Lower Eyelid Lift Surgery London

Lower Eyelid Surgeon – Dr Shan Shan Jing

Dr Shan Shan Jing is a British-trained Consultant Plastic Surgeon with experience across aesthetic and reconstructive surgery. Her lower eyelid work reflects this combined background: aesthetic judgement is informed by detailed anatomy, tissue preservation and the need to protect eyelid function.

The lower eyelid needs to be considered together with the eye and cheek because these structures influence one another. Dr Shan Shan assesses eyelid tone and support as well as skin, fat and contour. Where laxity or reduced support is present, additional support such as canthopexy or canthoplasty may be considered when clinically appropriate, rather than treating the under-eye bag in isolation.

The aim is to improve the feature that concerns the patient while preserving eyelid function, support and appropriate volume, and avoiding unnecessary hollowing or a pulled appearance.

When Might Lower Eyelid Surgery Be Considered?

Patients commonly seek advice about persistent under-eye bags, puffiness or loose lower eyelid skin that creates a tired appearance. Some concerns are present from a younger age; others develop gradually with ageing.

• Prominent or persistent under-eye bags
• Puffiness beneath the eyes
• Loose or creased lower eyelid skin
• A tired appearance that does not reflect how the patient feels
• An uneven transition between the lower eyelid and cheek
• Differences between the two lower eyelids

Visible eye bags are not always caused by excess fat. Shadowing, tear-trough hollowness, cheek volume and skin quality can all change how the lower eye looks. Dark circles may also be caused by pigmentation or thin skin and are not automatically corrected by blepharoplasty. The consultation therefore focuses on identifying the main cause before discussing treatment.

Lower Eyelid Surgery Cost in London

Dr Shan Shan Jing’s current published price for lower eyelid blepharoplasty starts from £4,500. The final fee depends on the operation recommended after consultation and whether additional surgical steps are required.

Lower Blepharoplasty Price

Lower eyelid blepharoplasty: From £4,500

A written quotation is provided once the proposed surgery has been established.

Lower Eyelid Surgery Recovery

Bruising and swelling are expected after lower blepharoplasty and can be more noticeable than patients anticipate during the first few days. The appearance changes gradually as the tissues settle.

First Few Days

Swelling, bruising and tightness are common. Rest and gentle activity are encouraged in line with post-operative instructions.

Week One

Bruising and swelling begin to improve, although the under-eye area still looks different from the final result.

Weeks Two to Three

Many patients feel more comfortable returning to normal work and social activities as visible bruising settles.

Weeks Four to Six

The eyelid-cheek contour continues to refine. Exercise can be resumed in line with surgical advice.

Longer-Term Healing

Residual swelling continues to reduce and any external scar matures over the following months.

These timeframes are guides. Recovery differs according to the technique used and the way each patient heals.

How Dr Shan Shan Plans Lower Eyelid Surgery

Lower eyelid surgery begins with identifying which feature is creating the tired, puffy or hollow appearance. The answer determines the operation.

1. Defining the Main Concern

The consultation establishes whether the priority is under-eye bags, loose skin, hollowness, asymmetry or a combination of features.

2. Assessing the Eyelid-Cheek Relationship

Skin, fat distribution, eyelid tone, lower lid support, tear-trough contour and cheek structure are considered together.

3. Deciding What Tissue Should Be Preserved, Repositioned or Reduced

For some patients, preserving or repositioning existing fat can improve the eyelid-cheek transition while maintaining volume. Simple removal is not automatically the preferred option.

4. Considering Eyelid Support

Where the lower eyelid is lax or at risk of changing position, additional support – including canthopexy or canthoplasty where appropriate – may form part of the surgical plan.

What Happens During Lower Blepharoplasty Surgery?

Lower blepharoplasty can be performed through different approaches. An incision may be placed inside the lower eyelid or, when skin needs to be addressed, close to the lower lash line. The choice depends on the tissues involved and the condition of the lower eyelid.

Prominent fat may be preserved, repositioned or selectively reduced, and excess skin may be treated where appropriate. If additional lower eyelid support is needed, a canthopexy or canthoplasty may be included where clinically appropriate. The anaesthetic, incision, expected duration and exact steps are explained before surgery.

The operation is planned to improve the under-eye contour while protecting the position and function of the lower eyelid.

Aftercare Following Lower Eyelid Surgery

Follow-up focuses on swelling, wound healing, eyelid position and comfort. Dr Shan Shan reviews progress as the lower eyelid settles and provides guidance on wound care, activity and return to normal routines.

Because lower eyelid surgery can involve several different techniques, aftercare is based on the operation performed rather than a single standard timetable.

Understanding the Risks of Lower Eyelid Surgery

Lower blepharoplasty has recognised risks and limitations. The position and support of the lower eyelid are particularly important because changes can affect both appearance and eye comfort.

• Bleeding
• Infection
• Swelling and bruising
• Scarring
• Temporary changes in sensation
• Persistent dryness, watering or irritation of the eyes
• Chemosis (swelling of the conjunctiva)
• Asymmetry
• Ectropion, scleral show or other changes in lower eyelid contour or position
• Lower eyelid retraction or malposition, which may be temporary or persistent
• Under-correction or over-correction
• Need for further treatment or revision surgery
• Anaesthetic-related complications

The relevance of these risks varies with eyelid anatomy, eye health and the operation proposed. Procedure-specific concerns such as ectropion, scleral show, chemosis and persistent eye irritation are discussed during consultation before consent.