Restoring a refreshed, natural, and balanced appearance
Eyelid Surgery (Blepharoplasty) in London
Eyelid surgery, or blepharoplasty, is a precise procedure that rejuvenates the eyes by removing or tightening excess skin and fat around the upper and lower eyelids. For many patients, it’s not simply about looking younger, it’s about looking well-rested, alert, and in harmony with how they feel inside.
At her London practice, Dr Nicki Bystrzonowski performs eyelid surgery with a focus on subtle, natural results. Her approach enhances the eyes’ appearance without changing their character, ensuring patients look refreshed rather than “operated on.”
Over time, the delicate skin around the eyes can lose elasticity, creating puffiness, hooding, or under-eye bags. Through careful surgical planning, Dr Nicki helps restore smoother contours and definition around the eyes, improving both appearance and, in some cases, vision affected by drooping lids.
What Is Eyelid Surgery (Blepharoplasty)?
Blepharoplasty is a surgical procedure that removes or repositions excess skin and fat from the upper or lower eyelids to create a more youthful, open, and rested appearance.
Upper eyelid surgery targets loose, sagging skin that can hang over the natural crease, while lower eyelid surgery focuses on reducing puffiness and tightening under-eye skin. The procedures can be performed separately or together, depending on each patient’s needs.
Dr Nicki takes great care to maintain the natural shape and symmetry of the eyes, using fine incisions hidden in existing creases to achieve smooth, scar-minimised results. The outcome is subtle rejuvenation, eyes that look refreshed, not altered.
Key Information
| Detail | Summary |
|---|---|
| Procedure Time | 1–2 hours |
| Anaesthetic | Local anaesthetic with sedation or general anaesthetic |
| Hospital Stay | Day case (home same day) |
| Recovery Time | Light activity after 3–5 days; full recovery in 2–3 weeks |
| Scarring | Minimal; hidden within natural eyelid creases |
| Results Visible | Noticeable once swelling subsides (2–4 weeks) |
| Longevity | Long-lasting; ageing continues naturally |
| Follow-Up | Review appointments with Dr Nicki to monitor healing |
How Eyelid Surgery Works
Consultation and Planning
A detailed consultation with Dr Nicki Bystrzonowski allows for a thorough assessment of eyelid anatomy, skin quality, and muscle tone. She listens carefully to your concerns, whether aesthetic or functional, and creates a personalised plan for upper, lower, or combined blepharoplasty.
Anaesthetic and Preparation
Eyelid surgery can be performed under local anaesthetic with sedation or general anaesthetic, depending on the complexity and patient preference. The incision lines are precisely marked along natural creases to keep scarring discreet.
The Procedure
For upper eyelid surgery, excess skin and a small amount of fat are removed to restore a smooth, defined contour. For lower eyelid surgery, small incisions are made just below the lash line or inside the eyelid (transconjunctival approach) to remove or reposition fat deposits and tighten the skin.
Refinement and Closure
The tissue is delicately refined, and the incisions are closed with fine sutures. Dr Nicki’s careful technique ensures that the natural eyelid fold and shape remain intact, avoiding a “pulled” or artificial appearance.
Recovery and Healing
Most patients experience mild swelling and bruising during the first week, which gradually resolves. Cold compresses and specific aftercare instructions help speed recovery. Most people return to normal activities within 7–10 days, with results continuing to refine over several weeks.
Long-Term Results
Once healed, the eyes appear more open, rested, and youthful. Scars fade into natural creases, becoming virtually invisible. Results are long-lasting and age gracefully with the rest of the face.