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 an incision 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. In the UK, many private hospitals offer what is called fixed-price surgery. This means the amount you are quoted covers all of your 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 cost of blepharoplasty surgery in the UK ranges from £2,000 to £4,500, and the average cost is just over £3,000. Having both upper and lower eyelids done at the same time will be more expensive than just the top or bottom lid. 

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. Elaine Orchard's job as practice manager is to guide you toward the information you need and help you make an appointment with Dr. Koutroumanos. Vicky Darragh is an expert at identifying the specific needs of each of our clients and answering any questions you have. Florence Barron is our medical secretary and you'll hear her friendly Irish lilt when contacting the office to make appointments or set follow-ups with the doctor.  Florence is in charge of finance. 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 plastic 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


National Eye Health Week - Podcast

How the eyelid helps in protecting the eyes with Dr Nick Koutroumanos Read more


HAOMS Facial Aesthetics Symposium, January 2020

Sharing thoughts and tips from London on eye rejuvenation surgery with the Aesthetic Community Read more


Daily Telegraph Comment, June 2021

Comment in the Daily Telegraph by London oculoplastic surgeon and eyelid expert Dr Nick Koutroumanos. Read more