Dr Nick Koutroumanos

Before any upper blepharoplasty, the surgeon needs to think about brow position, the brow fat span, the lid fold, eyelid show and the overall eye aperture. All of these influence each other. Removing skin is the straightforward part. Working out how these proportions interact in a specific face is where the time goes.

A huge thank you for trusting me with your eyes.

✅ Upper blepharoplasty
📞 +44 (0)20 4531 6760
📮 [email protected]
🌎 www.koutroumanos.com
🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH
📣 Individual results vary based on anatomy and expectations
📷 Photography published with the patient’s consent
👩 Actual patient of Dr Koutroumanos pictured

Revisional lower lid surgery is amongst the most demanding work in oculoplastic surgery.
This patient presented after blepharoplasty had left her with significant lower lid retraction.
The physical discomfort aside, the psychological toll of living with a result like this is real and often underestimated.
Reconstruction involved a hard palate graft, midface lift, and canthoplasty. She also had upper lid ptosis which, though not obvious in these photographs, was corrected at the same time.

Early overcorrection is part of the process, something patients need to understand and be prepared for before committing to this kind of surgery. The final result takes months to fully declare itself.
When things go wrong after eyelid surgery, revision requires a very specific skillset and approach. Thank you for placing your trust in me.

✅ Subperiosteal midface lift, hard-palate graft, canthoplasty, upper eyelid ptosis repair.
📞 +44 (0)20 4531 6760
📮 [email protected]
🌎 www.koutroumanos.com
🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH
📣 Individual results vary based on anatomy and expectations
📷 Photography published with the patient’s consent
👩 Actual patient of Dr Koutroumanos pictured

lidretraction oculoplastics londonsurgeon

A fresh example of a precise, qualitative upper lid blepharoplasty designed as a refinement on a flawless face and how it can serve as an almost magic tweak on the facial aesthetic balance.
Thank you for trusting me with your eyes and your livelihood.

✅ Upper blepharoplasty
📞 +44 (0)20 4531 6760
📮 [email protected]
🌎 www.koutroumanos.com
🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH
📣 Individual results vary based on anatomy and expectations
📷 Photography published with the patient’s consent
👩 Actual patient of Dr Koutroumanos pictured

EyelidSurgeryUK BlepharoplastyUK
Oculoplastics Blepharoplasty

Upper blepharoplasty | 3 months post-op

This patient came to us with concerns of upper eyelid heaviness. She was also noted to have swelling around the eyes which we felt warranted investigations before proceeding.
All tests and imaging were reassuring, and having observed her status for some time, we went ahead with surgery.
Now, at three months, some residual swelling remains, which is entirely expected given her history. I managed this proactively with a short course of oral steroids during early healing, and she is doing well.
We are both delighted with her so far progress and will post final results in a while which I expect to be fantastic.

A couple of points highlighted:
1. Careful pre-operative workup is not a delay, it is part of the surgery.
2. Not every aesthetic presentation is straightforward, and that is precisely why assessment matters.

✅ Upper blepharoplasty
📞 +44 (0)20 4531 6760
📮 [email protected]
🌎 www.koutroumanos.com
🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH
📣 Individual results vary based on anatomy and expectations
📷 Photography published with the patient’s consent
❗️Poorly standardised photographs

There is a sweet spot in eyelid surgery for me.
Refreshed and brighter patient results while still looking completely like themselves.
Aim for that, ensure to blend carefully with the rest of the face, and the results can be overreaching.
A great big thank you to my very cool patient for her trust in our work.

✅ Upper & lower blepharoplasty.
📞 +44 (0)20 4531 6760
📮 [email protected]
🌎 www.koutroumanos.com
🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH
📣 Individual results vary based on anatomy and expectations
📷 Photography published with the patient’s consent
👩 Actual patient of Dr Koutroumanos pictured

EyelidSurgeryUK BlepharoplastyUK
Oculoplastics Blepharoplasty browlift

My patients tell me that they find it useful to see intermediate photos posted here before things are fully healed.
So here is an example: still swollen outer corners of the eyes and visible upper lid incisions. Swelling left lower lid.

I m not one for sensationalist marketing language but .. here is an example of a pair of gorgeous eyes previously lost behind eye bags.

My view about lower blepharoplasty with fat transposition? It takes a little longer to fully heal but when it does things look better and last longer.

We will post the final images soon.
Questions or comments below!

✅ Upper blepharoplasty & lower transconjunctival blepharoplasty with fat transposition
📞 +44 (0)20 4531 6760
📮 [email protected]
🌎 www.koutroumanos.com
🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH
📣 Individual results vary based on anatomy and expectations
📷 Photography published with the patient’s consent