Oculoplastic Surgery | London, Hertfordshire & Essex

What Is Oculoplastic Surgery?

Oculoplastic surgery treats conditions affecting the eyelids, tear ducts, eye sockets and surrounding structures. These delicate areas are vital to both the function and appearance of your eyes. Conditions range from drooping eyelids impairing vision to blocked tear ducts causing constant watering.

Blue Fin Vision® provides consultant-led oculoplastic assessment and surgery across London, Hertfordshire and Essex. We treat both functional conditions (affecting vision or comfort) and cosmetic concerns, with tailored surgical plans for each patient.

In the UK, oculoplastic procedures like ptosis repair or ectropion correction may qualify for NHS funding if they impair vision or function. Cosmetic treatments such as blepharoplasty are typically private. Blue Fin Vision® provides prompt access to both, with personalised consultant care in CQC-regulated facilities.

Our lead consultant has performed over 55,000 eye procedures with complication rates three to five times below UK averages (independently audited through the National Ophthalmology Database).

Conditions We Treat

Eyelid Conditions

Blepharoplasty (upper and lower) – removal of excess eyelid skin or fat for functional or cosmetic improvement
Dermatochalasis – redundant upper eyelid skin, often treated with blepharoplasty
Ptosis – drooping upper eyelids that may impair vision
Ectropion – eyelids turning outward, exposing the eye surface
Entropion – eyelids turning inward, causing lashes to irritate the eye
Chalazion – eyelid cysts caused by blocked oil glands
Xanthelasma – yellowish cholesterol deposits on the eyelids

Tear Duct (Lacrimal) Conditions

Epiphora – excessive tearing, often due to tear duct obstruction
Dacryolithiasis – stones in the lacrimal system causing drainage issues
Dacryocystitis – infection in the tear sac
Punctal stenosis – narrowing of the tear drainage opening

Orbital and Periocular Conditions

Thyroid eye disease – eye changes related to thyroid dysfunction, including bulging eyes
Pre-septal and orbital cellulitis – infections affecting the eyelids and orbital tissues

Facial and Periorbital Conditions

Brow ptosis – drooping eyebrows affecting appearance or vision
Facial palsy – eyelid closure problems due to facial nerve weakness

Do You Need Oculoplastic Surgery?

You may benefit from oculoplastic assessment if you have:

Drooping upper eyelids affecting vision or appearance
Excess eyelid skin causing heaviness or obstruction
Eyelids turning inward or outward
Constantly watering eyes
Eyelid lumps or cysts
Yellowish deposits on your eyelids
Eye appearance changes related to thyroid disease
Difficulty closing your eyes fully

Your consultant will assess whether your condition is functional (affecting vision or comfort), cosmetic, or both – and explain your treatment options clearly.

What Happens Next

Complete your suitability check: Answer a few quick questions about your condition, symptoms, and how they affect your daily life – takes under two minutes.
Consultant-led review: Our ophthalmologists review your information to assess whether oculoplastic treatment may be appropriate.
Personalised recommendation: You receive a clear explanation of your options, what to expect, and transparent pricing.
In-person consultation: If you wish to proceed, we arrange a detailed assessment at your nearest Blue Fin Vision® clinic. No obligation, no pressure.

Surgical Procedures

Blepharoplasty

Upper or lower eyelid surgery to remove excess skin, muscle or fat. Performed for functional reasons (improving field of vision) or cosmetic enhancement. Day-case procedure under local anaesthetic.

Ptosis Repair

Surgical correction of drooping upper eyelids by tightening the muscle that lifts the lid. Restores normal eyelid position and improves vision if obstructed.

Ectropion and Entropion Repair

Surgery to correct eyelid malposition – turning outward (ectropion) or inward (entropion). Relieves irritation, watering and protects the eye surface.

Dacryocystorhinostomy (DCR)

Surgery to create a new tear drainage pathway when the tear duct is blocked. Performed externally or endoscopically (through the nose). Relieves constant watering and reduces infection risk.

3-Snip Punctoplasty

Minor surgery to widen the tear drainage opening (punctum) for punctal stenosis. Quick outpatient procedure.

Chalazion Incision and Curettage

Drainage of eyelid cysts that do not resolve with conservative treatment. Quick procedure under local anaesthetic.

Orbital Decompression

Surgery to relieve pressure in the eye socket, most commonly for thyroid eye disease causing bulging eyes.

Gold Weight Insertion

For facial palsy patients who cannot close their eye fully, a small gold weight is inserted into the upper eyelid to aid closure and protect the cornea.

All procedures include histopathology where clinically indicated and structured follow-up to monitor outcomes.

What to Expect

Before Surgery

Your consultation includes detailed assessment of your condition and its impact on function and appearance. Your consultant explains which procedure is recommended and why. Formal consent follows GMC and RCOphth guidelines, including a two-week cooling-off period for elective cosmetic procedures.

During Surgery

Most procedures performed under local anaesthetic as day cases
You remain awake but comfortable
Duration varies from 20 minutes (chalazion) to 1-2 hours (DCR, orbital surgery)
You return home the same day

After Surgery

Bruising and swelling are normal and settle over 1-2 weeks
Stitches removed at follow-up (usually 7-14 days) or dissolve naturally
Most patients return to normal activities within 1-2 weeks
Avoid strenuous exercise for 2 weeks
Follow-up appointments to monitor healing
Direct access to our team for any concerns

Oculoplastic Surgery Clinics in London, Hertfordshire & Essex

Premium Oculoplastic Surgery

Access consultant-led oculoplastic care at Blue Fin Vision® Eye Clinic. Located in London, Hertfordshire and Essex, we offer appointments for both functional and cosmetic eyelid concerns.

Consultant-led expertise

Renew your confidence with oculoplastic services from one of UK’s highest rated eye surgeons

Functional and cosmetic

Treatment for conditions affecting vision, comfort and appearance

Patient-centred care

Every step of your treatment is supported by our dedicated team, ensuring a comfortable and informed experience

Schedule a Consultation

Why Choose Blue Fin Vision® for Oculoplastic Surgery?

Blue Fin Vision® is recognised by leading authorities in private healthcare and luxury wellness, including listings in the Spear’s 500 Health & Wellness Index 2025 and the Tatler Address Book.

What sets Blue Fin Vision® apart:

Consultant-led care: Your named consultant performs every assessment and surgery personally
Audited outcomes: Over 55,000 procedures with complication rates three to five times below UK averages
Full range of procedures: Blepharoplasty, ptosis repair, ectropion/entropion surgery, DCR, orbital surgery
Functional and cosmetic: Treatment for conditions affecting vision, comfort and appearance
540+ verified five-star reviews: Independently collected on Doctify
Two-week cooling-off: For elective cosmetic procedures, following RCOphth guidelines
Histopathology included: Laboratory analysis where clinically indicated
CQC-regulated facilities: Full compliance with UK clinical governance
Locations across London and the South East: Harley Street, Weymouth Street, Chase Lodge Hospital, Chelmsford and Hatfield

Restore Function, Comfort or Confidence

Whether you need relief from discomfort, restoration of function, or cosmetic enhancement, our consultant-led team can help. Access a detailed assessment with transparent pricing and no obligation.

If you have concerns about costs, speak to our team. We offer transparent pricing and can discuss payment options to make your treatment accessible.