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020 7183 3725
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Cosmetic Eye Lid Surgery (Blepharoplasty)

Boost confident Boost your confident

Look younger with more confident

Convenient Convenient

No hospital admission Under local anaesthesia in our own state of art theatres ,sedation can be used

Fast Recovery Fast Recovery

Easy and fast, 45 minutes per eye lid

Natural Look Natural Look

combining surgical and non surgical approach with experience surgeons

Low cost Low cost

Competitive price with finance options

Video consultation Video consultation

Get more information By specialist from comfort of your home

Minimal Scaring Minimal Scaring

Our experience surgeon hide scars with natural skin folds

Improve your vision Improve your vision

Correct visual blockage by extra skin

Eye lid Reduction or Blepharoplasty

Eye lid reduction surgery corrects droopy or extra eyelids skin that have begun to sag over time, and excess skin, fat, and tissue that has accumulated above and below your eyelids may be removed as well. These excess tissues result in droopy upper eyelids, sagging eyebrows, and bags under your eyes.

Eyelid surgery can have a huge impact on your facial features, especially the appearance of your eyes. The top 10 ways that a blepharoplasty can benefit are the following:

  • Decrease bags under your eyes
  • Improve the shape of your eye for a more rested look
  • Look more youthful
  • Get rid of dark circles under your eyes
  • Lift sagging skin in the eyelid area
  • Minimise fine lines around the outer lower corners of your eyes
  • Tightens inelastic skin and lax muscles
  • Corrects vision impairment giving you a full field of vision
  • Eliminates puffiness in your eyes
  • Smooth crow’s feet and other facial wrinkles
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Procedure Cost
Upper Eyelid Blepharoplasty (One) £1900
Upper Eyelid Blepharoplasty (Both) £3500
Lower Eyelid Blepharoplasty (Both) £4000
Combine Upper & Lower Blepharoplasty (All Four Eyelids) £7000

Lower Lid bags removal

Tired-looking eyes caused by heavy eyelids or puffy, saggy under-eye bags are one of the most common complaints of patients contemplating cosmetic surgery.

Eyelid surgery, or blepharoplasty, can restore a more energetic and youthful appearance. You should look refreshed, as if you're just back from holiday.

Lower eyelid bags are caused by orbital fat prolapse through the weakened tissue called septum, which is the wall separating the eyelid from the orbit. Also, due to gravity, the cheek line drops over the years, accentuating the eyelid bags.

Lower blepharoplasty with no scar

Some candidates can have a type of lower eyelid surgery is called “transconjunctival,” performed without external incisions. This surgical technique is far superior, as the incisions are made within the lower lid, with no visible scars created during the procedure.

This transconjunctival surgical technique requires a very delicate surgical approach, top-level surgical skills, and finesse so that the eye shape is not altered. The eyelid is accessed from within the lower lid, the fatty pockets sculpted and repositioned. The results can leave you looking refreshed, youthful, and no longer plagued by under eye bags that cannot be hidden with cosmetics.


There are a few ways to treat lower eyelid bags. In mild cases, filler injection along the tear trough line could camouflage mild cases. For more prominent eyelid bags, surgery would be preferable.

The main purpose of the surgery is to reduce the prominent lid bags and camouflage the tear trough line. That could be accomplished by redistributing the fat with conservative excision of skin if needed. Lifting the eyelid could help maintain a youthful tight eyelid.

Expect cosmetic improvement of the lid bags by 80%, as the cosmetic outcome should be weighed against the functional outcome of the lower lid. The surgery should avoid causing exposure to the eye surface and dry eye.


Bruising could last up to 2 weeks and a small amount of bleeding is expected in the first day.

Double vision could happen after rarely the surgery and may last for 2 weeks, as the surgery is taking place very close to the inferior oblique muscle, which is one of the muscles responsible for eye movements.

Scar could be obvious for few months if the surgery were performed from the skin side but gradually fade by time.

Preparing for blepharoplasty

Before blepharoplasty, you will have an appointment with the surgeon and eye specialist (ophthalmologist) or a surgeon specialising in eye surgeries (oculoplastic surgeon). During the consultation, you will discuss the following. Majority of lid surgery done under local anaesthesia and as a day case means you go home after surgery.

Your medical history

The surgeon will ask questions concerning past surgeries and conditions, including your current medical condition such as allergies, diabetes, dry eyes, glaucoma, thyroid problems, and circulatory issues. The doctor will also need information about your current medications, herbal supplements, vitamins, drug use, and alcohol and tobacco consumption.

Your expectation

Having an honest conversation about your motivation to undergo the procedure and your hopes will help set your expectations. The surgeon will inform you if the procedure can help you achieve your aim.

Before the procedure, you will undergo the following.
  • A physical exam The surgeon will examine your eyes and may carry out tear production testing, then measure parts of your eyelids.
  • A vision exam The doctor will examine your eyes and check your vision, including your peripheral view. This is necessary to determine if insurance will cover the cost of your treatment.
  • Eyelid photography The doctor will take photos of different angles of your eyelids. The photos will help plan the surgery and assess the immediate and long-term effects, including supporting your insurance claim.
Your doctor will ask you to do the following.
  • Your doctor may in some cases to ask you to stop or change taking few of your medication that causes increased bleeding or blood thinners. Ensure you ask the doctor about your medication on your consultation day.
  • Arrange for a company to drive you to the clinic and home if the procedure is an outpatient surgery.
  • Avoid smoking several weeks before the procedure because it interferes with healing.

What to expect

Before blepharoplasty

This procedure is usually on an outpatient basis. The surgeon will inject a numbing medication into your eyelids which is well tolerated with or without sedation as arranged or required, speak to your doctor if you anxious about your treatment, majority need no sedation.

During blepharoplasty

If the surgery is on your lower and upper eyelid, the eye surgeon will first operate on the upper eyelid. They will cut along the eyelid's fold, removing the excess fat, skin, and muscles, then close the incision very precisely.

While working on the lower eyelid, the surgeon will cut just below the eyelashes, in the natural crease, or inside the lower eyelid. They will redistribute or remove the excess muscle, skin, and fat and then close the incision.

Suppose the upper eyelid sags to the pupil. In that case, the surgeon may perform blepharoplasty alongside a procedure known as ptosis correction to provide additional support to the muscles in the eyebrow.

Before blepharoplasty

After surgery:

You need to follow your eye doctor advise but majority follow below advise:

  • Cold compress could be used as soon as possible after surgery. The patient can use commercially available eye compress, or even a bag of frozen peas.
  • Compressive eye pads can be removed 2 days after the surgery and the steroid ointment can be applied over the lower lid, 3 times a day for 1 week.
  • Anti inflammatory eye drops, which are a combination of antibiotics and steroids, could be added when the surgery is taking place on the inside of the eyelid.
  • Silicone gel can be used to reduce the scar line.
Before blepharoplasty


Many people are satisfied with the procedure's outcome, with a youthful and more rested appearance and higher self-confidence. For some, the result lasts for a lifetime, but droopy eyelids may recur.

Swelling and bruising usually subside in 10 – 14 days. Scars from the incisions may take a few months to fade. Ensure you protect your eyelid from excess exposure to the sun.

If you're considering eyelid surgery, consult your eye surgeon at Optimal Vision. You can call us on 020 7183 3725 to schedule a consultation for blepharoplasty.

Dr Amir Mani - Specialist refractive surgeon

One of the most experienced refractive surgeons in London

Dr Mani has performed more than 20,000 ophthalmic procedures, including LASIK, LASEK, PRK, Femto Cataract, RLE, Lens ICL and Phakic IOL Surgery

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