oculoplastic Services

Blepharoplasty

Blepharoplasty (Eyelid Surgery), involves the removal of excess skin and fat from the eyelids to improve appearance, reduce under-eye bags and create a more youthful look.

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Blepharoplasty

At a Glance

Procedure TypeUpper, Lower, or Both Lids
AnaesthesiaLocal, Sedation, or General
Duration45 mins – 2 hours
Surgical SettingCadogan Clinic, Chelsea
Incision PlacementNatural skin crease (upper), below lash line or transconjunctival (lower)
Suitable CombinationsDermal fillers, anti-wrinkle injections, brow lift

All information is indicative and subject to individual clinical assessment by Dr Elizabeth Hawkes. For more detail, see our frequently asked questions.

Blepharoplasty (Eyelid Surgery) is a surgical procedure performed to improve the cosmetic appearance of the eyelids.

It is also known as eyelid reduction or eyelid surgery. Blepharoplasty improves hooded or drooping eyelids or eye bags by removing excess fat or skin. The aim is to reduce the signs of ageing around the eyes and create a more youthful, refreshed appearance.

Blepharoplasty is one of the most common functional and cosmetic procedures performed in facial plastic surgery. The recovery time is short, and the procedure is low risk. An eyelid lift can be performed on the upper, lower, or both eyelids.

Why should I choose Miss Hawkes for blepharoplasty?

Miss Elizabeth Hawkes is a consultant ophthalmic surgeon, oculoplastic surgeon and experienced cosmetic doctor. Natural enhancement of the face and eye is paramount to Miss Hawkes. She boasts an extensive knowledge of the delicate eye area, forehead and face. Miss Hawkes provides treatments in a safe, medical environment at the award-winning private London clinic, the Cadogan Clinic.

Visit her YouTube channel to see Miss Elizabeth Hawkes perform Upper Eyelid Blepharoplasty Surgery.

Oculoplastic Specialist

An Expert in All Types of Blepharoplasty.

As a consultant oculoplastic surgeon, Dr Hawkes FRCOphth MBBS BSc specialises in all blepharoplasty procedures.

Upper and lower blepharoplasty performed by Dr Elizabeth Hawkes FRCOphth MBBS BSc

Upper + Lower blepharoplasty performed by Dr Elizabeth Hawkes FRCOphth MBBS BSc

Concerns treated with Blepharoplasty by Dr Elizabeth Hawkes

Concerns TreatedWhich Concerns Can be Addressed?

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    Droopy eyelids:Lifts and tightens the upper eyelids, restoring a more youthful, alert appearance.

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    Eye bags:Removes or repositions excess fat under the eyes to reduce puffiness and create a smoother contour.

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    Excess eyelid skin:Removes surplus skin on the eyelids to improve appearance and comfort.

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    Excess skin around the eyes:Reduces loose skin surrounding the eyes for a more refreshed and open look.

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    Visual impairment due to excess skin:Lifts sagging upper eyelid skin that may obstruct vision, improving the field of sight.

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    Hooded eyes:Removes excess upper eyelid skin to reduce the hooded effect, giving a more defined crease and brighter look.

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Trusted
Practitioner

Highly experienced and serving in multiple advisory roles, Dr Hawkes stays at the forefront of industry standards and care.

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Award-
Winning

Award-winning and Tatler-recommended, Dr Hawkes is honoured to be commended for her achievements.

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Bespoke
Treatment

Using extensive facial and ocular expertise, Dr Hawkes tailors each treatment to the individual needs and natural features.

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Advanced
Techniques

State-of-the-art technologies and meticulous care underscore Dr Hawkes’ dedication to continuous innovation, learning and excellent results.

Treatment areasWhich Areas Can be Treated?

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    Upper eyelids:Removes excess or drooping skin and fat, resulting in a more youthful appearance and enhanced vision.

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    Lower eyelids:Improves the appearance of dark circles, hollow under-eye regions, and eye bags. This may include repositioning existing fat to create a more youthful look under the eyes.

Blepharoplasty treatment areas by Dr Elizabeth Hawkes

Dr Hawkes' Results

Before & Afters

After — patient result by Dr Elizabeth Hawkes

After

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Before — patient result by Dr Elizabeth Hawkes

Before

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After — patient result by Dr Elizabeth Hawkes

After

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Before — patient result by Dr Elizabeth Hawkes

Before

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Suitability

Who is Suitable for Eyelid Surgery?

Blepharoplasty is suitable for both men and women. It's usually patients over the age of 40 who notice signs of excess skin or prominent lower eye bags. However, some patients in their 20s or 30s have a genetic predisposition for excess skin or lower eyelid bags and can benefit from eyelid surgery.

Close up of woman's eye area

Suitable candidates for blepharoplasty include:

  • Individuals who are bothered by signs of ageing in the eye area
  • Individuals who have excessive drooping, eyelid puffiness, wrinkled skin of the eyelid, dark circles, or a tired appearance of the eyes
  • Individuals who have realistic expectations about the outcome of surgery

While these signs may indicate suitability, Miss Hawkes will determine your individual suitability for a blepharoplasty during your pre-operative consultation.

Why choose Dr Hawkes?

Bespoke Care,
Natural Results.

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    Bespoke Treatment: Dr. Hawkes meticulously formulates a personalised treatment plan specifically tailored to your individual needs, medical background, and aspirations.

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    Excellence in Treatment:With over 20 years of medical and surgical training, Dr Hawkes offers expertise in eye surgery, eye care and aesthetic treatments.

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    Top-tier Facility: Dr Hawkes is the lead Oculoplastic Surgeon at the internationally renowned Cadogan Clinic in Chelsea, London, where your safety and comfort are paramount.

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Rated 4.99/5

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Dr Hawkes seated on a modern black chair, dressed in an elegant white suit with a ruffled blouse, on a wooden floor against a plain beige background.

TESTIMONIALS

Happy Patients

I was struck by Dr Hawkes attention to detail. The sutures were so exquisite that after 5 months a fellow plastic surgeon from across the desk could not see I had any work done. One thing to note is the limit of surgery on the day, I was the only one that day to be operated on as Dr Hawkes will only operate on a maximum number of 'eyes'.... It so happened that the surgeon in the next theatre did seven patients (yes seven!). I was also reassured that given the post procedure settlement (upper and lower) Dr Hawkes asked to see me after 6 months.... Needless to say after six months I could not be happier with the result on both eyes, age appropriate (as asked for) with exquisite detail and in the words of my granddaughter 'they are beautiful'.... I will leave you with an amusing anecdote....on the morning of the operation I asked for Dr Hawkes to hold her arm out just for fun and you know what it did not flinch.... steady as a rock.... a great result from a lovely lady... thanks again Elizabeth...

December 09, 2025

I'm around 6 months out from having had upper and lower blepharoplasty surgery with Ms Hawkes. The results are very natural and it's not obvious that I've had surgery at all, rather, I look refreshed and less tired. Being Chinese-English, I was worried I might not look like "me". However, Ms Hawkes put me at ease and delivered amazing results whilst preserving my natural eye shape.

November 11, 2025

From my first consultation to being signed off 6 weeks after surgery Dr Hawkes and her team have been excellent.

July 08, 2025

Patient Safety Guide

Patient safety is Dr Hawkes’ top priority. She upholds the highest safety standards at every stage to ensure the best possible care.

Pre-Treatment:

  • Consultation: Dr Hawkes begins with a thorough consultation to assess your medical history, expectations, and concerns.
  • Health Assessment: A health evaluation is conducted to ensure you are a suitable candidate for blepharoplasty.

During Treatment

  • Qualified Surgeon: Your procedure is performed by Dr Hawkes, a certified and experienced surgeon specialising in blepharoplasty.
  • Hygiene & Sterilisation: Dr Hawkes ensures a sterile environment and uses meticulous procedures to reduce any risk of infection.
  • Technique: Advanced surgical techniques are employed to achieve optimal results while minimising trauma to delicate eye tissues.

Post-Treatment

  • Post-Procedure Care Instructions: Post-procedure guidelines are provided to ensure optimal healing and minimise potential complications.
  • Emergency Protocols: Emergency protocols are in place to manage severe allergic reactions or complications.
Dr Elizabeth Hawkes
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BOPSS, Member · The Royal College of Ophthalmologists, Fellow · ESOPRS, Member

Frequently Asked Questions

Dr Hawkes is available to address your inquiries. Should you have questions, we kindly invite you to reach out.

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At what age should I consider blepharoplasty?

Eyelid surgery is usually performed on people over 40 when the signs of ageing have manifested. However, many people in their 30s opt for blepharoplasty with valid reasons, such as pronounced bags under the eyes or excess upper eyelid skin.

Can fine lines and wrinkles be treated with a blepharoplasty?

The skin around the eyes is very delicate and can show signs of ageing easily. Many patients want to know if eyelid surgery can help them get rid of wrinkles around their eyes.

The skin under the eyes appears smoother and firmer after blepharoplasty because excess tissue is removed and muscles are tightened. The procedure removes wrinkles caused by sagging skin or under-eye bags, but it does not treat other common eye wrinkles.

Blepharoplasty (Eyelid Surgery) can be performed alone to treat eye wrinkles, but Miss Hawkes can also combine it with other procedures. Depending on the type and intensity of the eye wrinkles to be treated, Miss Hawkes may recommend one of the following treatments:

  • Anti-wrinkle injections
  • Dermal fillers
  • Eyebrow or forehead lift

Can I combine blepharoplasty with dermal fillers?

Besides blepharoplasty, Miss Hawkes will sometimes offer non-surgical cosmetic solutions such as tear trough fillers, temple fillers and mid-face enhancements, as the lower eyelids are part of the mid-face.

Does Miss Hawkes perform revision surgery?

Yes, Miss Hawkes is frequently consulted for second or even third opinions after surgery has been performed elsewhere. Revision blepharoplasty surgery is complex and is best managed by a dedicated oculoplastic surgeon.

How do the eyes age?

Ageing around the eyes can be caused by a number of factors. First, the skin sags as a result of the loss of elastin (an essential protein for skin elasticity). This results in dermatochalasis, or excess skin. Second, the underlying major eyelid muscle (orbicularis oculi), which encircles the eye, becomes weak and bulky, which also contributes to eyelid heaviness.

Another sign of ageing is the presence of eye bags. This is due to the forward prolapse of orbital fat, which cannot be held back by the weakening orbital septum over time. In severe cases, excess overhanging skin can obscure a patient’s field of vision.

Eyelid surgery is performed to improve the eyelids by remodelling their structure. This can involve complex combinations of skin removal, muscle tightening, and fat repositioning or removal. Because each eyelid is unique, Miss Hawkes tailors each individual’s surgical plan and procedure.

How is blepharoplasty performed?

The way the surgery is performed varies, but all forms of blepharoplasty require a surgeon experienced in oculoplastics. The operation takes 45 mins-2 hours (depending on the number of eyelids requiring surgery) and can be performed under local anaesthetic, general anaesthetic, or sedation.

How long do blepharoplasty results last?

Blepharoplasty is a long-term procedure that produces excellent, natural-looking results. It can give you a younger appearance by improving the cosmetic appearance of your eyelids. The full effect, however, does not last forever. The natural ageing process will continue.

While results vary from patient to patient, most people are happy with their blepharoplasty results for 10-15 years.

Most patients don’t have a second procedure because they’re content with the first one.

How long do I have to stay in the hospital?

Eyelid surgery is performed in a day case setting with no overnight stay; therefore, you will be discharged after a short time in recovery and an observation period.

How long does eyelid surgery take?

The procedure takes between 45 minutes and 2 hours, depending on the complexity and number of eyelids requiring surgery. Miss Hawkes performs blepharoplasty in a dedicated day case surgical centre.

How long will I be off work?

Typically, upper blepharoplasty patients can return to work after 7-10 days.

For lower blepharoplasty, the recovery time is longer, at 10-14 days. You should take 2 weeks off work as the lower eyelids recover more slowly due to prolonged swelling.

However, all patients are different, with some returning to work earlier, and others needing more time off for their recovery.

How much does blepharoplasty cost?

The cost of upper and lower eyelid blepharoplasty varies. For most patients, typical prices with Miss Elizabeth Hawkes are:

  • Upper blepharoplasty from £8,350
  • ⁠Lower blepharoplasty from £9,350
  • ⁠Upper + lower blepharoplasty from £14,950

How should I prepare for blepharoplasty treatment?

Miss Hawkes will provide all pre-operative advice during your consultation.

1. Stop smoking. Smoking reduces the blood supply to the skin and can slow healing. Stopping smoking will help the healing phase.

2. Miss Hawkes discusses your individual requirements for medications, including sometimes liaising with your other doctors, to achieve the safest balance between her surgical requirements and your underlying medical conditions. In general, patients are asked to stop taking aspirin, anti-inflammatory drugs, blood thinners, and herbal supplements 2 weeks before the surgery as they may cause excessive bleeding.

3. Plan for after surgery. Plan for support during your recovery and for someone to accompany/drive you home from the hospital. All of your post-operative medication (antibiotic creams and drops), as well as an ice-mask, will be provided after the operation to take home.

How should I travel after the operation?

After the procedure, someone should accompany/drive you home. Don’t drive yourself home.

I am afraid of general anaesthetic. Can I have eyelid surgery performed under local anaesthetic?

Miss Hawkes can operate with local, sedation or general anaesthetic, and the decision is guided by patient choice.

Is blepharoplasty surgery painful?

Blepharoplasty is not considered painful. In the postoperative recovery period, pain is also minimal. Discomfort can be relieved with painkillers or ointments prescribed by Miss Hawkes. However, most patients do not require painkillers after the procedure.

Is eyelid surgery safe?

Blepharoplasty is a safe procedure, but as with all facial cosmetic surgery procedures, there are risks. There is a small risk of infection, scarring, bleeding and bruising. Miss Hawkes performs all blepharoplasty procedures in a safe, clinical environment at the award-winning Cadogan Clinic in London.

What are some genetic reasons for having eyelid surgery?

Excess or ‘saggy’ upper eyelid skin and lower eyelid bags can sometimes run in families. Do not be upset if you have these changes as your 20s and 30s. Miss Hawkes will talk about why the changes might have developed in the consultation and also a solution for you, which may involve surgical or non-surgical techniques.

What happens during the recovery period?

Recovery from blepharoplasty is fast, but please plan for 1-2 weeks off work after surgery. You may experience bruising or swelling, which will usually subside after 14 days. Miss Hawkes will remove your stitches on days 5-8.

Please remember that your vision may be blurry on the first day.

During your recovery:

  • Rest with your head elevated for 7 days - Sleep on your back and avoid sleeping on your side or face. Use several pillows under your head to prevent fluid build-up, which can worsen swelling.
  • Use regular ice compressions for 7 days – This can be an ice pack (provided) or frozen peas wrapped in a clean tea towel.
  • Use the prescribed ointment or eyedrops as directed.
Please avoid:
  • Strenuous exercise, and straining for 4 weeks - Extreme physical activity may delay the healing of bruising and swelling.
  • Smoking - Stop smoking as it irritates the eyes, delays healing, and can cause scars to become more visible.
  • UV light – Wearing sunglasses from day 1 post-surgery can help protect your eyes from the sun and wind and reduce the chance of scar pigmentation.
  • Wearing eye makeup and contact lenses - for 2 weeks.

What type of anaesthetic will I receive during the procedure?

Miss Hawkes can perform eyelid surgery under local anaesthetic, general anaesthetic, or ‘twilight’ sedation.

Miss Hawkes recommends local anaesthesia or twilight sedation for upper eyelid surgery. However, you can opt to have the surgery performed under general anaesthetic.

Miss Hawkes recommends general anaesthetic for lower eyelid surgery.

Miss Hawkes recommends a general anaesthetic for combined surgery of the upper and lower eyelids, due to the length of the procedure.

Note: Twilight sedation is a combination of local anaesthetic and sedation. During twilight sedation, the patient receives anaesthetic medication to numb a specific part of the body and a sedative to allow them to feel sleepy while still being awake and responsive.

Where are the incisions made?

Upper blepharoplasty - The incision for upper blepharoplasty is made along the eyelid natural skin crease.

Lower blepharoplasty - The incision for lower blepharoplasty is either placed just below the lash line (transcutaneous) or inside the lower eyelid (and therefore without an external scar, known as transconjunctival).

Where can I receive treatment for blepharoplasty in London?

The Cadogan Clinic: 120 Sloane St, London SW1X 9BW

Miss Elizabeth Hawkes offers blepharoplasty in London at The Cadogan Clinic, on Sloane Street, London.

Will I be left with noticeable scarring?

Blepharoplasty leaves minimal scarring, and it is uncommon for patients to have a visible scar after the procedure.

Upper blepharoplasty scars are well hidden in the natural eyelid skin crease. Lower blepharoplasty scars are hidden by the eyelashes.

Please follow all of Miss Hawkes’ aftercare instructions to help the scarring process.

Will I need revision surgery?

As with all cosmetic surgical procedures, the ‘perfect’ result may not be achieved in a single procedure. Additional refinements may be required, but this is unlikely.

While results vary from patient to patient, most people are happy with their blepharoplasty results for 10-15 years.

Even though you can expect the effects of eyelid surgery to last for many years, the natural ageing process will continue. As a result, drooping and bulging of the eyelids may reoccur. If drooping and bulging of the eyelids reoccur - this is not because of postoperative complications or failures. A revision blepharoplasty can be considered in this case.

Will I need to wear a bandage after blepharoplasty?

Bandages are not required. Sometimes dressings are applied.

Will the results appear natural?

Blepharoplasty produces long-lasting, natural-looking outcomes. The surgery can bring life-changing results. In modern times, less muscle fat and skin are removed, which contributes to the natural aesthetics of the result. The fat is repositioned rather than removed.

What are the potential risks and complications with a blepharoplasty?

All surgical procedures involve risk, although serious risks are unlikely with blepharoplasty.

  • Common, temporary:
    • Swollen or numb eyelids
    • Bruising and swelling
    • Irritation of the eyes
    • Watering eyes/transient worsening of dry eye symptoms
    • Flare of blepharitis
  • Rare:
    • Blurred or double vision - Temporary
    • Blood pooling under the skin (haematoma)
    • Poor scarring
    • Long term worsening of dry eye symptoms
  • Very rare:
    • Infection
    • Injury to the eye muscles
    • Drooping of the eyelid
    • Ectropion
  • Extremely rare:
    • Visual impairment – Extremely rare, and many people find that their vision improves in the long term

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Last clinical review: 9 April 2026

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