Enhance, Restore, and Rejuvenate Your Eyes with Advanced Oculoplastic Surgery
Our cosmetic and reconstructive eye surgeries address both aesthetic and medical concerns around the eyes. We offer world-class expertise in eyelid correction, eyelid lesion removal, and eyelid rejuvenation procedures in the heart of London.
What Is Cosmetic and Reconstructive Eye Surgery?
Cosmetic and reconstructive eye surgery refers to a spectrum of procedures aimed at restoring function and enhancing the appearance of the eyelids and surrounding areas. Whether driven by age-related changes, genetic traits, or medical issues, these surgeries can improve both vision and facial harmony.
Patients considering cosmetic or reconstructive eye surgery may experience:
- Drooping eyelids that interfere with vision
- Constant eye irritation or dryness
- Eyelid lumps or visible lesions
- Asymmetry in eyelid or brow position
Drooping or Sagging Eyelids
What is it?
The skin and muscles of the eyelids lose strength or elasticity, causing the upper lids to droop.
What’s happening in the eye:
The levator muscle or surrounding tissue weakens, often leading to a hooded, tired appearance.
Common Symptoms:
- Heaviness around the eyes
- Tired or aged appearance
- Obstructed vision
- Increased effort to keep eyes open
Why it matters:
Early treatment improves field of vision and restores a more refreshed, alert appearance.
Eye Discomfort or Dryness
What is it?
Eyelid malpositions or incomplete closure can lead to chronic dryness or irritation of the eye surface.
What’s happening in the eye:
The eyelids may not distribute tears evenly or may expose the eye to the air.
Common Symptoms:
- Dry, gritty sensation
- Red or inflamed eyes
- Watery eyes
- Sensitivity to wind or light
Why it matters:
Persistent dryness can damage the eye’s surface and lead to infections or corneal injury.
Visible Eyelid Lumps or Lesions
What is it? Benign or suspicious growths such as chalazions or nevi can develop on the eyelid.
What’s happening in the eye: Blocked glands or pigmented skin cells form lumps, which may grow or change over time.
Common symptoms:
- Firm bump on the eyelid
- Swelling or tenderness
- Dark or pigmented spot
- Cosmetic asymmetry
Why it matters: Prompt assessment rules out malignancy and ensures both cosmetic and medical concerns are addressed.
Eyelid Malpositions (Inward or Outward Turning)
What is it? Conditions like entropion or ectropion cause the eyelid to turn abnormally inward or outward.
What’s happening in the eye: Weak or damaged eyelid muscles shift the eyelid position, leading to exposure or lash irritation.
Common symptoms:
- Lashes rubbing against the eye
- Watering or red eyes
- Difficulty blinking
- Eye surface irritation
Why it matters: Left untreated, these conditions may lead to corneal damage or chronic infections.
Does This Sound Like You?
If you’re struggling with eyelid issues, you might relate to these everyday frustrations:
- You find yourself lifting your brow to improve vision
- You avoid photos due to puffiness or uneven eyes
- Your eyes constantly feel dry, sore, or irritated
- You feel self-conscious about a lump or spot on your eyelid
- You apply eye drops frequently but find little relief
Download The Eyelid Treatments Information Pack
Our Approach
Led by Mr. Marwan Ghabra—a distinguished ophthalmic surgeon with over 30 years of experience and creator of the innovative “Ghabra Technique” for keratoconus treatment —our team focuses on understanding your unique vision goals.
Our personalised approach combines precise clinical assessment, advanced surgical expertise, and a commitment to achieving natural-looking outcomes. We carefully evaluate your needs, discuss goals, and tailor a treatment plan designed to meet your functional and aesthetic expectations.
Our clinic takes a technology-first, patient-led approach to laser vision correction. We begin with advanced diagnostics, mapping your eye in 3D to design the safest and most precise treatment. Our goal is to deliver clear, stable vision with minimal side effects, personalised to your visual goals.
Years helping people see better
Patients treated
Years of experience for our lead surgeon
Types Of Treatment
We offer a comprehensive range of cosmetic and reconstructive eyelid surgeries. Each treatment is customised to address your unique facial anatomy, health status, and desired outcome.
Available procedures include:
Blepharoplasty, Ptosis Correction, Argon Nevus Removal, Canthoplasty, Brow Lift, Entropion Correction, Ectropion Correction, and Chalazion Removal.
Which Treatment Is Right For You?
| Criteria | Blepharoplasty | Ptosis Correction |
|---|---|---|
| Excess upper eyelid skin affecting vision | ✅ | ❌ |
| Drooping eyelid due to muscle weakness | ❌ | ✅ |
| Cosmetic improvement of under-eye bags | ✅ | ❌ |
| One eyelid noticeably lower than the other | ❌ | ✅ |
| Facial rejuvenation goal (non-medical) | ✅ | ❌ |
| Requires muscle tightening of the levator muscle | ❌ | ✅ |
International Patients
If you live outside the UK and are considering Laser Eye Surgery, our international booking team are happy to assist
We proudly welcome international patients from around the globe seeking expert care in cosmetic and reconstructive eye surgery. Based in the heart of London, our clinic is easily accessible and equipped to accommodate patients travelling from abroad. Our dedicated international coordination team will assist you with everything from medical visa documentation and travel arrangements to accommodation recommendations and post-operative care planning. Simply complete our international patient enquiry form and a member of our team will be in touch to guide you through your bespoke treatment journey.
How Much Does Cosmetic Eye Surgery Cost?
We are committed to transparent and fair pricing, ensuring you understand the costs involved in your personalised treatment plan. A full breakdown will be provided during your consultation, based on the procedure complexity and individual medical needs.
Comprehensive
Eligibility
Assessment
From
£1500 to £7500
Per Eye
Flexible
Installments
0% Interest
Frequently Asked Questions
Understanding Cosmetic Eye/Eyelid Treatments
What kinds of cosmetic treatments does The Harley Street Eye Centre offer?
The Centre offers cosmetic eyelid surgery (also known as eyelid lift / eye-bag / “eye rejuvenation” surgery) for upper and/or lower eyelids. This may involve removing or repositioning excess skin, fat, or muscle, to address droopy lids, puffiness, under-eye bags, or sagging skin.
What is Blepharoplasty (eyelid surgery) and how does it work?
Blepharoplasty (eyelid surgery) is a procedure targeting excess tissue around the eyelids — the surgeon makes incisions (on the eyelid crease or below eyelashes/inside lower lid), removes or repositions excess skin, fat and sometimes muscle, and then carefully closes the incisions (often with dissolvable stitches) to create a smoother, firmer eyelid contour.
Who might benefit from upper eyelid surgery?
Upper-eyelid blepharoplasty is suitable for people experiencing sagging or droopy upper eyelid skin (sometimes “hooded” lids), excess upper-lid fat or skin that descends with age, or eyelid heaviness that may even impair peripheral vision. It can rejuvenate the eye-area and restore a more alert, youthful appearance.
Who might benefit from lower eyelid (eye-bag) treatment?
Lower-eyelid surgery can help those suffering from under-eye bags, puffiness, protruding fat pads, or sagging skin beneath the eyes. It aims to smooth the transition from eyelid to cheek, reducing the “tired” or “aged” appearance.
What to Expect: Procedure, Recovery & Results
What does the procedure involve (upper vs lower vs combined)?
- Upper-lid surgery typically involves an incision along the natural crease of the eyelid; excess skin/fat may be removed or redistributed.
- Lower-lid surgery may involve either an external incision just below the lash line (or slightly below) or — in some cases — a transconjunctival internal incision (inside the lid) to reposition or remove fat without visible external scarring.
- Many patients choose combined upper and lower eyelid surgery for a comprehensive rejuvenation.
Is this surgery performed under general anaesthetic?
How long does recovery take and when will I see results?
- Initial swelling and bruising are common. For many patients, noticeable reduction in swelling occurs within 1–2 weeks.
- Final results — subtle rejuvenation, smoother eyelid contours, less puffiness or “tired eyes” — generally become visible around 4–6 weeks after surgery.
What improvements can I expect? Are the results permanent?
You can expect a refreshed, more youthful appearance, smoother eyelids, reduction in puffiness or under-eye bags, and a more rested eye-area overall. The results of blepharoplasty are long-lasting; since excess tissue is removed or repositioned, the rejuvenated contours tend to remain stable for many years. However, natural ageing continues (skin elasticity declines, etc).
Suitability, Risks & Considerations
Who is a suitable candidate for cosmetic eyelid surgery?
Good candidates are generally adults with healthy eyes and realistic expectations who are concerned with drooping eyelids or under-eye bags that affect appearance — or even function (e.g. obstructed vision from hooded lids). Age is not strictly limiting; suitability depends on eyelid anatomy, skin condition, overall health, and surgeon’s assessment.
What are the possible risks or side effects?
As with any surgical procedure, there are risks: temporary swelling or bruising, discomfort or tightness, possible asymmetry, visible scarring (though incisions are placed along natural creases or inside lids), and less commonly — breathing or healing complications. Detailed assessment and careful patient selection help mitigate risks.
Will blepharoplasty fix dark circles under the eyes?
Not always — dark circles are often caused by pigmentation, shadowing, or thinning skin rather than just excess fat or skin. While removal or repositioning of fat/puffiness can reduce hollowness and make eyes appear brighter, blepharoplasty may not eliminate pigmentation or inherited under-eye darkness.
Decision-Making & What to Expect at The Centre
How does The Harley Street Eye Centre approach cosmetic eyelid surgery?
The Centre offers a careful, consultant-led evaluation: assessing eyelid anatomy, vision, patient goals, and overall ocular health before recommending upper, lower or combined blepharoplasty. They tailor the surgical plan to each individual’s needs — whether cosmetic, functional, or both.
What should I discuss during my consultation?
Important discussion points include: your aesthetic goals, whether puffiness comes from fat or just skin laxity, any vision issues/field obstruction, skin quality, general health (healing ability), and realistic expectations for results and downtime. These help determine whether upper-lid, lower-lid or combined surgery — or alternative/non-surgical treatments — is most appropriate.
How should I prepare and what aftercare is required?
You’ll receive guidance on pre-surgery preparation (e.g. avoiding certain medications, arranging transport home). After surgery, gentle care of the eyelid area, keeping head elevated, avoiding strenuous activity, protecting eyes from sun/wind, and following surgeon instructions for ointments or drops are typical. Healing times vary, but most people feel ready for public appearance within 1–2 weeks, though full settling may take a few more weeks.
Your Patient Journey
At Harley Street Eye Centre in London, your care is consultant-led and tailored to your vision, lifestyle and goals. From first enquiry through consultation, diagnosis and treatment, we explain every step in plain language and agree a plan together. Our clinic at 22a Harley Street combines advanced diagnostics and modern laser/surgical technology with clear aftercare and long-term monitoring where needed (e.g., keratoconus, glaucoma, retina). Use the tabs to see what happens at each stage — from booking to recovery — and what to expect on the day. When you’re ready, book a consultation or call our team.
We’re here to listen first. Tell us what’s bothering you, how it affects your day, and what you’d like to achieve. Our team will guide you to the most suitable consultant and appointment type at Harley Street Eye Centre.
- Share your symptoms, history and goals
- Quick suitability check for key treatments
- Advice on records to bring (glasses Rx, letters, scans)
- Appointment scheduled at a convenient time
- Clear confirmation with directions and next steps
We’re excited to see you at your appointment. Ask us anything — about treatments, the clinic, timings or fees. Our goal is to help you regain your independence and live life free from visual limitations.
- Discuss your eye health goals and lifestyle needs
- Full eye examination by a consultant ophthalmologist
- Vision testing and treatment eligibility assessment
- Diagnostic scans if required (e.g., OCT, topography, biometry)
- Start a personalised treatment plan and timeline
After reviewing your results, your consultant explains the findings in plain language and outlines safe, evidence-based options. You’ll make an informed decision together.
- Clear explanation of your diagnosis and prognosis
- Side-by-side comparison of suitable treatments (incl. non-surgical)
- Benefits, risks and expected recovery times discussed
- Transparent pricing and payment options explainedWritten summary of the agreed plan
You’ll be welcomed by our clinical team, who will conduct final checks and ensure your comfort throughout. Most procedures are quick with minimal downtime.
- Arrival, consent review and last-minute questions answered
- Pre-op measurements confirmed; anaesthetic drops if needed
- Consultant-delivered procedure using modern technology
- Immediate post-op checks and tailored aftercare instructions
- Safe journey-home guidance and contact details for support
Good outcomes rely on good aftercare. We’ll review your progress, fine-tune any medications as needed, and be available to provide advice if you require it between visits.
- Scheduled follow-ups to monitor healing and vision
- Symptom checklist and when to get in touch
- Medication/use of drops reviewed and adjusted
- Activity guidance (work, driving, exercise, screen time)
- Direct access to our team for reassurance and queries