to correct

This young patient of ours had undergone surgery elsewhere which resulted in asymmetric upper eyelids. A carefully designed surgical adjustment was carried out under Local Anaesthesia which provided for perfect symmetry.

Dr Nick Koutroumanos’ extensive training and experience allows him to provide precise results, whether you’re looking for a dramatic improvement, or a subtle, yet confidence-enhancing refinement.

Eyelid Ptosis Repair

Eyelid ptosis repair

Another case of ptosis repair, or droopy eye lift carried out under local anaesthesia. Our now delighted patient had put off this procedure for a long time before finally making the decision to fly to London for a consultation.

Apprehension around eye surgery is very common given the sensitive nature of our eyes.

An assessment and a conversation with a clinician should be seen as an information gathering step, not a commitment and never the reason alone to proceed to surgery.

It is often subtle improvements or adjustments to their eyes’ shape and size that make the biggest impact on our patients and it’s this detailed, fine touch work that we most enjoy carrying out.

This patient underwent a symmetrising left upper eyelid lift (or ptosis repair) to correct a very bothersome asymmetry. Scarless surgery was carried out without any skin incisions (transconjunctival) ensuring no tell-tale signs of surgery. Operation time was just 30 minutes and downtime less that one week.

Ptosis repair

Minor surgery leading to major improvements. The effect that sleepy or droopy eyes (Ptosis) can have on a young professional are not minor. Patients come to us describing challenges in their social life, careers and relationships.

Ptosis repair has been scientifically proven to restore confidence and improve quality of life.

Eyelid Lumps & Growths

Removal of eye brow tumour

This is a progressively enlarging eyebrow tumour. Growths of such size (in this case a Pilomatrixoma) require specialised techniques to ensure that the patients’ facial structures and characteristics are not altered following removal.

Our patient here photographed on the day of surgery and six weeks later shows absolutely no permanent scar or deformity of his eyelid or eyebrow. Tissue analysis of the removed growth showed complete removal therefore posing no risk of recurrence.

As a rule, the sooner individuals who notice upper face lumps present to a specialist, the more straightforward treatment can be expected to will be.

Removal of eyelid lumps

The eyelid area is rich in glands and as a result a common area for cysts to develop. Lumps and bumps such as these multiple sweat gland cysts on this patient of ours can be removed by simple in office surgery with minimal downtime and discomfort.

Most importantly, growths in the eyelid area ought to be assessed by a specialist prior to any such treatment, to ensure an appropriate plan is set in place. This will very often require analysis (biopsy) of the tissue to rule out sinister causes for the growths.

Skin tumours are very uncommon in young people and this is a fortunate thing for facial reconstructive surgeons who rely on laxity of tissues – like the kind which comes with ageing – to seamlessly reconstruct defects following tumour excision. In youth, there is very little tissue ‘give’ or wrinkles making procedures much less forgiving.

This young man suffered a recurrent aggressive pilomatrixoma, unusually requiring wide excision by the dermatologists. The challenge here was to repair the defect without any traction on the lower eyelid and this was achieved by a sliding island flap.

The outcome was both functionally and aesthetically successful and the patient totally free of his tumour. We thank him so much for sharing the images.

Please beware of stubborn growths on your skin and consult an appropriately trained physician when concerned.

Removal of BCC

Basal Cell Carcinoma is considered a non-aggressive skin tumour given its slow growth and extremely low metastasis rate. Tumours however which grow on areas with limited skin excess, such as around the eyes, can leave large gaps of no skin cover requiring reconstruction.

Periocular reconstruction needs to first ensure the safety of the eye by creating a normally functioning eyelid and then to deliver an as good as possible cosmesis. Such cases are best managed by oculoplastic surgeons working with dermatologists specialising in Mohs tumour removal.

Thank you to our patient for sharing his journey: A poorly defined (morpheaform) Basal Cell Carcinoma, identified late given its faint skin changes, leading to a large tissue defect addressed by cheek advancement.

Small lumps, nodules or non-healing ulcers can represent slowly-growing malignancies, most commonly Basal Cell Carcinomas (BCC), and the skin around the eyes, being thin and regularly exposed to UV radiation, is one of the commonest areas to develop these.

Thank you to our patient agreeing to share her images showing her BCC, the skin defect following Mohs Micrographic removal and the final reconstructed appearance.

The earlier these lesions are identified and treated, the easier it is to achieve an excellent cosmetic result.