In terms of facial rejuvenation, the eyes often represent the greatest opportunity to restore a more youthful look. The skin around the eyes is very delicate and sensitive, and the supporting structures less robust. The eye area is, therefore, more susceptible to sagging, wrinkling and bagging, and patients often complain the appearance of the eyes can make them look unnecessarily tired or cross.
A blepharoplasty or eyelid lift is a highly effective procedure to rejuvenate the eyes and is one of the UK’s most popular cosmetic surgeries. In recently released cosmetic surgery figures, blepharoplasty appeared in the top five, up 74% on the previous year’s numbers.
Yet, as with any surgical procedure, an eyelid lift is not without risk and some patients may require corrective surgery in the form of Revisional Eyelid Surgery. Dr Nick Koutroumanos is highly experienced in performing revisional eyelid surgery for patients that are unhappy with their previous surgeon’s work. However, this risk can usually be minimised by careful surgeon choice when first planning surgery.
General plastic surgeons perform surgery to address the breast, body and face, whereas oculoplastic surgeons specialise in surgery of the eyes and eyelids. Their ophthalmology training means they can also examine the eye and anticipate any eye problems, such as ptosis, entropion and lid malposition, which could complicate eyelid surgery and affect the outcome. They can also manage any eye-related post-operative complications.
Check your surgeon’s qualifications and ensure they are registered with the General Medical Council (GMC), have undergone specialist ophthalmic training, and are a member of the Royal College of Ophthalmologists. An oculoplastic surgeon is a specialised ophthalmologist who has undergone further training in eyelid and facial plastic surgery relevant to the eyes.
Other essential factors include their level of seniority and how many years they have been practicing.
Dr Nick Koutroumanos is a Consultant Ophthalmologist at the Royal Free Hospital in Hampstead, London, where he serves as head of the NHS Oculoplastic service. Dr Koutroumanos also has a private practice for general Ophthalmology and Oculoplastic surgery with locations at The Hospital of St John & St Elizabeth in St John’s Wood.
He has undergone extensive training in eye health and eyelid surgery. Dr Koutroumanos completed a 7-year training program in Ophthalmology, primarily at the esteemed Moorfields Eye Hospital. He then received additional scholarship-funded Oculoplastic fellowships in London, Vancouver, New York, and San Francisco. This extensive training has given him a wide range of expertise in various eyelid surgery techniques allowing him to achieve natural-looking results for his patients consistently.
Seek referrals and read reviews
During your research, asking for recommendations from friends and family can be helpful as that can provide reassurance when choosing a surgeon. The proliferation of online reviews now means there are several platforms where patients share their experiences, some of which only accept verified patient testimonials.
“Mr Koutroumanos is incredible. Not only did he take great care of my health needs condition & worries in explaining everything that was going to happen before, during & after my blepharoplasty surgery, he was patient & caring. I would highly recommend.”
AJ. Verified patient from topdoctors.co.uk
The importance of the blepharoplasty consultation
Good rapport between patient and surgeon is a critical component. It is essential you can describe your ageing concerns and what you are hoping to achieve from surgery, so your surgeon can assess whether you have realistic expectations and they can deliver the outcome you want.
“I knew from the first consultation with Dr Koutroumanos that I was in very safe hands for my blepharoplasty procedure. He is friendly, professional, and a very talented surgeon. Importantly, he maintains excellent communication and is very responsive to any queries or worries.”
JO. Verified patient from topdoctors.co.uk
During your blepharoplasty consultation, your surgeon will also carefully explain all potential risks. A botched blepharoplasty can avoided by careful pre-operative planning. Before any procedure, Dr Koutroumanos takes precise measurements under high magnification, with patients sitting upright and lying down, to take into account the patient’s individual anatomy.