Lower Blepharoplasty London
Lower Eyelid Lift
At Yapa Plastic Surgery, we perform lower eyelid blepharoplasty in London for patients who would like to refresh the area beneath the eyes. A Lower Blepharoplasty with Mr Kshem Yapa is considered a step towards feeling more like yourself, softening the tired look that can settle around the lower lids and restoring a rested, natural appearance.
Excess eyelid skin and puffiness beneath the eyes can add years to your face and leave you looking tired, even when you feel well-rested. A lower blepharoplasty is tailored specifically to the lower eyelid, easing herniated fat and refreshing the area for a calmer, more alert appearance. It is most often chosen by people troubled by under-eye bags, which are commonly linked to the natural forward movement of fat beneath the lower lid over time.
Book your consultation for Lower Blepharoplasty in London.
Lower Blepharoplasty London
The Procedure: At a Glance
Procedure Length:
Typically 1 to 2 hours.
Cost:
£7,500
Anaesthesia:
Usually general anaesthesia, though local anaesthetic with sedation may sometimes be used.
Downtime:
Around 2 to 3 weeks for noticeable swelling and bruising to settle, with full recovery taking a little longer.
Hospital Stay:
Usually an outpatient procedure, though an overnight stay is occasionally recommended.
Sleeping:
Keep your head elevated on around three pillows for the first night, then return to your usual position.
Showering:
Can usually resume 48 hours after surgery.
Smoking:
Avoid for at least 2 weeks before and 2 weeks after the procedure.
Make-Up:
Avoid for at least 2 weeks after surgery.
Sun Exposure:
Avoid for at least 6 weeks. When outdoors, wear sunglasses and a high SPF.
Driving:
Best avoided for at least a week, and until your vision is fully clear.
Before and After Lower Blepharoplasty
Benefits of Lower Eyelid Lift Surgery
Lower Eyelid Lift surgery, sometimes described as under-eye bag surgery, offers a range of benefits. The decision is a personal one, and the results will mean something different to each patient.
A Refreshed Appearance
Over time, skin loses collagen and elasticity, leading to sagging in the lower lids. Removing excess skin and gently tightening the tissue restores a fresher, more rested look.
A More Alert, Less Tired Look
Heavy lower lids and pronounced under-eye bags can leave you looking permanently tired. Reshaping this area helps you appear more awake and refreshed.
Softer Tear Troughs And Dark Circles
As the skin under the eyes thins, the blood vessels beneath can make dark circles more noticeable. Repositioning fat below the eye adds a little padding between the skin and these vessels, which eases the darkened appearance for most patients.
Improved Upper Cheek Definition
Much as an Upper Eyelid Lift can redefine the brow, a Lower Eyelid Lift can add definition to the upper cheek. Excess skin is removed, and the area is tightened, while repositioned fat lends a more defined line to the cheekbone.
Less Time Spent On Make-up
Anyone who has used concealer under the eyes knows the routine of frequent touch-ups. A smoother under-eye area tends to need less makeup, saving both time and effort.
Lower Eyelid Lift Procedure Steps
As a specialist plastic surgeon, Mr Yapa performs every Lower Eyelid Lift with great care in a sterile setting, with your safety as the priority throughout.
Anaesthesia
To keep you comfortable, anaesthesia is given at the start. The procedure may be performed under local anaesthetic with sedation, though based on your health and preferences, a general anaesthetic may be administered by an anaesthetist. Lower eyelid surgery is often performed under general anaesthesia.
Making The Incisions
Careful and discreet incisions are made, generally just beneath the lash line or inside the eyelid, so that excess skin and fat can be removed or repositioned while keeping any scarring hidden within natural creases.
Refining The Area
Any lost volume beneath the eye can be replenished, and the lower lid is checked and gently tightened to keep it firm and secure. Rather than simply removing orbital fat, Mr Yapa prefers to reposition it, taking away only a small amount where necessary. The deeper facial tissues are then adjusted and secured with fine sutures.
Closing The Incisions
Once the work is complete, the incisions are closed with sutures or skin adhesive.
Risks and Complications
As with any cosmetic surgery, a Lower Eyelid Lift carries some risks, and it is important to be aware of them. Although the most advanced techniques are used for this delicate procedure, risk can never be removed entirely.
Mr Yapa and his team provide care at the world-renowned Lindo Wing of St Mary’s Hospital, keeping you well informed throughout and giving you a comprehensive overview of what to expect and how to recover comfortably at home. Possible risks include:
Bruising and Swelling
These are common after surgery and usually settle within a couple of weeks.
Scarring
Every effort is made to place incisions discreetly, though scarring cannot always be avoided entirely.
Blurry Vision
A temporary effect after surgery that usually resolves on its own.
Eye Malposition
A very rare complication in which the position of the eye alters slightly.
Bleeding and Infection
As with any surgery, there is a small risk of infection, and precautions are always taken to prevent it.
Dry Eyes
The eyes may feel temporarily dry, which can usually be managed with eye drops or ointment.
Skin Discolouration
Some patients notice a change in skin colour around the treated area, which usually fades with time.
Difficulty in Closing Eyes
In the first days, some patients find it briefly harder to fully close their eyes. This improves as healing progresses.
Recovery from a Facelift
Recovery from a Lower Blepharoplasty is relatively quick compared with many facial procedures, though it is important to give your body the time it needs to heal.
0 – 48 Hours
Straight after surgery you can expect some swelling, bruising, and dryness around the eyes. Your eyes may be covered with gauze, and lubricating drops or ointment and cool compresses will help to ease any discomfort. Keep your head elevated when resting.
1 – 2 Weeks
Swelling and bruising usually begin to fade after the first week and are largely gone by the end of the second. If you have stitches, these are usually removed three to four days after surgery. Most people return to work within a few days but should avoid strenuous activity for two weeks. It is best to wait two weeks before wearing contact lenses or eye make-up.
2 – 6 Weeks
Any scars will be subtle, though they can take a few months to settle fully, so keep them out of direct sunlight. You should notice the area continuing to refine as residual swelling subsides.
3 – 6 Months
By this stage the final results of your Lower Eyelid Lift will be visible. Mr Yapa and his team will give you detailed, personalised aftercare instructions throughout your recovery, including how to care for your eyes and what to look out for as you heal.
Book your consultation
If you would like to discuss this procedure in detail and understand if it’s the right procedure for your goals, book a consultation with Mr Kshem Yapa.
“I feel fantastic, look fantastic and natural. I can’t praise Mr Yapa enough. From the moment I met him I felt I am in good hands. I had many questions and he was always happy to provide answers and advice. He is very knowledgeable, professional and caring for his patients.”
Facelift patient
“Fantastic experience that I couldn’t fault what so ever! From the consultation to the operation to the anaesthetist and to the after-care has been nothing but exceptional, Dr Yapa an amazing Surgeon who achieves exactly what you ask for. I would have no hesitation what so ever recommending him to anyone.”
Browlift and upper blepharoplasty patient
“Mr Yapa understood what I wanted and went above and beyond to make it happen. During our consultation, I wanted a slight change in my nose, not to be a swoop just straight and he did just that. He understood what I wanted and just went above and beyond for it. This beyond what I expected. He is an amazing, empathetic surgeon.”
Rhinoplasty patient
“Mr Yapa completely changed my life – I can finally wear my hair up!
I would highly recommend considering this surgical procedure with Mr Yapa because my ears were completely different due to the shape of my ears and one stuck out more. I am unbelievably amazed by the outcome of the surgery and how my ears now look. “
Prominent Ear Correction patient
As seen on
Lower Eyelid Blepharoplasty FAQs
How much does lower lid blepharoplasty cost in London?
The cost of Lower Lid Blepharoplasty starts at £7,500. At your consultation, Mr Yapa will explain exactly what this includes, and if you are considering any additional treatments, these can be discussed at the same time.
Will lower eyelid surgery remove the appearance of eye bags?
After lower blepharoplasty eyelid surgery in London, most patients find that the appearance of eye bags is reduced, though this is not the case for everyone. Under-eye darkness is often caused by fat sitting forward beneath the thin skin of the lower lid. During the procedure, this fat is removed or repositioned, which softens the shadowing for most patients and gives a brighter, more rested look, although results cannot be guaranteed.
How long does it take to see the final results of lower blepharoplasty surgery?
Because of swelling and dressings, you may only notice the first signs of change around six weeks after surgery. When a Lower Lid Blepharoplasty is carried out on its own, this can be sooner, while combined procedures follow a different timeline, so Mr Yapa will give you an accurate idea at your consultation. Most swelling and bruising will have gone within six months at the latest.
To support a smooth recovery, follow Mr Yapa’s advice, keep the area clean, apply any creams as directed, and stay out of direct sunlight to reduce the risk of visible scarring.
When can I start wearing makeup again after a lower blepharoplasty procedure?
We recommend avoiding make-up for at least two weeks after surgery to protect the healing area from infection. Applying make-up on or near the treated area too soon can also irritate the delicate skin around the eyes. This period may be longer depending on how you heal, so please confirm with the team at your follow-up appointments when it is safe to resume.
Do I need to stay overnight for lower lid blepharoplasty?
In most cases, a Lower Eyelid Lift is performed as a day procedure, so you can return home the same day. If you are having combined treatments, such as upper and lower blepharoplasty together or a Brow Lift, an overnight stay may be recommended for closer monitoring. Your general health will also be taken into account, and Mr Yapa will discuss all of this with you at your consultation.
How should I prepare for my lower blepharoplasty in London?
Good preparation makes a real difference. Mr Yapa will talk you through every step of your Lower Lid Blepharoplasty, review your medical history, and keep communication open until you feel comfortable and ready to proceed.
A few things all patients are asked to consider:
- Reviewing current medications, as blood thinners and certain herbal supplements may need to be paused
- Stopping smoking and drinking alcohol for at least two weeks before the surgery and two weeks after
- Arranging support at home for the early stages of recovery, as you should not drive or take on strenuous tasks for at least two weeks
- Following the tailored plan Mr Yapa provides for your individual treatment
Can I combine lower blepharoplasty with other procedures?
A Lower Lid Blepharoplasty is often enough on its own, but it can be paired with other procedures to address wider concerns. Many patients choose to combine it with an Upper Eyelid Lift, also known as an Upper Blepharoplasty, to refresh both the upper and lower eyelids simultaneously.
A Brow Lift is another popular pairing, helping to ease upper-eye drooping and smooth the forehead for a more complete rejuvenation of the eye area.
Because the face can also lose volume over time, Facial Fat Grafting complements a Lower Blepharoplasty, restoring fullness in areas that contribute to a balanced, youthful appearance.
Mr Yapa will talk you through the options at your consultation so that any treatment plan is tailored to your individual needs.
What surgical techniques are used during a lower blepharoplasty?
There are three main techniques Mr Yapa may use, and the right choice depends on your anatomy and goals:
- A subciliary incision is made just below the lash line, allowing excess skin to be removed and fat to be repositioned or reduced; this technique addresses both skin and muscle laxity.
- A transconjunctival approach uses an incision on the inner eyelid, making it particularly suited to younger patients with good skin elasticity, as it focuses on excess fat without removing skin and leaves no external scar.
- A pinch technique involves gently removing a small amount of skin without altering the underlying muscle or fat, and is suitable for those with only minimal excess. Mr Yapa will recommend the most appropriate technique for you at your consultation.
Lower Eyelid Lift CONSULTATION LONDON
Book Your Appointment
If you would like to talk through this procedure and whether it is right for your goals, book a consultation with Mr Kshem Yapa. There is no pressure to proceed, simply an open, honest conversation to help you make the right choice for you.
2026 consultation dates are now available to book online, costing £250 (redeemable against your surgery should you wish to go ahead). You can join our waiting list to be notified when new dates become available. For general enquiries or to learn more about our procedures and services, please use the form below to request a callback.
