What are the risks of Revision Surgery?

The risks of Revision Surgery include: Infection: This is very rare; however, occasionally the stitches may become infected or inflamed. This can be swiftly settled with oral and topical antibiotics. Scarring: Generally, scars are hidden in the skin fold, or the inner part of the lid. Stitches are normally visible for the first week, then, when they are removed, a faint scar is visible. While the scar may seem thickened and red for 6 to 12 weeks, it will gradually become almost invisible after that period. While not every scar heals equally well, silicone scar remodelling gel can improve the appearance of a thickened or reddened scar - however, the treatment needs to be continued for several months to have a good result. Large bruise or haematoma: This is minimised by regular use of ice packs, avoiding heavy exercise for 2 weeks after surgery, and stopping aspirin and other anticoagulants (if safe to do so) 2 weeks pre-operatively. If you do experience a haematoma, you may have to go back into theatre to have the blood clot removed, and have your stitches redone. This runs the risk of a worse scar. Theoretical risk to vision: Any eyelid surgery carries the risk that an undiagnosed infection or bleed could damage the optic nerve. This is so rare that, by comparison, a normal car journey poses a much greater risk to your vision. "Hollow" appearance: This is rare, but can occur - usually when too much fat has been removed. Temporary poor blink: Generally, blinking returns to normal within 12 weeks.

What is the recovery time following Revision Surgery?

The downtime with Revision Surgery can vary from patient to patient - this is because no two procedures will be the same. However, as a general rule, most patients usually recover within one week for an Upper-Lid Blepharoplasty; for a Lower-Lid Blepharoplasty, recovery tends to take approximately 2 weeks. Bruising can last for up to 2 weeks, while we advise that full recovery may take anywhere between 4-12 weeks.

Post Blepharoplasty Eyelid Retraction & Revision Surgery

By leading oculoplastic surgeon, Dr Sabrina Shah-Desai, in London.

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The Procedure

What is Revision Surgery?

Revision Surgery is becoming a popular option with patients who have undergone previous surgical procedures - and with over two decades of surgical experience around the eyes, Dr Sabrina achieves some excellent results.

Common reasons for seeking revision surgery are as a result of asymmetric or droopy eyelids (this is often found in those who have undergone ptosis surgery), as well as those who have previously undergone a lower-lid blepharoplasty, and have since experienced issues such as skin falling away from the eyeball, bulges of fat at the lower corners of the eye, or changes to the angle of the eyelid.

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The Procedure

How Does the Procedure Work?

Revision Surgery is a highly unique procedure that depends entirely upon the individual patient and their unique condition. For this reason, the initial consultation is of utmost importance.

However, Revision Surgery can also be challenging as we often only discover the extent of the internal scarring upon operating - while fat loss in the periorbital area, or prior filler treatment, can also affect the success of a procedure.

Finally, the downtime following a Revision Surgery can also be prolonged - this is because the eyelids can take longer to recover, especially if the lymphatic system has been affected. For this reason, managing patient expectations is paramount - after all, this is often a crisis for the patient, as well as their general confidence.

"For anyone that's losing sleep about the state of their eyes, Sabrina Shah-Desai (a powerhouse ocular plastic surgeon) is the person to see to put things right. Her treatments are super refined, undetectable and all done with the lightest touch." - Brides Magazine

Meet the Expert: Dr Sabrina Shah-Desai

Dr Sabrina Shah-Desai is the founder and Medical Director of Perfect Eyes Clinic. With over two decades of surgical and non-surgical experience, she is considered one of the safest, most experienced oculoplastic surgeons in the UK.

Her extensive training, combined with her caring and empathetic nature, makes her a natural choice for patients seeking the very best care. Dr Sabrina appears consistently in Tatlermagazine as one of the UK's “Best Eye Surgeons” and “Top Doctors” since 2019.

Learn About Dr Sabrina

Royal College of Surgeons of England - register of Board-Certified Cosmetic SurgeonsBest Aesthetic Doctor - Safety in Beauty 2023Consultant Surgeon of the YearBest Surgical Result - Aesthetic Awards 2021Tatler Best Eye Surgeon 2019-2026

Transparent pricing

Revision Surgery Cost in London

Prices are a guide; your doctor will calculate total costs during consultation.

Unilateral blepharoplasty - from £4,000
Bilateral blepharoplasty - from £5,000

Important: all cosmetic procedures incur 20% VAT. Fees are estimates and will be confirmed after medical consultation.

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Patient Questions About Revision Surgery

Frequently Asked Questions

The questions patients ask most often, answered by the clinic. If yours isn’t here, ask us directly - we would be delighted to help.

The risks of Revision Surgery include:
Infection: This is very rare; however, occasionally the stitches may become infected or inflamed. This can be swiftly settled with oral and topical antibiotics.
Scarring: Generally, scars are hidden in the skin fold, or the inner part of the lid. Stitches are normally visible for the first week, then, when they are removed, a faint scar is visible. While the scar may seem thickened and red for 6 to 12 weeks, it will gradually become almost invisible after that period. While not every scar heals equally well, silicone scar remodelling gel can improve the appearance of a thickened or reddened scar - however, the treatment needs to be continued for several months to have a good result.
Large bruise or haematoma: This is minimised by regular use of ice packs, avoiding heavy exercise for 2 weeks after surgery, and stopping aspirin and other anticoagulants (if safe to do so) 2 weeks pre-operatively. If you do experience a haematoma, you may have to go back into theatre to have the blood clot removed, and have your stitches redone. This runs the risk of a worse scar.
Theoretical risk to vision: Any eyelid surgery carries the risk that an undiagnosed infection or bleed could damage the optic nerve. This is so rare that, by comparison, a normal car journey poses a much greater risk to your vision.
"Hollow" appearance: This is rare, but can occur - usually when too much fat has been removed.
Temporary poor blink: Generally, blinking returns to normal within 12 weeks.
The downtime with Revision Surgery can vary from patient to patient - this is because no two procedures will be the same. However, as a general rule, most patients usually recover within one week for an Upper-Lid Blepharoplasty; for a Lower-Lid Blepharoplasty, recovery tends to take approximately 2 weeks. Bruising can last for up to 2 weeks, while we advise that full recovery may take anywhere between 4-12 weeks.

Call or email us today, we would be delighted to answer your questions.

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Patient stories

Rated five stars by patients across the globe

4.8out of 5 from 240+ Google reviews

Desi Stevens

“Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.”

Kealey Hessey

“Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.”

Jo Kirby

“I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.”

Shirley Ford

“I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.”

Radhika Rajan

“Top notch surgeon. Dr.Sabrina Shah is the best. Very meticulous and focused. Very experienced and very skillful. Supported by a great team, Irvana at the office is efficient and directs empathy as well towards nervous patients like myself . All in all a great experience.”

Tina Stonely

“Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.”

Tanya Del Federico

“Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.”

Minda Wang

“I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.”

Samantha Andrews

“Amazing. I’m so happy with the results. Sabrina is a master. She also has a wonderful bedside manner. I can’t recommend Sabrina and her team enough. Worth double the money. 👏🏻”

Hayley Pearson

“I was lucky enough to first meet Sabrina 9 years ago & have never used anyone else since. She has helped transform my appearance; with natural looking aesthetics. I currently live abroad, however remain dedicated to stay a patient of Sabrina. What’s 3,500 miles when you have found the best in the business!”