Lower Eyelid Blepharoplasty in London

Lower eyelid blepharoplasty, often referred to as under-eye surgery or eye bag removal surgery, is the most effective treatment for puffy, sagging, or tired-looking under-eyes. This gold standard procedure removes or repositions excess skin and fat in the lower lids, restoring a smoother, fresher, and more youthful appearance.

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Performed by Dr Maryam Zamani, an experienced eyelid lift surgeon in London, the procedure is tailored to each patient’s needs to ensure natural, long-lasting results.

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Aesthetic outcomes can be enhanced when combined with other treatments such as Upper Eyelid Blepharoplasty, CO2 laser, Morpheus 8 or chemical peels. Intense sun exposure should be avoided one month following treatment.

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 reducing inflammation in the Meibomian Glands of the eyelids; Meibomian Gland Dysfunction causes approximately 50% of dry eyes.  BBL, a form of IPL, helps to improve tear quality and improve patient reported symptoms.

Patients with ocular rosacea have dilated blood vessels known as telangiectasia along the eyelid margin, which contributes to increased eyelid inflammation and can cause meibomian gland dysfunction.  BBL causes photocoagulation of these abnormal blood vessels, helps open the meibomian gland, and liquifies the oil within the gland.

WHAT TO EXPECT:
Treatment requires protective contact lens placement.  There may be mild swelling, redness or crusting of the area for 5-7 days after treatment.   Most patients notice an improvement within days of having the first treatment.  3-4 treatments are recommended at 2-3 week intervals with subsequent yearly touch ups.

WHAT ARE THE BENEFITS:
BBL is an excellent treatment for dry eyes syndrome and functions to decrease inflammation of the meibomian glands and improve eye comfort.

Pain: Mild

Social Downtime: 1-2 weeks

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

Recommended Course: 3-4 treatments, 2-3 weeks apart with top ups annually

Treats: Rosacea, Photodamage, Age spots, Broken veins & Capillaries, Sun damage, Facial Telangiectasia, Blepharitis, Dry Eyes Syndrome

Treats: Ageing eyes, under eye puffiness and excess skin

LOWER EYELID BLEPHAROPLASTY FROM £9,100

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ADDITIONAL INFORMATION

UPPER AND LOWER TRANSCONJUNCTIVAL BLEPHAROPLASTY

BEFORE

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AFTER

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LOWER EYELID BLEPHAROPLASTY

BEFORE

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Why Choose Lower Eyelid Blepharoplasty?

  • Corrects puffiness, sagging skin, and under-eye bags
  • Smooths and rejuvenates the lower eyelid contour
  • Delivers natural results without changing the shape of the eye
  • Can restore confidence and improve overall facial harmony
  • Offers long-lasting results, typically 7–15 years

For patients seeking eye bag removal in London, this procedure remains the most reliable and effective option.

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WHAT TO EXPECT during a lower blepharoplasty surgery:

During lower blepharoplasty in London, incisions are tailored to your needs. When only fat is removed or repositioned, the incision can be placed inside the eyelid (transconjunctival blepharoplasty), leaving no visible scar. If skin laxity is present, a fine incision may be made just below the lash line to remove a small amount of skin without altering the natural eyelid shape. In some cases, canthal suspension (canthopexy) is performed to support the eyelid and maintain its position.

The surgery typically takes between one and two and a half hours, and swelling or bruising usually settles within one to two weeks, with final results visible over the following weeks.

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Key details at a glance:

  • Surgery time: 1–2.5 hours
  • Anaesthesia: Local anaesthetic with sedation
  • Incision placement: Inside eyelid (scarless) or below lash line (discreet scar)
  • Downtime: 1–2 weeks for swelling and bruising
  • Results: Long-lasting (7–15 years) with natural ageing continuing

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After surgery, blurred vision may occur due to antibiotic ointment, and artificial tears are prescribed to prevent dryness. Cold compresses and head elevation reduce swelling in the first 48 hours. Most patients resume normal activities within a day or two, though strenuous exercise should be avoided for two weeks. Sutures are usually removed at one week, and makeup can be worn again after this point.

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WHAT ARE THE BENEFITS OF LOWER EYELID BLEPHAROPLASTY in London:

Lower blepharoplasty restores balance and harmony to the under-eye area by removing or repositioning excess skin and fat. This smooths and defines the lower eyelids, reducing puffiness and sagging for a refreshed, youthful look. Patients often find that the procedure not only improves appearance but also boosts overall confidence.

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Results are long-lasting, typically between seven and fifteen years, and can be further enhanced with treatments such as chemical peels or laser resurfacing to refine skin texture and reduce crepiness.

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Key benefits at a glance:

  • Reduces or removes under-eye bags and puffiness
  • Smooths and tightens sagging under-eye skin
  • Defines the lower eyelid contour for a youthful appearance
  • Creates a natural, refreshed look without changing eye shape
  • Long-lasting results (7–15 years)
  • Can be combined with laser or peel treatments for enhanced skin quality

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For patients considering under-eye surgery in London, this procedure remains the most effective and reliable way to achieve natural, rejuvenated results with minimal visible scarring.

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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.

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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.

LOWER EYELID BLEPHAROPLASTY

BEFORE

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AFTER

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LOWER EYELID BLEPHAROPLASTY

BEFORE

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AFTER

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LOWER EYELID BLEPHAROPLASTY

BEFORE

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AFTER

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LOWER EYELID BLEPHAROPLASTY

BEFORE

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AFTER

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LOWER EYELID BLEPHAROPLASTY

BEFORE

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AFTER

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LOWER EYELID BLEPHAROPLASTY

BEFORE

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AFTER

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

Initial consultation £300

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Follow up consultation £250

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SURGERY

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UPPER EYELID BLEPHAROPLASTY
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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

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LOWER EYELID BLEPHAROPLASTY
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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

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EYELID PTOSIS REPAIR
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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

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BROW PTOSIS REPAIR
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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

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INTERNAL BROW PEXY
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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

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SKIN TREATMENTS

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AQUAGOLD® FINE TOUCH
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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

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DERMAMELAN DEPIGMENTATION PEEL
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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

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EXOSOME TREATMENT
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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 ...

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FIRE & ICE X HYDRAFACIAL
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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 ..

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HYDRAFACIAL MD®
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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

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IS CLINICAL FOAMING ENZYME
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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...

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MESOTHERAPY
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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...

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MICRONEEDLING
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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 ...

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PRP: PLATELET RICH PLASMA
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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...

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SKIN RENEWAL PEEL
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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

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TRANEXAMIC ACID (TXA) FOR MELASMA
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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 ...

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VI PEEL PRECISION PLUS
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VI PEEL PRECISION PLUS is a highly effective medical peel formulated to reduce pigmentation from sun damage, melasma and post inflammatory hyperpigmentation while ...

PRICE £900

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THREAD LIFT

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

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BODY

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BODY BLITZ
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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, ...

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

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EMSCULPT NEO
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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 ...

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

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MEDICAL

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BBL EYE THERAPY
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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

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CRYOTHERAPY
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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...

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

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

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PHOTODYNAMIC THERAPY
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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 ...

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SCAR MANAGEMENT
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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 ...

FROM £200

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

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INJECTABLES

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BOTULINUM TOXIN/ NEUROTOXIN
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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...

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HYALURONIC ACID FILLERS
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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

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FILLER COMPLICATION CLINIC: REVERSAL OF FILLERS
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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

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LIGHT EYES ULTRA MESOTHERAPY
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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

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Polynucleotides
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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

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RADIESSE
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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

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STRUCTURAL REVITALISATION
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As we age, the face loses volume, fat pockets descend downward and bony changes occur.  Together these changes mean overlying skin can droop and sag without the structure ...

PRICE £4500

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Facial Feminization
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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

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PROFILE BALANCING
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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

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SKIN BOOSTERS: PROFHILO, REVIVE, Skinvive
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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

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SCULPTRA
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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

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BELKYRA™
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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

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PROFHILO® STRUCTURA
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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

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LASER & LIGHT TREATMENTS

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AVICLEAR
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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

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ACNE CLEAR BBL®
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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

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BBL™
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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

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BBL HEROIC
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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

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CO2 LASER
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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

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CONTOUR TRL
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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

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FORMA RADIOFREQUENCY
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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

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HALO™ LASER
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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

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LASER GENESIS/CLEARSILK™
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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

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LED LIGHT THERAPY
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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

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MORPHEUS8
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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

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MOXI™
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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

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NDYAG/CLEARV LASER™
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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

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PLEXR
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Plexr is a non-surgical treatment alternative to help treat skin lesions andtighten the skin.  The treatment is performed with dots created by the Plexr device to sublimate ...

FROM £1000

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PLPROFRACTIONAL LASEREXR
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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

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ULTHERAPY
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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

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COMBINATION TREATMENTS

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BODY GLOW
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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

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COMPLEXION BALANCE
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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

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CHEST REHAB
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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

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EYE BRIGHT
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Eye Bright uses a synergy of treatments, including dermal fillers and mesotherapy to freshen and brighten the delicate skin around the eyes...

FROM £1350

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EYE BRIGHT
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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

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EYE TIGHT
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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

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FILTER FREE SKIN
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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

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GLOW BOOST
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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

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TRI-BROW LIFT
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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

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Testimonials

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

JT

Five brown stars representing a 5-star rating.

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

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EC

Five brown stars representing a 5-star rating.

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...

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JB

Five brown stars representing a 5-star rating.

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...

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MCL

Five brown stars representing a 5-star rating.

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...

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SS

Five brown stars representing a 5-star rating.

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....

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NC

Five brown stars representing a 5-star rating.

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...

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Lower Eyelid Blepharoplasty FAQs

We’ve collated the most commonly asked questions by our patients to give you further insight into your Lower Eyelid Blepharoplasty procedure. If you’d like to find out more, please get in touch with the clinic by phone or submit an enquiry.

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What concerns does lower blepharoplasty treat?

Lower blepharoplasty is designed to address under-eye bags, puffiness, shadowing, loose skin and lower eyelid laxity. These changes are often caused by forward protrusion of orbital fat, thinning skin, or loss of mid-face support.

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For patients troubled by persistent dark circles, hollowing or a tired appearance, lower eyelid surgery can restore a smoother under-eye contour and brighten the area significantly.

At what age do patients consider lower blepharoplasty?

The most common causes include:
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• Orbital fat prolapse - fat pockets push forward, creating visible “bags.”
• Thinning of the orbital septum - the membrane weakens with age, allowing fat to bulge.
• Volume loss in the mid-face - shadows form where the cheek meets the eyelid.
• Skin laxity and fine wrinkling - leading to creasing or crêpiness.
• Pigmentation - which can deepen the appearance of dark circles.
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Lower blepharoplasty addresses the structural causes by repositioning or removing fat and refining skin and muscle, resulting in a smoother, more rested appearance.

How long does it take to see natural results after lower blepharoplasty?

Most of the initial swelling and bruising settle within 2 to 4 weeks, although the delicate skin of the lower eyelid can take several months to fully refine.

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Final results — including improved smoothness, reduced shadowing, and a more even contour — are typically visible by 3 to 6 months.

How is lower blepharoplasty performed?

There are two main approaches:

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Transconjunctival lower blepharoplasty

• Performed from inside the eyelid
• Leaves no external scar
• Ideal for patients with under-eye bags but little to no excess skin
• Fat is repositioned or refined to smooth the contour

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Transcutaneous lower blepharoplasty

• Incision just below the lash line
• Suitable when fat prolapse, skin laxity and muscle support all need addressing
• Allows for skin removal and muscle tightening when required

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During your consultation, Dr Zamani will advise which approach best suits your anatomy.

How long do lower blepharoplasty results last?

Lower blepharoplasty provides long-lasting improvement, especially for under-eye bags caused by fat prolapse.

While natural ageing continues, most patients enjoy refreshed, lighter lower lids for 10 to 15 years and often do not require further surgery.

How long will I need off work after lower blepharoplasty?

Most patients return to work within 10-14 days, as swelling and bruising tend to be slightly more noticeable in the lower lids.

If your role involves strenuous activity, long screen time, dust exposure or dry environments, you may require additional recovery time.

Is lower blepharoplasty painful?

Pain is usually minimal. You may notice tightness or mild soreness, especially in the first few days, but this is easily managed with simple pain relief. Most patients find the discomfort surprisingly limited.

Does lower eyelid surgery leave scars?

This depends on the approach:

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Transconjunctival technique

• Incision placed inside the eyelid
• No external scar

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Transcutaneous technique

• Fine incision placed just beneath the eyelashes
• Once healed, it becomes a faint, barely visible line

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Dr Zamani uses meticulous, scar-minimising techniques to ensure the most natural outcome.

How should I wash after lower blepharoplasty?

You may gently cleanse around the eyes with a soft, damp cloth, taking care not to disturb the incision line or pull on the lower lid.

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Use mild, unscented products, avoid rubbing, and pat dry rather than wiping.Makeup should be avoided for two weeks.

How can I speed up recovery after lower blepharoplasty?

To support healing:
• Keep your head elevated, including during sleep
• Apply cold compresses for the first 48 hours
• Avoid strenuous activity for at least a week
• Reduce screen time to minimise eye strain
• Stay hydrated and maintain a nutrient-rich diet
• Avoid smoking and alcohol
• Protect the area from UV exposure with sunglasses

 Following all postoperative advice is essential for optimal healing.

Are there risks or complications?

Lower blepharoplasty is safe when performed by a specialist, but all surgery carries some risk. Possible risks include:
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• Bruising or swelling
• Dry eyes or temporary irritation
• Asymmetry in healing
• Persistent dark circles if pigmentation is the underlying cause
• Scarring (rare)
• Ectropion (very rare)
• Vision changes (extremely rare)

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Dr Zamani’s expertise significantly minimises these risks, and detailed aftercare supports a smooth recovery.

Can lower blepharoplasty treat dark circles?

Yes, absolutely. When dark circles are caused by shadowing from hollowing or fat prolapse, lower blepharoplasty can dramatically improve their appearance.

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However, if dark circles are due to pigmentation, vascular visibility, or very thin skin, complementary treatments may be required, such as:

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• Laser resurfacing

• Dermal fillers

• Medical-grade skincare

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During consultation, Dr Zamani will identify the exact cause of your dark circles to create a tailored plan.

Is lower blepharoplasty the only option for under-eye bags?

Not always. For mild concerns, non-surgical options may offer improvement, including:

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• Tear trough fillers
• CO₂ laser resurfacing
• Skin tightening treatments
• Medical-grade skincare

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These can help, but they cannot correct true fat prolapse, the most common cause of under-eye bags. In these cases, lower blepharoplasty provides the most definitive and long-lasting result.

Where can I receive lower blepharoplasty in London?

Dr Maryam Zamani performs lower blepharoplasty at The Clinic, 110-112 King’s Road, London SW3 4TX, a state-of-the-art aesthetic and surgical environment specialising in eyelid and periocular procedures.

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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.

*We will try to accommodate the times on our follow up.

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Find The Clinic by Dr Maryam Zamani in the heart of Chelsea

Located on the Kings Road, our clinic is easy to reach from Chelsea, Kensington, Belgravia, Knightsbridge, South Kensington, Fulham and Battersea. We are positioned just moments from Sloane Square with excellent transport links across Central and South West London.

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