Blepharoplasty · London
Lower Eyelid Blepharoplasty in London
Under-eye bags corrected with anatomically precise surgery. Every case is assessed, planned, and performed personally by Mr Ahmad Aziz, Consultant Oculoplastic Surgeon.
Quick Answer
Lower eyelid blepharoplasty removes or repositions herniated fat, and where needed a small amount of excess skin, through an incision hidden inside the lower lid or just beneath the lashes. It’s performed under local anaesthetic as a day case, with most patients back at work within seven to ten days. Early results show within two weeks, and settle fully by three months. Mr Ahmad Aziz, Consultant Oculoplastic Surgeon, performs every case personally.
Ready to find out if lower blepharoplasty is right for you?
Eyelid assessment £195 · Ophthalmic consultation £350
Mr. Ahmad Aziz · Consultant Ophthalmologist & Oculoplastic Surgeon · FRCOphth · GMC Specialist Register · 4.9★ · 80+ verified patients
Lower eyelid blepharoplasty is a surgical procedure that corrects persistent under-eye bags by treating the fat pads that push forward beneath the eye as the supporting tissue around them weakens with age. It is a different operation from upper eyelid surgery, and not everyone who notices puffiness beneath their eyes needs it.
The bulge under the eye is nearly always fat, not skin. That’s why creams, sleep, and hydration rarely make a lasting difference: surgery removes or repositions the fat directly, addressing the physical cause rather than covering it. Some patients are dealing with something else entirely. Hollowing, fluid retention, and pigmentation can look similar to true bags, and each needs a different treatment.
Every case at Eyes Defined is assessed, planned, and performed personally by Mr Ahmad Aziz, Consultant Ophthalmologist and Oculoplastic Surgeon, at King Edward VII’s Hospital in Marylebone. It’s one part of his wider eyelid surgery practice.
Who is a good candidate?
Not everyone who notices under-eye bags needs surgery. Some people have a hollow tear trough, fluid retention, or skin pigmentation rather than true fat prominence, and each of those responds to a different treatment. Our guide to 7 Natural Remedies for Under-Eye Aging covers some of the non-surgical options, and our piece on the differential causes of under-eye swelling explains how to tell a true fat bag apart from festoons or hollowing. A proper assessment is the only reliable way to know which applies to you.
You may be a candidate if…
- Under-eye bags present even after a full night's sleep
- You have a visible bulge that casts its own shadow, regardless of lighting
- You have bags that have gradually worsened over several years
- See little to no improvement from tear trough filler
- You're in good general health and realistic expectations for the outcome
What results can you expect?
1
Reduced under-eye bags
The herniated fat causing the bulge is removed or repositioned, softening the contour where the lower lid meets the cheek.
2
A natural, rested appearance
The goal is a version of you that looks less tired, not a different-looking eye.
3
Long-lasting correction
Fat pads that are removed or repositioned rarely return, so results hold for years, with proper aftercare.
Results.
Bilateral Lower Eyelid Canthopexy
Lower Eyelid Blepharoplasty with Fat Repositioning
Lower Eyelid Transconjunctival Blepharoplasty with Fat Repositioning
Every result reflects an individual patient’s anatomy and surgical plan. Full before-and-after photographs are reviewed candidly during consultation.
What patients say about lower eyelid blepharoplasty
“I recently had ptosis and blepharoplasty surgery with Dr Ahmad Aziz. The results are amazing. Dr Aziz explained thoroughly during all stages of the procedure and I would have no hesitation in recommending him.”
Verified Patient · Doctify
“He was very honest in what I could and could not achieve… I am now able to go out again without dark glasses and feel the wind on my face. I am ever so lucky to have found him and highly recommend Mr Aziz.”
Verified Patient · Doctify
“Dr Aziz was amazing. He was precise and knows his craft. Thank you.”
Verified Patient · Doctify
What happens at your consultation?
1
Assessment
A full examination of your eyelid anatomy, skin quality, and eye health.
2
Discussion
An honest conversation about what surgery can, and cannot, achieve for you.
3
Options
Surgical and non-surgical alternatives explained, including when neither is needed.
4
Your plan
A personalised surgical plan, provided only where there is a clear benefit to proceeding.
Specialist consultation
£195
Redeemable against your procedure
- King Edward VII's Hospital, London W1G 6AA
- 45 minutes, unhurried
- Virtual consultations available for out-of-town patients
How lower eyelid blepharoplasty works.
1
Preparation
Pre-operative instructions, including stopping blood-thinning medication in advance.
2
Anaesthesia
Local anaesthesia with sedation in most cases; general anaesthesia is available.
3
The Procedure
Fat is removed or repositioned via a transconjunctival or subciliary approach, typically in 45–90 minutes.
4
Completion
A brief recovery on-site, then home the same day.
Recovery and aftercare.
Most of the visible healing happens within the first two weeks, though the final contour continues to settle over several months. Clear aftercare instructions and follow-up appointments are provided throughout.
Days 1–3
Swelling and bruising peak; cold compresses and head elevation help.
Week 1–2
Bruising fades and most patients return to desk-based work.
Week 2–4
Makeup can typically be worn again; light exercise gradually resumes.
Month 3+
Residual swelling settles and the final contour becomes clear.
Risks and safety.
All surgery carries risk, and this procedure is no exception. These are discussed openly at consultation, before any decision is made.
- Bruising and swelling — expected in the first two weeks; resolves with normal healing.
- Dry or irritated eyes — usually temporary; more likely in patients with pre-existing dry eye.
- Ectropion — outward turning of the lower lid; risk is reduced with careful technique and assessment.
- Asymmetry — minor differences can occur; most settle as healing completes.
- Infection — uncommon; managed with antibiotic cover where needed.
- Changes in sensation — temporary numbness near the incision, usually resolving over several weeks.
The single most effective way to reduce these risks is choosing a surgeon with oculoplastic training who assesses ocular health before recommending surgery. The NHS overview of blepharoplasty covers these risks independently, and our guide on how to avoid blepharoplasty regret goes into more detail on choosing the right surgeon.
Cost, insurance, and payment.
Self-pay
Transparent fixed pricing
Lower eyelid blepharoplasty in London typically costs between £3,000 and £6,500, depending on technique and whether it is combined with other procedures. Your fee is confirmed only after assessment and covers the consultation, surgery, and follow-up care. Full details are on our prices page. If your main concern is hollowing rather than a true fat bag, our guide to tear trough fillers covers the non-surgical alternative.
Your £195 assessment includes a full, itemised quote before you commit to anything, so there are no surprises later. See our guide to the cost of lower eyelid blepharoplasty for a fuller breakdown.
Consultation fee £195 is redeemable against the procedure.
Insurance
Is it covered by insurance?
It is classed as cosmetic and is not routinely covered by private medical insurance or the NHS unless there is a functional indication. Where relevant, this is discussed at assessment.
Finance options may be available on request.
Referrals: GP, optometrist and consultant referrals welcome. A formal referral letter is not always required for self-pay patients — call to check.
Your surgeon.
Mr. Ahmad Aziz
Consultant Oculoplastic Surgeon
Mr. Aziz performs lower eyelid blepharoplasty at King Edward VII’s Hospital and the Western Eye Hospital. He is consultant-led at every step — every assessment, plan and follow-up is his own.
- BSc(Hons) MBBS MPH(HSR) MRSC(Eng) FRCOphth
- Head of Specialty, Imperial College Healthcare NHS Trust
- GMC Specialist Register
- NHS Consultant Ophthalmologist
- Fellow, Royal College of Ophthalmologists
- British Oculoplastic Surgery Society (BOPSS)
Frequently asked questions.
What is the difference between lower blepharoplasty and tear trough filler?
How long do the results of lower blepharoplasty last?
The fat that Mr Aziz removes or repositions rarely returns, so results are long-lasting for most patients. Natural ageing continues, but the underlying correction holds.
Is lower blepharoplasty painful?
Will I be left with a visible scar?
Often not. A transconjunctival approach leaves no external scar. Where skin needs to be removed, the incision sits just below the lash line and typically fades to a fine line.
Your First Step Is a Conversation.
Book a specialist consultation. Ask every question. Leave with clarity — whether or not surgery is right for you.
Eyelid assessment £195 · Ophthalmic consultation £350
At no stage are you expected to proceed with treatment. Many people use this process simply to gain clarity or reassurance.