Eyelid Surgery Specialist in London
Eyelid concerns can be subtle — and personal
Changes around the eyes often develop gradually.
For some people it’s a sense of heaviness, for others tiredness, asymmetry, or a change in how they look in photographs. Many aren’t sure whether what they’re noticing is simply age-related, or whether anything should be done at all.
In practice, a large part of my work involves helping people understand what they are seeing — and just as importantly, whether treatment is necessary. Surgery is only one of several possible outcomes, and in many cases reassurance or observation is all that’s needed.
A careful, specialist approach to eyelid surgery in London
I am a consultant oculoplastic surgeon working in central London, with practice based in Harley Street and Marylebone. Oculoplastic surgery is a subspecialty of ophthalmology focused on the eyelids, tear drainage system, and the structures around the eye.
My approach is deliberately measured. Any discussion about treatment starts with an understanding of your concerns, the health of your eyes, and how any change is affecting you day to day. Where surgery is appropriate, it is planned carefully and tailored to the individual anatomy of the eyelids. Where it is not, I will say so.
Good outcomes around the eyes depend as much on judgement as they do on technique.
Conditions and treatments
My work covers a broad range of eyelid and peri-ocular conditions, including:
Upper and lower eyelid surgery (blepharoplasty)
Surgery for droopy eyelids (ptosis)
Brow procedures, including brow lift or browpexy
Creation or adjustment of upper eyelid skin creases
Management of watery eyes and tear drainage problems
Eyelid tumour removal and reconstruction
Thyroid eye disease
Conditions affecting the eye socket
Selected non-surgical treatments around the eyes, including botulinum toxin and fillers
Not all conditions require surgery, and treatment options vary depending on anatomy, symptoms, and personal priorities.
eyelid surgery
Blepharoplasty (eyelid surgery)
Blepharoplasty involves removing or repositioning excess eyelid skin and, where appropriate, addressing underlying fat or eyelid support. It may be performed on the upper eyelids, lower eyelids, or both.
The aim is not to change how you look, but to restore balance and reduce heaviness while preserving the natural character of the eyes.
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Brow lift and brow ptosis
A drooping brow can contribute significantly to the appearance of heavy upper eyelids. In some cases, treating the brow rather than the eyelid itself produces a more appropriate and stable result. Treatment options are discussed on an individual basis. Read More
Ptosis (droopy eyelid)
Ptosis refers to a lowered upper eyelid position and may affect one or both eyes. It can interfere with vision, cause asymmetry, or contribute to a tired appearance.
Management depends on the underlying cause and requires careful assessment.
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Entropion
Entropion occurs when the eyelid turns inward, causing the lashes to rub against the surface of the eye. This can lead to irritation, discomfort, and damage to the eye if untreated.
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Ectropion
Ectropion describes an outward-turning eyelid that can cause dryness, watering, and exposure of the eye. Surgical correction aims to restore normal eyelid position and function.
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Chalazion
A chalazion is a blockage of an oil gland within the eyelid. While many settle without intervention, some persist or recur and may require treatment.
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Xanthelasma
Xanthelasma are yellowish deposits beneath the eyelid skin. They are harmless but may be cosmetically concerning for some people.
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Trichiasis
Trichiasis refers to misdirected eyelashes that rub against the eye despite a normal eyelid position. Management depends on severity and recurrence.
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EYELID RECONSTRUCTION
Eyelid reconstruction aims to restore both function and appearance following injury, trauma, or tumour removal.
Procedures may include:
Eyelid laceration repair
Tear duct (canalicular) repair
Reconstruction following eyelid cancer surgery
Careful planning is essential to protect the eye and achieve a balanced result.
Watery eyes (lacrimal surgery)
Watery eyes are often overlooked but can have a significant impact on daily comfort and vision.
Assessment focuses on identifying the underlying cause, which may include:
Dry eye
Narrowed tear drainage openings
Blockage of the tear ducts
Treatment is tailored accordingly and may include eyelid surgery or tear duct procedures such as dacryocystorhinostomy (DCR).
ORBITAL SURGERY
Orbital conditions affect the eye socket and surrounding structures and often require specialist assessment.
These may include:
Orbital trauma and fractures
Orbital biopsies
Orbital fat prolapse
Orbital decompression surgery
Management is based on both eye health and overall wellbeing.
Should I see an eyelid oculoplastic surgeon or plastic surgeon?
Oculoplastic surgeons are ophthalmologists who have undertaken additional specialist training focused on the eyelids, eye socket, and tear drainage system.
This background allows for a comprehensive assessment of:
Vision
Eyelid function
Eye surface health
Tear production and drainage
These factors are particularly important when considering eyelid surgery, as interventions can affect comfort, vision, and long-term eye health.
Training and experience
Oculoplastic surgeons typically perform a high volume of eyelid, tear duct, and orbital procedures throughout training and clinical practice. This includes managing both cosmetic concerns and medically complex conditions affecting the eyes.
An understanding of eye disease, visual function, and eyelid anatomy allows for safer decision-making and appropriate treatment selection — including recognising when surgery is not advisable.
A considered approach
Not every eyelid concern requires intervention.
Not every patient benefits from surgery.
My role is to help you understand your options clearly and to guide decisions thoughtfully, based on both anatomy and personal priorities.
Your eyes matter — and so does getting it right.