Treatments / Face / Lower eyelid surgery
Lower Eyelid Surgery (Blepharoplasty) in Kent, Surrey, Sussex and London
Smoother, more rested under-eyes
Lower eyelid surgery (blepharoplasty) with Mr Siva Kumar treats bags and loose skin under the eyes, for a fresher look that still feels like you.
At a glance
What is lower eyelid surgery?
Treating eye bags at the source
Bags under the eyes are usually caused by fat bulging forward as the supporting tissues weaken, together with loose, crinkled skin. They can make you look tired however much you sleep.
Lower blepharoplasty removes or repositions this fat and tightens the skin. The incision is placed just beneath the lashes, or sometimes inside the eyelid, so the scar is hidden in the natural lines of the eye.
It is a more delicate operation than upper eyelid surgery and is usually performed under general anaesthetic.
Lower eyelid surgery can help with
- Puffy bags under the eyes
- Loose or crinkled lower eyelid skin
- A tired look that does not improve with rest
- A hollow or shadowed groove under the eye
What it won’t do
- Remove dark pigment under the eyes
- Remove crow’s feet completely
- Treat hooded upper eyelids (upper eyelid surgery)
Options
The right approach for your eyes
Skin and fat removal
An incision under the lashes allows excess fat to be removed and loose skin to be tightened.
- Best for: bags with excess, crinkled skin
Fat repositioning
Rather than removing it, the fat is moved to fill the hollow groove beneath the bag, for a smoother transition to the cheek.
- Best for: bags with a hollow groove below
Transconjunctival approach
Fat is treated through the inside of the eyelid, leaving no visible scar on the skin.
- Best for: bags with good skin quality
Watch & read
Everything you need to know, in one place
Patient guide
Lower eyelid surgery: your patient guide
A detailed booklet written by Mr Kumar. It explains the procedure in depth, how to prepare, every risk and complication, and how to look after yourself afterwards.
Opens as a booklet you can flick through. Your copy is also given to you at consultation.
Your journey
Your step-by-step journey
Your journey starts the moment you get in touch. From your first enquiry to your final check-up, you deal with the same small team, and you will always feel listened to, informed and never rushed.
Get in touch
Call, email or send an enquiry. Our team replies promptly and personally, and finds a time and clinic that suit you.
There is no pressure and no sales script. Tell us a little about what prompted you to get in touch, and we will make sure your consultation is with the right person for you.
Consultation
An unhurried, face-to-face appointment with Mr Kumar himself, who will be your surgeon from start to finish.
He listens to what you would like to change, examines you, explains every option, including non-surgical ones and doing nothing, and gives you an honest view of the likely result.
Time to decide
You receive a written plan, a clear quote and your patient guide, then take as long as you need.
A second consultation is included before surgery, and there is a cooling-off period of at least two weeks. Bring someone with you, ask anything, and change your mind at any point.
Day of treatment
The operation takes one and a half to two hours under general anaesthetic. Some people go home the same day; others stay one night.
He will see you beforehand to go through the plan and answer last-minute questions, and you will have clear instructions and a number to call once you go home.
Aftercare and follow-up
Reviews at each stage of your recovery, with support 24 hours a day whenever you need it.
Follow-up appointments are included in your package price, and continue until you have healed and are happy with how things have settled. Any stitches are removed within a week.
Recovery
Healing, step by step
Everyone heals at their own pace. This is a typical recovery, and Mr Kumar will give you a personal plan.
Swelling and bruising are most noticeable. Use cold compresses and keep your head raised.
Stitches are removed if needed. Avoid contact lenses.
Most bruising has faded and most people return to work.
Return to exercise. Swelling continues to settle.
Final result, with fine, well-hidden scars.
Patient results
Before & after
Photographs are shared only with each patient’s written consent. Everyone is different, so individual results vary.
More patient results coming soon
In the meantime, Mr Kumar can show you results for patients with similar concerns during your consultation.
Patient reviews
In their own words
194 verified reviews on Doctify
90 verified reviews on Top Doctors
90 reviews on Top Doctors
From the initial consultation, Dr Kumar could not have been any more reassuring and informative. He gave me every confidence that he was the very best choice of surgeon for my proceedure. I am extremley pleased with the results and would absolutely recommend!
Mr Siva Kumar won my trust from the very first consultation. In each and every meeting I had prior to surgery and post surgery he has talked me through exactly what would be happening both clearly and concisely. There were no questions in my mind and no hesitation in proceeding with my surgery. …
Mr Kumar explained the procedure fully and what I could expect the outcome would be -,he also suggested I went away and thought about what we had discussed so I could be sure I still wanted to go ahead -he put me at ease during the operation even making a little joke -I would not hesitate recommending him
Safety
Risks and staying safe
All surgery carries some risk. Mr Kumar will go through these with you in detail, and the patient guide covers them in full, so you can make an informed decision.
Possible risks
- Bruising and swelling
- Dry, gritty or watery eyes for a while
- Pulling down of the lower lid (ectropion)
- Asymmetry or contour irregularities
- Infection or bleeding
- Very rarely, problems with vision
Lowering your risk
- Tell us about all medicines and supplements, especially blood thinners
- Stop smoking and vaping well before and after surgery
- Follow your aftercare plan and attend every follow-up
- Call us at any time if something does not feel right
Fees
Guide price from£4,200
Self-pay consultations £250.
One package price. No hidden surprises.
If you go ahead, you receive a single package price covering your whole journey, so you know exactly what you are paying before you commit. It usually includes:
- Your surgeon’s fee
- Anaesthetist’s fee
- Hospital and theatre fees
- Follow-up consultations
- Aftercare, with 24/7 support
- A clear written quote
FAQs
Your questions, answered
Is lower eyelid surgery more complex than upper?
Yes. The lower lid supports the eye, so the surgery needs careful technique to avoid pulling the lid down. That is why it is usually done under general anaesthetic.
Will there be a visible scar?
The scar sits just under the lashes and is usually very difficult to see once healed. With the inside approach there is no skin scar at all.
When can I wear contact lenses?
Usually after about two weeks, once swelling has settled.
How long do the results last?
Removing or repositioning the fat gives a long-lasting result. The skin will still age naturally.
Lower eyelid surgery: what is the guide price?
The guide price starts from £4,200. Your final fee depends on your treatment plan and choice of hospital, and is confirmed in a written quote after consultation. Self-pay consultations cost £250.
Is it covered by insurance?
Cosmetic treatment is not usually covered by health insurance. Where there is a medical reason, it may be. Insurers will need Mr Kumar’s full name, Siva Kumar Veeramani, and GMC number 6114710.
Ask the expert
Questions answered
Longer answers from Mr Kumar to questions patients often ask about this treatment.
Locations
Where to have your lower eyelid surgery in Kent, Surrey and Sussex
Your consultation and follow-up appointments with Mr Siva Kumar are at The Ü Clinic in Sevenoaks, Kent, or The Ü Clinic in Oxted, Surrey. Your surgery takes place at one of his partner hospitals: The McIndoe Centre in East Grinstead, West Sussex, KIMS Hospital in Maidstone, or North Downs Hospital in Caterham.
Both clinics are within easy reach of Tunbridge Wells, Tonbridge, West Malling, Westerham, Swanley, Dartford, Gravesend, Orpington, Bromley, Redhill, Reigate, Caterham, Coulsdon, Purley and Croydon. KIMS Hospital in Maidstone is close to Rochester, Chatham, Gillingham, Aylesford and Ashford, and The McIndoe Centre in East Grinstead is close to Crawley, Horley, Haywards Heath and Edenbridge.
Lower eyelid surgery cost: guide prices start from £4,200. Your fee is confirmed in a written quote after your consultation. Read the full lower eyelid surgery cost guide.
Thinking about lower eyelid surgery?
Start with an unhurried consultation with Mr Siva Kumar at The Ü Clinic in Sevenoaks or Oxted. Self-pay consultations cost £250.