Lower Blepharoplasty in London
- Leading Harley Street expert in under-eye rejuvenation.
- Custom techniques for natural, long-lasting lower lid results.
- Walk-in, walk-out procedure with minimal downtime.
What Is Lower Blepharoplasty?
Lower blepharoplasty is a specialist eyelid surgery that rejuvenates the under-eye area by addressing puffiness, eye bags, and hollowing. These concerns are typically caused by aging, genetics, or lifestyle factors and make you appear tired or older than you feel.
This procedure targets the fat pads beneath the eyes, which can become more prominent or shift with age. Lower eye surgery restores a smooth, refreshed contour by repositioning or conservatively removing this fat.
Dr De Silva uses refined, scar-concealing techniques to preserve the natural shape of your eyes while offering long-lasting improvement. For many, the results are transformative, giving a more rested, youthful appearance that creams or fillers simply can’t achieve.
Why Choose Dr De Silva in Harley Street, London?
Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.
“My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all my associates. My mission is to help every patient be the very best version of themself with World-Class services, life-long follow up with complimentary facial aesthetic procedures.”
In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.
Only the Face
By focusing entirely on only facelift & facial cosmetic surgery procedures, Dr De Silva is able to provide the expertise that can only come with specialisation: facelift and neck lift, blepharoplasty, rhinoplasty and chin implants.
Natural Looking Results
Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.
Fast Recovery
Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.
World Class Expertise
Dr De Silva also teaches other surgeons internationally and has contributed to the development of advanced surgical techniques, laser technology and stitch-less tissue adhesives.
Why Patients Choose Lower Blepharoplasty?
Many patients have tried creams, lotions, or non-surgical fillers without success. Fillers in the lower eyelid can be unpredictable due to the delicate nature of the skin and often lead to puffiness as they absorb water over time. Dr De Silva frequently dissolves poorly placed fillers before correcting the area surgically with techniques such as lower blepharoplasty, fat transfer, laser treatment, canthopexy, and skin pinch.
"Some weeks, I have dissolved filler for three or more patients and corrected it surgically. Often, it’s not just about removing fat, it’s about restoring natural contours that last for years," says Dr De Silva.
See the Difference: Before & After Eye Rejuvenation
See real patient results from Dr De Silva’s eyelid rejuvenation procedures.
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How Lower Blepharoplasty Differs from Upper Eyelid Surgery
While both procedures aim to rejuvenate the eye area, they address very different concerns. Upper eyelid surgery focuses on removing excess skin that causes heaviness or drooping, often improving both appearance and vision. In contrast, lower eye surgery targets puffiness, bags, and hollowing beneath the eyes, concerns that topical treatments and fillers rarely resolve long-term.
Lower blepharoplasty eyelid surgery requires more delicate handling of intricate anatomy to avoid complications and preserve natural eye shape. The techniques used are more specialised, often involving fat repositioning and internal incisions to achieve a refreshed look without visible scarring. Dr De Silva’s expertise ensures that each approach is customised, delivering balanced, harmonious results whether performed alone or alongside upper blepharoplasty.
Surgical Techniques Used in Lower Blepharoplasty
Dr De Silva specialises in facial procedures only, with blepharoplasty being the number one surgery he performs. In most cases, he uses a transconjunctival approach to lower blepharoplasty eyelid surgery, placing the incision inside the lower eyelid to avoid visible scarring. Though technically more complex, this technique offers a faster recovery and a natural result.
The lower eyelid contains intricate anatomy that must be preserved to avoid complications such as eyelid retraction. Dr De Silva uses CO₂ laser or monopolar electrocautery for precise incisions and immediate control of bleeding, reducing swelling and speeding up recovery.
Fat Repositioning for Natural Contours
The fibrous orbital septum is carefully opened to access the fat pockets responsible for under-eye bags. Instead of simply removing the fat, which can result in a hollow or aged appearance, Dr De Silva uses a conservative, tissue-sparing approach. He typically repositions the fat (fat transposition) into the tear trough to restore a smooth, youthful contour. In some cases, a combination of repositioning and removal is used.
Supporting the Eyelid During Healing
A dissolvable canthopexy stitch is sometimes placed to support the lower eyelid during healing, improving both the result and eye shape. Older surgical techniques involved incisions below the lash line, often resulting in visible scars and eyelid distortion. These are now largely avoided in favour of more advanced approaches.
Why Choose Dr. De Silva for Lower Blepharoplasty?
Dr De Silva is a highly sought-after facial cosmetic and lower blepharoplasty surgeon based on Harley Street, known for delivering natural-looking results through advanced, minimally invasive techniques. As a specialist in eyelid surgery, he focuses solely on facial procedures, with lower eye surgery being one of his most requested treatments.
Internationally recognised for his expertise, Dr De Silva has trained at prestigious institutions including Harvard University and the University of California. He has received multiple accolades for surgical excellence, including the RealSelf Top Doctor award and recognition by Tatler and The Evening Standard as one of London’s leading cosmetic surgeons. He is also a published author and international lecturer, regularly invited to speak at global conferences on cutting-edge facial rejuvenation techniques.
Choosing Dr De Silva means choosing the right lower blepharoplasty surgeon, that takes a personalised approach. He combines precision with refined sedation methods, means patients avoid general anesthetic and return home within an hour, comfortable and well cared for throughout. For those struggling with persistent under-eye bags or puffiness, Dr De Silva offers not just technical expertise but also reassurance, guiding each patient towards a smoother, brighter, and more confident appearance.
- Specialises in facial surgery only, with over 1,500 eyelid surgeries performed.
- Uses advanced sedation, patients avoid general anaesthesia and recover faster.
- Transconjunctival lower blepharoplasty techniques ensure natural results with no visible scarring.
Here’s Why Patients Trust Dr De Silva with Their Eyes
I would like to share my experience of my face and neck lift with Dr De Silva. First and foremost I will tell you truthfully, that with all I now know for my experience, I would go through it all again tomorrow if I had too. It was so different from what you hear, and all the botched jobs you see. I picked Dr De Silva after much research, and the fact that he only specialises on the face, I made my appointment. From my first consultation till my 1yr check up, I can only but give him and his team 100% Dr De Silva has an extremely calming way with him. He puts you at your ease and explains EVERYTHING in minuet detail. He leaves nothing out, everything he said happened in that way. From having pre op’s till the day of surgery nurses Ellie and Josie were fantastic, so helpful and friendly. I was told by Dr De Silva that It would not be painful, just a bit uncomfortable, that was true. I had no pain at all at anytime from start till now, Swollen and bruised yes, the bruising had all gone in 2 weeks. Swelling took a little longer. I was also told it would be quite numb for some time. It was, but it didn’t bother me, and now I have very little numbness left. It can take up to 9 months I think. I didn’t want to look different, I didn’t want to change anything, all I wanted was to look rested and fresher, a better version of myself. I am soooo happy with my lovely tight neck and no more loose skin and hanging jowls. It has made the biggest difference to my confidence. No one has asked have I had work done, they just say “ you are looking great”. If you are thinking of a face lift or any facial work done, I can 100% guarantee you will not find a better surgeon… anywhere. My extreme gratitude to Dr De Silva, Dr Andre (anaesthetist). Nurse’s Ellie & Josie and to Sarah who sorted all the paperwork etc.
Ideal Candidates for Lower Eye Surgery
Lower blepharoplasty eyelid surgery is ideal for individuals bothered by puffiness or hollowness under the eyes.
- Have under-eye bags or fat bulges
- Experience dark circles not improved by skincare
- Notice a hollow tear trough or tired appearance
- Want long-term results without frequent fillers
- Are in overall good health with realistic expectations
What to Expect from Lower Blepharoplasty Recovery
Thanks to Dr De Silva’s advanced use of laser technology and transconjunctival lower blepharoplasty techniques, recovery after lower blepharoplasty eyelid surgery is typically smooth and manageable. Most patients report only mild discomfort and are able to see clearly immediately after the procedure. You’ll return home within an hour, without the need for an overnight stay or general anaesthetic.
A dissolvable stitch may be placed to support the eyelid as it heals, enhancing both comfort and aesthetic outcome. Bruising and swelling are usually minimal and begin to settle within the first few days. Most people feel confident returning to daily activities in 7–10 days. Final results continue to refine over the following weeks and months, with scars, if any, discreetly hidden and virtually undetectable.
Risks of Lower Blepharoplasty
Although lower eye surgery is generally safe in expert hands, all surgery carries some risks. Dr De Silva minimises these risks through meticulous technique and advanced technology.
- Swelling or bruising
- Dry eyes or mild irritation
- Temporary asymmetry
- Lower lid tightness
- Rare: bleeding or infection
Take the First Step to Under-Eye Rejuvenation
Ready to refresh your eyes and restore confidence? Book a personalised consultation with Dr De Silva today and learn how lower blepharoplasty eyelid surgery can help you look naturally rested and youthful.
