Combined Blepharoplasty

Combined blepharoplasty at our London clinic addresses both the upper and lower eyelids in a single procedure. It is designed for patients seeking comprehensive eye rejuvenation, lifting heavy or hooded upper lids while simultaneously smoothing under-eye puffiness, bags, or sagging skin.

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Performed by Dr Maryam Zamani, one of London’s leading oculoplastic surgeons, this dual approach rejuvenates the entire peri-orbital area in one surgery, restoring youthful definition and balance to the eyes with natural, elegant results. It is ideal for patients who require a more comprehensive approach to eye rejuvenation without having multiple surgeries, with a longer recovery time.

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These results can be enhanced further when combined with complementary treatments such as CO2 laser resurfacing, Morpheus8 microneedling, or chemical peels. It is essential to avoid intense sun exposure for one month following these procedures.

Pain: Mild

Social Downtime: 1-2 weeks

Results: Are seen within 1 month with continued improvement over 3-6 months

Treats: Ageing eyes, under eye puffiness, hooded eyelids, and excess skin

combined BLEPHAROPLASTY FROM £12,500

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As a leading Oculoplastic Surgeon with special interest in Facial Aesthetics, Dr. Maryam Zamani has garnered a global reputation - both in the US and UK - for her meticulous attention to detail and sought-after techniques for eyes and facial aesthetics.

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ADDITIONAL INFORMATION

COMBINED BLEPHAROPLASTY

BEFORE

AFTER

COMBINED BLEPHAROPLASTY WITH ABLATIVE CO2 LASER

BEFORE

AFTER

COMBINED BLEPHAROPLASTY

BEFORE

AFTER

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Why Choose combined Blepharoplasty?

Hooded or drooping upper eyelids
Under-eye bags, puffiness, or sagging skin
Heaviness or tired appearance around the eyes
Fine lines and crepiness on the upper and lower lids
Loss of definition and contour
Long-lasting results, typically 7–15 years
Can be combined with complementary treatments such as CO2 laser resurfacing, Morpheus8 microneedling, or chemical peels

For patients seeking full eye rejuvenation surgery in London, this procedure is the most reliable and effective option.

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WHAT TO EXPECT from combined Blepharoplasty in London:

During a combined upper and lower eyelid surgery, Dr Zamani precisely removes or repositions excess skin and fat from both eyelids to achieve a refreshed yet natural result.

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Incisions are carefully placed along the natural upper-eyelid crease and just below the lower lash line or inside the eyelid (transconjunctival approach), leaving minimal or no visible scarring. In some cases, canthopexy may be performed to support the lower eyelid position and enhance shape.

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The procedure typically lasts between two and three hours and is performed under local anaesthesia. Patients may return home the same day.

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key details at a glance

Surgery time: 2-2.5 hours
Anaesthesia: Local anaesthetic with sedation or general anaesthetic
Incision placement: Inside eyelid (scarless) or below lash line (discreet scar), and along the natural crease of eyelid (discreet scar).
Downtime: 1–2 weeks for swelling and bruising
Results: Long-lasting (7–10 years) with natural ageing continuing

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Recovery and Aftercare:

Bruising and swelling generally improve within 1–2 weeks.
Final results are seen progressively over 3–6 months as tissues settle.
Cold compresses and head elevation are recommended for the first 48 hours.
Antibiotic ointment and artificial tears are prescribed to aid healing.
Patients can usually resume daily activities after a few days, though strenuous exercise should be avoided for two weeks.
Sutures are typically removed after one week, and light eye makeup can then be worn.
Temporary tightness, dryness, or mild numbness may occur but resolve naturally.

Complications after combined blepharoplasty are uncommon. Risks such as infection, bleeding, or delayed healing are rare, and serious complications like eyelid malposition or vision changes are extremely uncommon when surgery is performed by an experienced oculoplastic surgeon. All potential risks are fully discussed during consultation.

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Results and Longevity:

Results from combined blepharoplasty are long-lasting, typically 7–10 years, and provide a refreshed, youthful look that continues to improve as healing progresses. While ageing naturally continues, most patients do not require additional eyelid surgery for many years.

For enhanced results, the procedure can be paired with CO₂ laser resurfacing, PRP therapy, or Morpheus8 to refine skin texture and further rejuvenate the delicate eye area.

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Benefits of Combined Blepharoplasty:

Choosing combined blepharoplasty in London with Dr Maryam Zamani offers the ultimate in comprehensive eye rejuvenation:

Lifts drooping upper lids and smooths under-eye puffiness in one surgery
Rebalances and brightens the entire eye area for a youthful, harmonious appearance
Reduces excess skin that can impair vision or cause heaviness
Achieves natural, elegant results with minimal visible scarring
Provides long-lasting rejuvenation with a single recovery period
Can be enhanced with laser or regenerative treatments for complete periorbital renewal

For patients seeking the best blepharoplasty surgeon in London, Dr Maryam Zamani’s combined approach offers precise, artistic, and natural results that restore confidence and redefine the eyes.

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Surgical Process:

The treatment plan is tailored to each patient’s anatomy and aesthetic goals.
The procedure is carried out under local anaesthetic with sedation for comfort.
Surgery typically lasts 2–3 hours, depending on the complexity of the case.
Excess skin and fat are carefully removed or repositioned to restore a smooth contour.
Fine sutures are placed to minimise scarring and are removed after about one week.
In select cases, a canthopexy may be performed to support and refine the lower eyelid position.

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WHAT TO EXPECT?

By making an incision along the natural eyelid skin fold, it is possible to remove skin and fat and leave only a fine, discrete scar along the natural skin crease of the eye. Excess upper eyelid skin can lead to functional problems in the eye; causing a loss of peripheral vision, especially in the outer and upper parts of the visual field. Initial bruising and swelling resolve in as little as one to two weeks, however, the final outcome of the surgery may not be seen for several weeks.

On the day of surgery, the amount of skin to be removed is carefully marked in an upright position and then rechecked with the patient reclined to ensure that the eyes will close without difficulty after surgery. A local anaesthetic is injected under the skin and the incisions are placed within the eyelid. The procedure generally takes 30-60 minutes. Fat pads that are normally present in the eyelids can be trimmed or repositioned to contour the eyelid for a youthful appearance. Non-dissolvable sutures are placed under the skin to minimize scarring, and bandages may be placed to secure the sutures. These sutures will be removed 1 week later.

Immediately after surgery, you may notice your vision is blurry due to the antibiotic ointment that has been applied during surgery. You will be asked to use this ointment at bedtime in the eye and  on the wound. Artificial tears will be prescribed to prevent dryness in the postoperative period. The degree of swelling and potential bruising differs from patient to patient. We will give you cold compresses to use for 10 minutes every hour while awake for the first 48 hours to minimize bruising and swelling. It is encouraged to sleep with 2-3 pillows to help prevent fluid accumulation and swelling.

Regular daily activities can resume the day of or after surgery, but exercise and strenuous activity should be avoided until after the first postoperative visit. I recommend no driving until after the sutures have been removed. Patients return to 1 week after surgery for examination and suture removal. Eye make up can be resumed 7-10 days after surgery. It is normal to have feelings of numbness along the eyelash margin, tightness of the eyelids and mild dryness temporarily. Most patients do not experience any pain after the surgery.

It is important to keep the eyes dry for the first 48 hours. Hair can be washed. The eyes can be gently washed from days 3-7 and once the sutures are removed at one week, normal washing routines are initiated.

Serious complications after upper eyelid blepharoplasty are rare. However, there are potential risks and complications as with any surgery: infection, bleeding, and poor wound healing. In an experienced and conservative surgeon’s hands, complications such as the inability to close the eyes or vision impairment are extremely unlikely. A detailed discussion of all possible risks and complications is made at the time of operative consultations and detailed with the written information summarizing discussions.

Blepharoplasty is designed to improve the appearance of the eyelids and most patients do not feel the need to have a second surgery. However, the natural ageing process will continue and results will vary between patients. Blepharoplasty results last between 7-15 years. Blepharoplasty can be enhanced by other surgical and non-surgical procedures done at the same time.

What are the benefits of Upper Eyelid Blepharoplasty?

Upper eyelid blepharoplasty restores the field of vision, as well as the natural youthful beauty of the eye. By removing excess skin and fat, the eyelid will appear smooth and better defined, giving a more youthful appearance while often improving peripheral vision and eyelid fatigue. External skin resurfacing with a chemical peel or laser resurfacing treatment may be possible at the same time to improve the appearance of crepey skin.

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Our signature Treatments

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CONSULTATION

A detailed consultant consultation is essential to understand concerns, assess presentation and create a bespoke treatment plan to achieve goals.

Initial consultation £300

Follow up consultation £250

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SURGERY

UPPER EYELID BLEPHAROPLASTY

Upper Eyelid Surgery, also known as Upper Eyelid Blepharoplasty is the gold standard to correct eyelid hooding, sagging, bulging and tired-looking eyes. During a short operation (normally less than 1 hour) ...

FROM £9,700

LOWER EYELID BLEPHAROPLASTY

Lower Eyelid Blepharoplasty is the gold standard to correct puffy, sagging and tired-looking lower eyelids. During a short operation (normally 1 hour)...

FROM £9,800

EYELID PTOSIS REPAIR

Eyelid ptosis repair is a surgical procedure to improve the position of the upper eyelid. A lower sitting eyelid can make the eye appear smaller and can be seen on one or both eyelids...

PRICE £9800

BROW PTOSIS REPAIR

A Brow lift is also called brow ptosis repair and helps to elevate the eyebrow for a heightened and more open eye. This can be done as a stand-alone surgery or in combination...

PRICE £4000

INTERNAL BROW PEXY

Internal brow pexy is a minimally invasive surgical procedure designed toaddress mild sagging of the eyebrows (brow ptosis). Over time, factors like aging and gravity can cause ...

FROM £2900

SKIN TREATMENTS

AQUAGOLD® FINE TOUCH

AquaGold Fine Touch is an FDA approved microneedling system combined with a bespoke cocktail of effective ingredients to improve the quality and health of skin. 20 gold-tipped...

FROM £640

DERMAMELAN DEPIGMENTATION PEEL

Dermamelan is a highly effective medical peel formulated to reduce pigmentation. Using a combination of acids and topical ingredients to treat acne scarring, sun damage ...

PRICE £1800

EXOSOME TREATMENT

Exosomes are tiny messenger vesicles released from cells and contain proteins, lipids, and other molecules to mediate cell-to-cell communication. Exosomes function to stimulate ...

FROM £350

FIRE & ICE X HYDRAFACIAL

Rejuvenate and revitalise your skin’s health with this game changing zero downtime fusion facial, which combines two of the most sought-aftercelebrity treatments to ..

FROM £400

HYDRAFACIAL MD®

Hydrafacial MD® is a professional three step process to deep-cleanse, exfoliate and hydrate the skin. This treatment is ideal for in-between more invasive treatments, for those ...

FROM £250

IS CLINICAL FOAMING ENZYME

Safe on all skin types, the iS Clinical Foaming Enzyme facial is a results-driven treatment using the powerful Foaming Enzyme Masque system combining papaya and pineapple...

FROM £200

MESOTHERAPY

Mesotherapy is a minimally-invasive treatment where a series of superfine injections of vitamins, minerals and amino acids are delivered into the mesodermal layer of...

FROM £400

MICRONEEDLING

Microneedling is a form of collagen induction, meaning that it helps to boost collagen and elastin production in the skin. This improves skin tone, clarity and firmness. The effects ...

FROM £400

PRP: PLATELET RICH PLASMA

Platelet Rich Plasma (PRP), is an effective and natural therapy that releases growth factors within the skin that are responsible for stimulating collagen and elastin production...

FROM £800

SKIN RENEWAL PEEL

The Skin Renewal Peel is a highly effective resorcinol peel formulated to improve pigmentation, texture and signs of photoageing in ALL skin types...

PRICE £1800

TRANEXAMIC ACID (TXA) FOR MELASMA

Injectable tranexamic acid is an efficacious and safe treatment option for melasma in all skin types. Tranexamic acid is used to gradually lighten discoloration in locally ...

FROM £400

THREAD LIFT

PDO THREADS

PDO Threads are a minimally invasive procedure where dissolvable non-allergenic threads made of polydioxanone (PDO) are injected into the skin, and sometimes...

FROM £1500

BODY

BODY BLITZ

To tackle hyperpigmentation throughout the whole body, BBL Hero technology is used to safely and effectively target the effects of sun damage found on the shoulders, chest, ...

FROM £1,000

COOLSCULPT ELITE®

CoolSculpting ELITE® is a safe, non-surgical, clinically proven treatmentto selectively reduce targeted areas of fat with patented cooling technology. CoolSculpting ELITE® can ...

FROM £900

EMSCULPT NEO

EMSculpt Neo is the only FDA-cleared non-invasive body shaping device used to eliminate fat and build muscle in a short 30-minute procedure with no downtime. EMSculpt Neo ...

FROM £900

PROFHILO BODY

Profhilo Body treats skin laxity on the body, particularly the abdomen, arms, and above the knees...

FROM £1250

MEDICAL

BBL EYE THERAPY

Dr Zamani is one of a handful of UK based Doctor treating dry eye syndrome and rosacea affecting the eye area with BroadBand Light (BBL)technology. BBL works by safely ...

FROM £600

CRYOTHERAPY

Cryotherapy is the application of liquid nitrogen to remove surface skin lesions such as warts (verrucas), benign (non-cancerous) lesions and areas of sun-damaged skin...

FROM £100

VITAMIN INJECTIONS

Intramuscular vitamin B12 injections can help boost energy levels and enhance athletic performance, supports the immune system, facilitates weight, improves ...

FROM £150

MOLE MAPPING

Mole mapping begins with a consultation, thorough skin examination with magnified dermoscopic imaging documentation of moles. Magnified dermoscopic images are performed ...

FROM £400

PHOTODYNAMIC THERAPY

Photodynamic therapy (PDT) is a non-invasive treatment for pre-cancerous skin lesions such as actinic keratoses, Bowen’s disease as well as certain types of skin cancer ...

FROM £1400

SCAR MANAGEMENT

Surgical or nonsurgical scars should be treated sooner or later. Laser treatments for surgical scar reduction can be implemented 4-6 weeks after incident and are preformed ...

SKIN BIOPSY AND EXCISION

Skin Biopsy and Excision – Biopsies and excision of benign skin lesions, suspicious moles and skin cancers are performed under local anaesthetic...

FROM £425

INJECTABLES

BOTULINUM TOXIN/ NEUROTOXIN

Botulinum Toxin is an injectable treatment that helps to restore harmony to the face and neck by creating a gentle lifting effect and minimizing theappearance of dynamic wrinkles...

FROM £400

HYALURONIC ACID FILLERS

Hyaluronic acid fillers are used to temporarily improve volume loss, improve skin laxity and enhance facial contours. A selection of dermal fillers can be meticulously ...

FROM £875

FILLER COMPLICATION CLINIC: REVERSAL OF FILLERS

Filler dissolving is a treatment using an enzyme called Hylase or Hyaluronidase. Hyaluronidase is an enzyme that breaks down hyaluronic acid and can aid in the correction ...

FROM £475

LIGHT EYES ULTRA MESOTHERAPY

Light Eyes Ultra is an innovative cocktail of hyaluronic acid, antioxidants, and botanical extracts formulated for the delicate eye area. This treatment involves an injection to the upper ...

FROM £600

Polynucleotides

Polynucleotides is a new injectable biorevitalisation treatment made from polynucleotides to deeply hydrate, promote collagen stimulation, firm and contour the skin. The polynucleotides ...

FROM £875

RADIESSE

Radiesse (calcium hydroxyapatite) is an FDA approved filler to treat skin laxity and help improve skeletal contouring. It can be diluted to act more as a biostimulator to help ...

FROM £1400

Facial Feminization

Plump cheeks and lips, a narrow chin and a defined yet delicate jawline are facial characteristics deemed to be softer, more feminine. Dermal filler can be injected into these areas ...

PRICE £4500

PROFILE BALANCING

Profiloplasty, more commonly known as Profile Balancing, seeks to treat all the elements that create our silhouette. Using a combination of different hyaluronic acid dermal ...

PRICE £3750

SKIN BOOSTERS: PROFHILO, REVIVE, Skinvive

Skin boosters are hyaluronic acid injectables that hydrate the skin from within, improve collagen and elastin production, and significantly improve tissue quality over time...

FROM £500

SCULPTRA

Sculptra is an FDA approved injectable poly-L-lactic acid that enhances collagen production in the dermis to help significantly restore and volumize the face and body with ...

FROM £900

BELKYRA™

Belkyra is an FDA approved injectable treatment to eliminate fat cells. Made from deoxycholic acid, Belkyra™ can be injected in the submental fat to help reduce the volume ...

FROM £850

PROFHILO® STRUCTURA

Profhilo® Structura is a groundbreaking injectable treatment designed to lift, contour, and rejuvenate the facial profile by targeting superficial fat layers. The result is a more ...

FROM £800

LASER & LIGHT TREATMENTS

AVICLEAR

AviClear is a pioneering treatment for acne patients and is the only FDA cleared laser technology offering a long term solution for all forms of acne severity. It works ...

FROM £4700

ACNE CLEAR BBL®

Forever Acne Clear BBL is a cutting-edge acne treatment using the power of light to comfortably and effectively clear acne while stimulating regeneration for clear, ...

FROM £500

BBL™

BroadBand Light is a customizable treatment of light that is absorbed by chromophores in the skin to destroy superficial pigmentation such as brown spots and seal dilated ...

FROM £500

BBL HEROIC

BBL HEROIC, a cutting-edge Broad Band Light technology, is a giant leapforward for superior outcomes. This advanced system delivers light energy deeply into the skin to...

FROM £700

CO2 LASER

AcuPulse CO2 laser allows for fully ablative and non-ablative CO2 laser resurfacing to treat fine lines & moderate wrinkles, moderate to severe photoaging and deeper ...

PRICE £3000

CONTOUR TRL

Multiple treatment, One device. The Contour TRL is an Erbium Yag laser that resurfaces the skin by removing a variable depth of damaged and aging skin...

FROM £700

FORMA RADIOFREQUENCY

FORMA RF is a non-invasive, painless, radiofrequency device that promotes skin tightening and lifting by stimulating new collagen and elastin. FORMA RF gently heats ...

FROM £500

HALO™ LASER

Halo is a hybrid fractional laser used to trigger the body’s natural healingresponse to precisely target skin damage and improve the appearance of lines, wrinkles, sun damage...

FROM £2400

LASER GENESIS/CLEARSILK™

Laser Genesis/ClearSilk™ is a non-invasive laser treatment designed to boost collagen and elastin production to visibly improve fine lines, acne scars, large pores, and uneven ...

FROM £800

LED LIGHT THERAPY

Light Emitting Diode (LED) Therapy is a non-invasive treatment using specific colour wavelengths of light to penetrate the skin at varying depths, for collagen production and ...

FROM £70

MORPHEUS8

Morpheus8 is an FDA approved subepidermal adipose remodelling device(SARD) that combines micro-needling with directional radiofrequency to tighten, contour and lift the ...

FROM £2000

MOXI™

Moxi™ is the next generation in skin rejuvenation to achieve beautiful, radiant, glowing skin. Moxi™ is a gentle, fractional non-ablative diode laser resurfacing treatment that is ...

FROM £1250

NDYAG/CLEARV LASER™

NDYAG/ClearV Laser™ laser is a non-invasive, non-ablative laser treatment used to penetrate deep into the skin to selectively target and shrink deep-lying blood vessels, leg veins ...

FROM £500

PLPROFRACTIONAL LASEREXR

ProFractional laser is an ablative Erbium laser, operating on the principleof thermocoagulation to improve the overall appearance of skin by treating many pinpoint areas ...

FROM £1000

ULTHERAPY

Ultherapy is the only non-invasive, FDA-approved skin rejuvenation procedure that can specifically lift and tighten skin on the face, neck, décolletage and body. Ultherapy delivers micro-focused ultrasound energy to the deep layers of skin tissue to trigger a ...

FROM £800

COMBINATION TREATMENTS

BODY GLOW

Body Glow – An advanced full body M.O.T that brings high technology together to treat superficial pigmentation, boost collagen & elastin production, and improve muscle ...

FROM £8,000

COMPLEXION BALANCE

Brighten & Lighten with a powerful combination of MOXI and HALO lasers. MOXI laser is used to smooth uneven texture, refine pores and decrease superficial pigmentation. HALO is then ...

FROM £3000

CHEST REHAB

Designed to target signs of ageing and sun damage on the décolleté. Chest Rehab harnesses multiple modalities to improve skin tone, transform texture and significantly ...

FROM £5000

EYE BRIGHT

This 2-step procedure combines BroadBand Light (BBL) with mesotherapy (LightEyes Ultra) to gently lift while improving the texture and contour of the delicate eye area for...

PRICE £1000

EYE TIGHT

Eye TIGHT uses a synergy of treatments, including ablative CO2 laser and mesotherapy to tighten and brighten the delicate skin around the eyes...

FROM £2400

FILTER FREE SKIN

Filter Free Skin is the perfect combination of BBL, HALO and skin boosters to the face and periorbital area to create even-toned skin, reduced pore size, and improve skin texture...

FROM £6,600

GLOW BOOST

Glow Boost is a treatment combining PRP, AquaGold Microneedling &Profhilo Skin Booster to refresh tired skin without looking different or adding volume. The aim of the ...

PRICE £2400

TRI-BROW LIFT

The Tri-Brow Lift triple-action treatment combats the three major signs of ageing – sagging, loss of definition and uneven skin tone – by lifting the brow, increasing volume around...

FROM £2500

Testimonials

Trustindex rating score: 4.7 of 5, based on 222 reviews

My recent experience with the lovely Dr Maryam Zamani and her fabulous team was outstanding. Dr Maryam gave very professional and proactive...

Maryam is highly skilled when it comes to injecting Botox and filler in the right places, and in the right amount. With other practitioners and doctors I have...

The only one I trust for my skin since 10 years. She is truly amazing and an example for women . Very very happy about my laser treatment and her team is...

MCL

After taking my time researching plastic surgeons I decided to go to Dr. Zamani. I watched her IG often, saw what type of treatments she...

I have been a patient of Dr Zamani’s for years, and to put it lightly, I will never let anyone touch my face if it isn’t her! Not only is Dr Zamani a wonderful person, her....

I visited Doctor Zamani with very droopy upper eyelids and I had been thinking about surgery for sometime. I was given Doctor Zamani’s name by a friend who is in...

I was so delighted with the entire experience at The Clinic. I did a lot of research but found Dr. Zamani’s experience and confidence reassuring. I had an upper blepharoplasty and I am delighted with the results . Read more...

Combined Blepharoplasty

Book Consultation

As a leading Oculoplastic Surgeon with special interest in Facial Aesthetics, Dr. Maryam Zamani has garnered a global reputation - both in the US and UK - for her meticulous attention to detail and sought-after techniques for eyes and facial aesthetics.

ADDITIONAL INFORMATION

Why Choose combined Blepharoplasty?

WHAT TO EXPECT from combined Blepharoplasty in London:

key details at a glance

Recovery and Aftercare:

Results and Longevity:

Benefits of Combined Blepharoplasty:

Surgical Process:

Our signature Treatments

Recommended by

Testimonials