19/05/2026
Revisional lower lid surgery is amongst the most demanding work in oculoplastic surgery.
This patient presented after blepharoplasty had left her with significant lower lid retraction.
The physical discomfort aside, the psychological toll of living with a result like this is real and often underestimated.
Reconstruction involved a hard palate graft, midface lift, and canthoplasty. She also had upper lid ptosis which, though not obvious in these photographs, was corrected at the same time.
Early overcorrection is part of the process, something patients need to understand and be prepared for before committing to this kind of surgery. The final result takes months to fully declare itself.
When things go wrong after eyelid surgery, revision requires a very specific skillset and approach. Thank you for placing your trust in me.
✅ Subperiosteal midface lift, hard-palate graft, canthoplasty, upper eyelid ptosis repair.
📞 +44 (0)20 4531 6760
📮 info@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 pictured
lidretraction oculoplastics londonsurgeon
