Dr Nick Koutroumanos

Dr Nick Koutroumanos London based Ophthalmic Plastic Surgery Specialist

The eye lift transformation through upper blepharoplasty.1. Prior to surgery2. At the end of procedure (excuse the blur)...
11/07/2024

The eye lift transformation through upper blepharoplasty.

1. Prior to surgery
2. At the end of procedure (excuse the blur),
3. At three weeks.

Though most patients will reach this stage of imperceptible surgery signs within three weeks, we find that subtle improvements continue for some weeks past this stage, as minor swelling subsides and the eyelid skin becomes even smoother.

Watch this space for the final results in a few weeks.
Thank you to our patient for sharing this short journey of hers.

✅ Bilateral upper blepharoplasty and internal brow lift under local anesthesia.

📞 +44 (0)20 4531 6760

📮 info@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the parents’ consent

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
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#ΠλαστικήΧειρουργική

Whatever our age, concerns or condition, a healthy and natural appearance of our eyes has again and again been shown to ...
10/07/2024

Whatever our age, concerns or condition, a healthy and natural appearance of our eyes has again and again been shown to have a strongly positively effect on our quality of life.

We train lots of residents and junior eye surgeons every year and I always make it a personal point to try and explain what is so special about a career in oculoplastics, as it is not always self-evident.

I have never been able to put it as eloquently as the loving mother of this 5-year old patient of mine from several years back.

For this reason, I felt that this was a card worth sharing..

What a remarkable capture of what makes specialising in this work a true privilege.


📞 +44 (0)20 4531 6760

📮 info@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Published with the parents’ consent






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

A tidy example of an upper and lower blepharoplasty, showing the elimination of that outer heaviness patients find so bo...
08/07/2024

A tidy example of an upper and lower blepharoplasty, showing the elimination of that outer heaviness patients find so bothersome.

A scarless lower blepharoplasty seen here at four weeks after surgery showing a smooth and flat lower eyelid.

✅ Bilateral Upper & Lower Blepharoplasty

📞 +44 (0)20 4531 6760

📮 info@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the parents’ consent

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

A great many thanks to Dr Ahn Tae Joo for hosting me in his practice and operating room in Gangnam, Seoul. A real honour...
05/07/2024

A great many thanks to Dr Ahn Tae Joo for hosting me in his practice and operating room in Gangnam, Seoul.

A real honour to have been able to exchange ideas and techniques with perhaps the most sophisticated eyelid surgeon in South Korea.

We cannot wait to welcome you in London.

🔄 Throwback to Dr. Koutroumanos’ time in Seoul, Korea.

📞 +44 (0)20 4531 6760

📮 info@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

Happy outcome eyelid surgery has got to be all about the 𝘚𝘶𝘣𝘵𝘭𝘦 things. Designing each eye’s sculpting independently, so...
28/06/2024

Happy outcome eyelid surgery has got to be all about the 𝘚𝘶𝘣𝘵𝘭𝘦 things.

Designing each eye’s sculpting independently, so as to deliver a good result with as close as possible symmetry (absolute symmetry is not really possible nor really desirable).

This upper blepharoplasty case highlights a few subtle design tweaks:

✅ Different design in the skin, muscle and fat sculpting between R and L eye

✅ Subtle ptosis repair

✅Brow stabilization

✅Left medial fat pad transposition to fill a hollow

Procedure: Bilateral Upper Blepharoplasty - Local anaesthesia.

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the patient’s consent

📣 Individual results vary based on anatomy and expectations

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

Surgical repair of non-severe drooping eyelid (ptosis) cases in young children is occasionally delayed, so that accurate...
20/06/2024

Surgical repair of non-severe drooping eyelid (ptosis) cases in young children is occasionally delayed, so that accurate outcomes can be achieved when the individuals are older.

There is always a great argument for not delaying this treatment any longer than early adulthood.

This patient’s comment clearly demonstrates the benefit that this treatment can bring about.

It is always humbling when patients trust us with such decisions and I am seriously delighted with her result!

“I recently had ptosis repair surgery with Dr Koutroumanos to treat congenital ptosis.
I felt at ease throughout the process and I completely trusted in his knowledge and skillset.
His work was excellent and very detailed and I am extremely happy with the result! I have gained a lot of confidence back and feel like I can finally look people in the eye without being ashamed of my ptosis. I highly recommend Dr Nick Koutroumanos to anyone considering having ptosis repair surgery!”

✅ Congenital ptosis repair with blepharoplasty

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations

📷 Photography published with the patient’s parent consent

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

Oculoplastic surgery can help individuals looking for functional improvement as much as those of us seeking aesthetic ch...
12/06/2024

Oculoplastic surgery can help individuals looking for functional improvement as much as those of us seeking aesthetic changes.

Best practice means that every functional case is also treated as a cosmetic case and every cosmetic case has safety and function as its cornerstone.

We often get asked: “Am I too old for this?”
Provided you are well enough to tolerate a procedure comfortably and both you and your doctor collaboratively agree that an intervention is safe and beneficial, then the answer is “no, you are not!”.

I am grateful to have played a small role in helping our wonderful patient, now in her 9th decade, see and feel a little better. The bigger job was hers; coming forward.

Meticulous, minimally invasive surgery can have an extremely fast recovery and huge quality of life benefit

✅ Anterior approach ptosis repair - Local anesthesia

📞 +44 (0)20 4531 6760

📮 info@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the patient’s consent

📣 Individual results vary based on anatomy and expectations

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

❓Contact us if you have any questions📞 +44 (0)20 4531 6760📩 secretary@koutroumanos.com🌎 www.koutroumanos.com📍60 Grove En...
12/06/2024

❓Contact us if you have any questions

📞 +44 (0)20 4531 6760

📩 secretary@koutroumanos.com

🌎 www.koutroumanos.com

📍60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

We divide the human face in imaginary ‘aesthetic units’ and these consist of parts of the face whose ageing affects one ...
06/06/2024

We divide the human face in imaginary ‘aesthetic units’ and these consist of parts of the face whose ageing affects one another.

This is why the eyebrow is often discussed in an aesthetic eye consultation and why sometimes - like in this example - it requires simultaneous treatment for the most optimal eye rejuvenation.

✅ Blepharoplasty with direct lateral brow lift and ptosis correction - Local anaesthesia

📞 +44 (0)20 4531 6760

📮 info@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the patient’s consent

📣 Individual results vary based on anatomy and expectations

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

And a little update on one of our coolest patients this year who underwent blepharoplasty 8 weeks ago. Swipe right for t...
28/05/2024

And a little update on one of our coolest patients this year who underwent blepharoplasty 8 weeks ago.

Swipe right for the incision lines at day six, just before suture removal and stay tuned for one last update in a few weeks!

A couple of points on the above:

Many patients worry about the suture removal day:

Please expect almost zero discomfort!

Do expect to be monitored extremely closely after surgery until everything has settled as perfectly as possible.

✅ Bilateral upper blepharoplasty

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations

📷 Photography published with the patient’s parent consent

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

Congenital eyelid droop (ptosis) is different to adult-onset ptosis where the eyelid muscle slips due to overuse. In con...
28/05/2024

Congenital eyelid droop (ptosis) is different to adult-onset ptosis where the eyelid muscle slips due to overuse.

In congenital eyelid droop, the levator muscle is poorly developed and instead replaced by rigid strands of fat and scar tissue in the place of normal flexible healthy muscle fibres.

Surgically achieving perfect symmetry along with good eyelid movement and the ability to close the eye safely is therefore much trickier to get right.

This patient of ours, a 24-year old professional athlete, visited us with a history of previous unsuccessful surgery.

I carried out revision left upper congenital ptosis repair by anterior levator resection.

At two months following surgery (bottom image), his eye surface is healthy and one can still appreciate the minimal intentional overcorrection and and fading incision line (both of which will correct within the next few months).

Thank you to him for trusting me with his care and for sharing his recovery journey.

✅ Revision Left Congenital Ptosis Repair

📞 +44 (0)20 4531 6760

📩 secretary@koutroumanos.com

🌎 www.koutroumanos.com

📍60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations

📸 Photography published with the patient’s consent

👨 Actual patients of Dr Koutroumanos






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

In contrast to upper eyelid hooding due to skin excess over the eyelid, Ptosis is a condition when the entire eyelid str...
22/05/2024

In contrast to upper eyelid hooding due to skin excess over the eyelid, Ptosis is a condition when the entire eyelid structure droops due to damage of the muscular structure which keeps our eyes open.

Ptosis can present without any skin excess (like in our patient here who did not require blepharoplasty) or along with skin hooding.

Assessment of the size of the eyes and ptosis should always be carried out as part of your blepharoplasty consultation because missing a ptosis will result in an unsatisfactory blepharoplasty outcome.

✅ Anterior approach ptosis repair by levator aponereurosis advancement - Local anesthesia

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the patient’s consent

📣 Individual results vary based on anatomy and expectations

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

The majority of our male patients express one main surgical wish: 𝙨𝙪𝙗𝙩𝙡𝙚𝙩𝙮.Technically, this means a few things, but mos...
16/05/2024

The majority of our male patients express one main surgical wish: 𝙨𝙪𝙗𝙩𝙡𝙚𝙩𝙮.

Technically, this means a few things, but mostly it ‘s about:
•Completely scarless surgery,
•Staying true to age
•Avoiding feminisation of the brows.

For this reason, brow lifting is often not desirable unless the position is very low.

Here is an example of natural upper and lower blepharoplasty, before surgery and at the one-week review.

Our patient also suffered watery eyes due to lower eyelid laxity and this was simultaneously addressed with lateral canthal tightening leading to full resolution of these symptoms.

Over the following couple of weeks, any residual bruising and swelling will also settle.

Do standby for his final images when he flies back to London for his final follow up.

✅ Bilateral Upper & Lower Blepharoplasty

📞 +44 (0)20 4531 6760

📩 secretary@koutroumanos.com

🌎 www.koutroumanos.com

📍60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations

📸 Photography published with the patient’s consent

👨 Actual patient of Dr Koutroumanos






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

❓What To Expect During Your Oculoplastic Consultation?📞 +44 (0)20 4531 6760📩 secretary@koutroumanos.com🌎 www.koutroumano...
13/05/2024

❓What To Expect During Your Oculoplastic Consultation?

📞 +44 (0)20 4531 6760

📩 secretary@koutroumanos.com

🌎 www.koutroumanos.com

📍60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

Nothing makes our day brighter than seeing our postoperative patients return with this kind of secret smile in their eye...
05/05/2024

Nothing makes our day brighter than seeing our postoperative patients return with this kind of secret smile in their eyes.

Eye rejuvenation really seems to be the cornerstone of facial rejuvenation.

A minor intervention which when done tidily delivers tons of brightness, youth and confidence.

Thank you to our patient for sending across her after photographs

✅ Upper blepharoplasty

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectation

📷 Photography published with the patient’s consent

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργικ

The textbook approach to a case like this, where there is significant drooping of the brow, is to combine brow lift surg...
26/04/2024

The textbook approach to a case like this, where there is significant drooping of the brow, is to combine brow lift surgery with upper blepharoplasty.

The idea is that with a blepharoplasty alone, only removing the amount of skin needed to tidy the eyelid would otherwise further pull the brow down.

In the real world however not all patients want, or can have a brow lift and those cases require fine balancing.

This patient of ours was seeking minimal surgery, quick downtime and no visible incision lines for any length of time.

I loved this case as it nicely highlights the power of blepharoplasty in natural facial rejuvenation and functional improvement.

✅ Bilateral Upper Blepharoplasty

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the patient’s consent

📣 Individual results vary based on anatomy and expectations

👨 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

Though nothing is ever guaranteed in surgery, the expectation really should be that the blepharoplasty scar will disappe...
21/04/2024

Though nothing is ever guaranteed in surgery, the expectation really should be that the blepharoplasty scar will disappear.

If during your assessment there is suspicion that this may not happen, surgery should be avoided.

Us surgeons should be doing more to show the progress of these scars, because they do not disappear in 2 weeks.

We will cover the recipe for an invisible scar at a later video but in short there are 2 ingredients: precise surgery & attentive to instructions patients. Both equally crucial.

Here is a fresh example of an upper blepharoplasty incision at 1 week and then at 4 weeks.

Final recovery image to follow in a few months.

✅ Bilateral Upper Blepharoplasty.

📞 +44 (0)20 4531 6760

📮 secretary@koutroumanos.com

🌎 www.koutroumanos.com

🏥 60 Grove End Rd, St John’s Wood, London NW8 9NH

📷 Photography published with the patient’s consent

📣 Individual results vary based on anatomy and expectations

👩 Actual patient of Dr Koutroumanos pictured






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

❓Suitability of aesthetic eye surgery for patients with dry eye. 📞 +44 (0)20 4531 6760📩 secretary@koutroumanos.com🌎 www....
20/04/2024

❓Suitability of aesthetic eye surgery for patients with dry eye.

📞 +44 (0)20 4531 6760

📩 secretary@koutroumanos.com

🌎 www.koutroumanos.com

📍60 Grove End Rd, St John’s Wood, London NW8 9NH

📣 Individual results vary based on anatomy and expectations

📸 Photography published with the patient’s consent

👩 Actual patient of Dr Koutroumanos






















#ΧειρουργικήΜατιών
#ΠλαστικόςΧειρουργός
#ΧειρουργικήΕλλάδα
#Βλεφαροπλαστική
#ΧειρουργικήΜατιών
#ΠλαστικήΧειρουργική

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