Cosmetic, Aesthetic and Rejuvenation Medicine

What is Cosmetic Oculofacial Medicine?

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Cosmetic facial medicine refers to a specialist area of treatments, either surgical or non-surgical, to improve the appearance of a facial feature. Traditionally, cosmetic medicine has mainly involved surgery to reverse the signs of ageing. However, over the past 10-15 years, both men and women have increasingly demanded less invasive treatment methods with minimal after treatment downtime and faster recovery at an increasingly younger age. Thus, new treatments such as anti-wrinkle injections such as dermal fillers and botulinum toxin have been developed with increasing sophistication especially for younger patients, in whom surgery may not be necessary or appropriate.

Good cosmetic surgery only subtly enhances one's appearance.

So many advertisements! So many different ways to get treatment! Why?
Nowadays, cosmetic treatments are provided by a wide variety of practitioners ranging from those who are not medically trained e.g. beauticians, hairdressers, to those who are medically trained but do not perform surgery such as general practitioners (GPs) & dentists, and then finally to those offer some of the more technically difficult procedures e.g. surgeons. On top of this, there are many different types of surgeon who offer cosmetic surgery e.g. general plastic surgeons, plastic surgeons who specialise in the face, ear nose and throat surgeons, maxillofacial surgeons, ophthalmologists and oculoplastic surgeons.

So why see an oculoplastic surgeon? …….Because habit leads to perfection…

  • Before and After Pictures Blepharoplasty Surgery

    Before Upper and Lower Blepharoplasty Surgery with Ptosis Correction for cosmetic improvement

  • Before and After Pictures Blepharoplasty Surgery

    2 weeks following surgery

  • Before and After Pictures Blepharoplasty Surgery

    After Upper and Lower Blepharoplasty: The patient remarked how her friends were amazed with the subtle natural improvement

Oculoplastic and oculofacial surgeons are doctors who specialise in this very specialised area of surgery, operating on the eyes, around the eyes, eyelids, forehead and cheek. They will often perform more of this delicate type of surgery than many other practitioners because of the nature of their normal NHS work. They will often have to utilise wrinkle relaxing injections for therapeutic/functional reasons, perform blepharoplasty operations for therapeutic reasons, perform face lifts for facial nerve palsy patients. They will therefore often be more experienced than most in working around this delicate important area of the face, providing a full comprehensive service, seeing and assessing each patient personally, avoiding and being able to treat potential complications due to intimate knowledge of the anatomy. Although the British Oculoplastic Surgery Society do not promote themselves as much as other societies their members perform more complex surgery than any other society in the UK. e.g. they do not perform breast augmentation surgery, rhinoplasty surgery, etc.: only surgery to the eyelids and the surrounding areas. They are also fully trained ophthalmologists (eye doctors) and will be able to fully assess whether your eye is suitable for surgery.

The eyes and eyelids are incredibly complex structures.

Why do most patients seek cosmetic treatment?
Patients have many reasons for seeking cosmetic improvement e.g. wanting to look younger, improving their confidence, dissatisfaction with a facial feature, wanting to look and feel fresher. The majority of patients seeking cosmetic treatment with Mr Cheung do so to look younger. The others seek improvement in a particular facial feature e.g. Asian (double eyelid) blepharoplasty. Because of the immense importance that the eyes and facial muscles have in day to day communication and expression, even minor changes or imperfections may be misinterpreted. For example, frown lines as anger/aggression, drooping eyelids as tiredness or inattention. Thus, even relatively minor treatments such as minor cosmetic eyelid surgery or simple injections, can lead to dramatic improvements in how others perceive you. Many patients remark on a renewed zest for life and improved confidence following treatment.

“This procedure should be carried out by a surgeon with relevant skills and experience in an establishment registered with the Care Quality Commission. An ophthalmologist (an eye surgeon) should also assess your suitability for surgery.”

Re: blepharoplasty surgery from the Dept. of Health Cosmetic Surgery Information for Patients

Before Surgery Before Upper & Lower Blepharoplasty
After Surgery After Upper & Lower Blepharoplasty

Before and After Upper and Lower Lid Blepharoplasty

Am I vain for requesting cosmetic treatment? Should I not just put up with it? I'm worried about...?
For many patients, although they have thought about improving their appearance, various concerns deter them from seeking any treatment.

Concerns include:

• Being thought of as being vain by their peers, that it is more 'honourable' to grow old gracefully. Although, traditionally it has been thought to be honourable and stoical to grow old gracefully or to accept one's appearance, we now find that patients are increasingly wishing to seek improvement in perceived flaws and imperfections, especially as this type of medicine becomes more commonplace, more refined and safer. Increasingly, patients are demanding more and more out of life. Ultimately, it should be the individual who should decide whether or not they undergo treatment.

• About looking 'plastic' or 'artificial' after the treatment. Over the past 10 years there has been increasing refinement in the way treatments are performed and what patients and their cosmetic doctors are happy with. Good cosmetic treatment should lead to a subtle enhancement and should not look obviously abnormal. Good oculofacial practitioners are now seeking aesthetic harmony by customising treatment plans for each patient based on the patient's own individual circumstances.

• Am I doing the right thing? A good cosmetic practitioner is able to counsel the patient about his/her concerns, go through various treatment options, informing of the advantages and disadvantages of each. Because cosmetic medicine, by definition, is not absolutely vital, patients should be given the time to make an informed decision without pressure. Only after the patient is completely content about all aspects of the treatment plan, should the decision be made to embark with treatment.

• The cost of treatment. Before embarking on any treatment plan, a good practitioner will explain to the patient what each treatment modality can offer, its duration of effect and the likely costs for the patient. For example, a young patient seeking a subtle rejuvenation improvement prior to her wedding day may benefit from simple wrinkle relaxing injections which are relatively low in cost, minimally invasive, low in risk but temporary in duration of effect. For other patients, who desire more longer lasting improvement, more invasive treatments such surgery may be required. There now exist many different treatment options which vary in time required to perform, cost, duration of effect, recovery time, etc. Many of the modern operations can be performed relatively quickly as day case procedures under local anaesthesia hence minimising costs. Only after the patient has realistic idea as to the total cost of the complete treatment plan should treatment then start.

It is important that surgeons who offer cosmetic surgery to a region have the experience and training to deal with all possible complications.

I’ve read a lot about anti-wrinkle injections and surgery. What do I need?
Contrary to popular belief, cosmetic medicine is not just plastic surgery. One of the advantages about seeing oculoplastic/oculofacial surgeons is that they have the expertise and regularly employ a variety of treatments around the face, both in our private and NHS practices. They are thus able to offer a comprehensive treatment plan that may include multiple types of treatment especially for that patient depending on their individual circumstances based on practitioner experience and best practice.
For example:

  • default_titlePatients in their 30-40s may benefit from some simple injections of fillers and botulinum toxin. These are usually very low in risk if administered by experienced practitioners with very rapid results and minimal downtime.
  • default_titlePatients in their 40s may benefit from deeper injections of injectable fillers to counter the loss in fat and volume around the face.
  • default_titlePatient in their 50-60s may benefit from a combination of cosmetic oculofacial surgery e.g. brow lifting, blepharoplasty, midface lifting as the involutional gravitational effects start to occur as well as fillers and botulinum toxin.
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For this reason, it is useful to see an oculofacial specialist who can offer a full repertoire of treatment, tailored towards the individual.

Before Before transconjunctival blepharoplasty
After After transconjunctival blepharoplasty

Before and after scarless transconjunctival blepharoplasty in a 30 year old lady

Beautiful eyes in the safest hands
Unfortunately, the lack of government regulation in the UK has led to a huge variety of practitioners now offering cosmetic treatments e.g. hairdressers/beauticians giving injectable fillers/ wrinkle relaxing injections. Similarly, some of the most well known UK aesthetic companies/ clinics, now use doctors whose training and background is not in aesthetic medicine e.g. general practitioners, public health doctors.
By choosing Mr Cheung, you will be safe in knowledge that you will be seen and treated by a consultant oculoplastic surgeon who:

  • default_titlehas some of the most rigorous training and only works around the delicate anatomy of the face and eyelids in their NHS and private practice.
  • default_titleperforms over 500 procedures per year
  • default_titlehave a pure interest in oculoplastic surgery and is able to offer a full spectrum of the latest techniques to achieve your goals
  • default_titlewill be able to advise you about what can be safely achieved
  • default_titleis able to avoid and manage the rare but potentially dangerous complications of oculoplastic surgery
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Mr Cheung has been performing over 500 oculoplastic procedures per year since 2004.

Functional oculoplastic surgery vs. cosmetic/aesthetic oculoplastic surgery
Most patients who undergo oculoplastic surgery under the NHS (or under private insurance schemes) undergo what is is known as functional or reconstructive oculoplastic surgery, for example for droopy eyelids, watery eyes, eyelid cancers. This is because these conditions are considered important and debilitating enough that the Department of Health considers that their treatment should be covered by the NHS and should therefore be free at the point of treatment.

As our society continues to live longer and longer due to a combination of better healthcare, nutrition and lifestyle; increasingly both men and women of all ages are seeing their appearance as an important factor in how they feel about themselves. Nowadays, it is common for people to feel younger and more active than their parents or grandparents did at the same age. For many people, the decision to have cosmetic surgery is a natural choice to improve their quality of life. Most surgery which is considered purely cosmetic is not covered by the NHS or by private insurance schemes and is self funded by the patient. However they see the costs as a worthwhile and lasting investment which continues to contribute to their happiness and psychological well being.

Most cosmetic oculoplastic surgery is termed rejuvenation surgery i.e to reverse/delay the changes due to ageing.

As with most cosmetic surgery, this surgery is not absolutely necessary to your health and should therefore be considered very carefully before embarking on it. Mr Cheung strictly adheres to and recommends the advice of the British Oculoplastic Surgery Society on cosmetic surgery and the General Medical Council
If you are considering cosmetic plastic surgery, you should examine your own reasons very carefully first. You should develop realistic expectations of what to expect and decide in your own mind what changes you wish your surgeon to perform. Before embarking on surgery, your surgeon should be sympathetic and understanding to your wishes but also advise you on what can be realistically, and more importantly safely, achieved.

Cosmetic surgery by itself is not a panacea for major life problems or interpersonal relationship issues. However if performed well, successful cosmetic plastic surgery, by improving your appearance and how you see yourself, can often boost both your self esteem and confidence.

For further information on how to choose your oculoplastic surgeon, visit

In 2004, the different UK Royal colleges/societies, which represent the different specialities of surgeons who offer cosmetic surgery, jointly drafted recommendations to help their patients. To download their recommendations click here
The Department of Health website also has a very useful handout for patients considering cosmetic surgery click here
Although It is not imperative to ask your GP to refer you to Mr Cheung, on the whole it is often beneficial since your GP will often be able to provide a lot of important medical information in the referral letter. Often after discussing with your GP first, will be quite comfortable about referring you to Mr Cheung or another Ophthalmic and Oculoplastic Surgeon who is registered on the Specialist List of the UK General Medical Council. The General Medical Council recommends that your GP should be kept informed of all medical treatment that you undergo, and Mr Cheung will abide by this guideline.
The goals of surgery should always be determined jointly between you and your surgeon. It is very important to make clear your requirements at the time of your consultation.

Bad plastic surgery is easily recognisable. Instead of enhancing the features it invariably detracts from them. Furthermore, poorly performed plastic surgery in the eyelid region can also prove a threat to the health of the eye and eyesight.

Well performed oculoplastic surgery should be safe for the eye and is often subtly enhancing. Patients commonly report following surgery that their work colleagues still do not know that they have had any surgery done but ask if they have been holiday as they look refreshed in some way.

Oculoplastic surgeons perform a similar range of eyelid procedures, including blepharoplasty and brow lift both in the NHS and in private practice and are recognised accordingly as specialists in surgery in the eyelid region of the face. It is for this reason that they are referred patients, who have had unsatisfactory surgery elsewhere, for revisional work.
Unlike many clinics elsewhere, once you attend for a consultation with Mr Cheung and agree to proceed with a cosmetic treatment, rest assured that your treatment will be carried out by Mr Cheung only.

Firstly, common to all surgical procedures is an inherent risk of complications despite the highest standard of care and expertise. The majority of complications are either uncommon (less than 5% of cases) or rare (less than 1% of cases). However, it is important that before you agree to undergo any surgery or treatment that you ask about and fully understand the risks and side-effects of the procedure. As a surgeon of good standing, Mr Cheung will always go through the potential risks with you prior to any treatment.
Procedures vary greatly in complexity and the fees reflect this. Each patient is different and the treatment offered is bespoke for that patient. It is for this reason that many fees are not given in this website but you will be informed of all costs prior to your surgery. Mr Cheung's fees are in line with equivalent providers. Full payment will be due and payable before the day of your treatment or surgery.

..Now I understand why there’s a waiting time to see you and for surgery! You were so worth the wait though. I bit more expensive than my local plastic surgeon but so much more thorough. The plastic surgeon I saw before I saw you didn’t do half the tests that you did. I had total confidence in your care. Now to save up for my lowers! Thanks so much David!
Miss MB (Bristol). Surgery performed: Bilateral upper eyelid blepharoplasty with ptosis correction under local anaesthetic at the BMI Edgbaston Hospital, Birmingham

Patient Feedback and Reviews

It is understandable to be anxious about what to expect when meeting a new doctor.

Common questions asked by patients seeing a new doctor include:

  • default_titleWhat is the standard of his surgery?
  • default_titleShould I be nervous about surgery?
  • default_titleWill he be easily contactable for my concerns?
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  • default_titleIs he friendly?
  • default_titleCan I trust him?
  • default_titleCan I talk to him comfortably?
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Here is a small selection of patient testimonials kindly offered by some of Mr Cheung’s previous and current patients, which give some insight into what to expect. All the patients involved have kindly given their consent to the publication on this website. To protect patient confidentiality, any identifying elements have been removed.

"As a senior nurse, I was very discerning in my choice of surgeon , and undertook significant research before deciding to have surgery. I am delighted that I chose David Cheung. From my very first email enquiry, through to discharge, David's communication was excellent. He gave me full explanations and information. My initial consultation was friendly and thorough and by the end I felt fully informed about what to expect, I had ample opportunity to ask questions and was very involved in agreeing with David the outcome we were planning to achieve. The actual surgical experience was positive and I only experienced minimal discomfort. I am delighted with the result of the surgery which has achieved the outcome David and I agreed resulting in a more youthful but natural look."
Dame Catherine Elcoat DBE

Dear David, I just wanted to thank you for your extreme dedication and professionalism in coming in specially to perform expert restorative surgery on this young girl on Tuesday morning. I saw her post-op yesterday and the difference compared to pre-op was remarkable and I’m sure will make a huge difference to her in the future. The mother and the girl herself are immensely grateful for your expertise and recognise the vast improvement they can already see…."
Mr JS Barry, Consultant Ophthalmologist, Dudley Group of Hospitals NHS Trust.

" Dear David, we just wanted to say that we are incredibly happy with the final result following our surgery. It has given us so much confidence and has really made such a difference to our lives. We would have loved to see you again but hope you'll understand that we'd rather just send a selfie. Either way they look amazing and we are just so happy with them. Thank you so much for taking the time with us, making sure we were always in the loop and your intricate surgical skills. Thanks so much…."
Miss CC and SC, Glasgow. Surgery performed: Double eyelid surgery/ Oriental Blepharoplasty with medial epicanthoplasty under local anaesthetic at the BMI Edgbaston Hospital.

“ Dear Mr Cheung, Oh what a surprise! How absolutely amazing-I am sitting on cloud 9-admiring myself! On the way home last Wednesday my great friend informed me that I looked like a panda, but she did at least buy me a big bag of frozen peas on the way! I was a little anxious at the thought of looking in a mirror but anticipation too over from fear! What I saw in the mirror was absolutely incredible. I was looking at a person whom I knew very well, but had not seen for many years. This was an absolutely amazing experience. My friends and I all agree. We are absolutely thrilled with the results of my meeting with you and your surgery. We can hardly believe what we are seeing! And now I don’t know how to thank you- for words aren’t adequate. But I will say, “Thank you, thank you, thank you!”-again and again for I am over the moon! I am thrilled beyond words and am looking forward to seeing you again to say “Thank You!’”
Dr JB (retired consultant anaesthetist, Worcestershire). Surgery performed: Combined bilateral upper eyelid ptosis correction with blepharoplasty under local anaesthetic at the West Midlands Hospital, Halesowen

”Dear Sir, thank you very much indeed for the surgery you performed on me, although it was it was recommend to improve comfort it has, how can I put it, benefitted my vision…I believe that the the eyelashes were scratching the lens so following the surgery when this scratching ceased the lens allowed what sight I still have to work better. Before the operation to my right lower lid, I was down to just the left eye for clarity and that is without significant peripheral vision; the right eye was just shapes and colour- in many circumstances the right eye was detracting from the vision in the left eye and often I found it better to cover my right eye. Since the operation I can see again in my right eye. At 60 years old, my GP had told me that I would eventually go blind. Last week though my wife and I went to the photography show at the NEC and I bought a new digital camera. With the wonders of this new technology I can see the results on my new television. For the first time in a long time, I felt confident enough in the future and with my vision to buy this new camera. For the first time in a long time I have felt optimistic enough to buy something like this. Thank you so much. At the age of 87, I am living for the now and the near future, not morosely managing decline. The world is full of people who complain but few notice the good things such as your exceptional service provided…”
Mr GR. Surgery performed: Right lower lid entropion correction at the Russells Hall Hospital, Dudley

" ..Dear Paula Clark, in today’s society people are very quick at making complaints but don’t voice gratitude and acknowledge outstanding professional care. Hence the following letter: I had the privilege of being referred to Mr Cheung a few years ago following the removal of an acoustic neuroma in 1999. I have had continued problems with my left eye since that date. Although it has not probable that I have been his greatest challenge, for me it is a significant irritation when dealing with all of my other medical conditions. I feel it important to mention from the beginning I had an emergency operation in Manchester, which left me with great anxieties re: any further treatment with my eyes. I cannot state this strongly enough. My first meeting with Mr Cheung was amazing. For the very first time in many years, I met a friendly professional who LISTENED. He took my history and talked to me about my concerns and issues that arose. He remained very professional throughout examinations and explained at a level of communication that suited me, exactly what he was doing and talked to me throughout. I don’t feel he understands exactly how good he is with using his holistic skills in communication. He is open and easy to communicate with, which immediately builds a trust between patient and professional. This in turn allows a patient to build confidence and trust. He is open and transparent in his working methods, which again builds trust. I have never felt excluded from my treatment, which I have felt so many times before, which promotes a sense of mistrust. He is a shining example to so many other staff in how to relate to patients and equally I’ve seen him communicate with other professionals and teach students in such a professional and dignified manner. (I hope the students realise how privileged they are.) He is very calming and will explain at a level suitable to the recipient about what is going to happen. Mr Cheung will give useful handouts thus allowing you to take the resources home to enforce all the verbal information given in appointments. His skills in theatre again are professional, calming and promotional to a patient’s holistic needs being met. As previously stated my mistrust with any procedures was a hurdle for me to overcome beyond belief. My first meeting with Mr Cheung restored my trust and allowed me to receive treatment with confidence in his capable professional care. Obviously patients talk in waiting rooms and I can honestly say I have never heard anything but positive feedback. He treats everyone with respect, his friendly persona and open, transparent method of working builds trust.... Please pass on my thanks to Mr Cheung. I hope he is as valued by the health authority as he is valued by the patients he treats….."
Miss SD. Letter to Chief Executive of Dudley Group of Hospitals NHS Trust

"....Hi, thank you so much for the photos [of my eyelids before and after the operation]. As you say, you can really tell the difference and I do feel more confident within myself and the headaches have lessened.I do appreciate your help and the friendly way in which you take care of your patients. Again, thank you so much..."
Mrs JC (Birmingham). Procedures performed: blepharoplasty of all 4 eyelids at the West Midlands Hospital, Halesowen

“........I underwent a blepharoplasty operation performed by Dr. Cheung.  I would just like to say how professional and reassuring Dr. Cheung was throughout the whole procedure, leading up to, during and after the operation. Although only a minor operation I did have doubts about having it done because obviously if anything went wrong it would show!  I am pleased to say that I am thrilled with the results, it's really improved the quality of my eyesight, put an end to the headaches and tiredness I was experiencing and even made me look a little younger! I am so pleased that I am considering having more surgery. I would recommend Dr. Cheung’s services to anyone in a similar situation.”
Mrs LB (Worcester). Surgery performed: Bilateral upper lid blepharoplasty with orbital fat sculpting at the Edgbaston Hospital, Birmingham

“...For many years I had a runny eye, having been told by a lady ophthalmologist to “live with it”. After two infections, my GP referred me to your department for September. However in June, it was infected, very inflamed with a pus discharge. Immediately, my husband took me to the eye clinic. A very kind nurse explained I had to go to eye casualty first and took us there. After examination by the casualty officer sent me to see you as an emergency. Being late afternoon, I was surprised to be able to see you so soon. I do appreciate your care and kindness. Antibiotics were prescribed which cleared the infection up. A date was booked for my operation.
I came in at 12.30pm, when all my details and BP were recorded. I also spoke to a lady anaesthetist and prepared for my op. They had trouble finding a pulse and I was told that the needle ( for the general anaesthetic) would hurt- it did! But the next thing I awoke and it was all over.
Back in bed, a drink with food and a visit from you who told me I could go home. Thank you and all your nurses and staff. All of them were so caring, friendly and kind. I couldn’t fault you. I had a bit of trouble breathing, but Olbas Oil on my pillow helped put me to sleep.
Since then I’ve seen you twice and had the tube (lacrimal stent) removed. After a few twinges out it came. You were very pleased with the healing of the scar and took some photos. Many thanks to you all for the hard work you do in making me look better. Good luck in your career, may you succeed and become very successful!”

Mrs JS (Aged 80). Surgery performed: External dacryocystorhinostomy with lacrimal intubation (tear drainage surgery) under general anaesthetic.

“.... At all stages of my treatment from initial consultation to my final review, I was made to feel at ease. I was nervous about the operation and what was going to be undertaken but the care of your staff reassured me. Your care and work was excellent too and I am very happy with the result..Grateful thanks to everyone!”
Mrs JB (Bromsgrove). Surgery performed: Bilateral upper lid blepharoplasty and unilateral upper lid ptosis correction under local anaesthetic at the Edgbaston Hospital, Birmingham

“... I can only commend the service and care I was given before and during my surgery. Prior to my surgery, I was given information about the operation. As I am 86 years of age, my daughter and grandson came along to the hospital with me, and not only did you explain the operation to me, but also to them. I was very pleased about this as I think it is important for your family to understand exactly what will happen during surgery.
I found your team very kind and caring both at Dudley Guest and Sandwell before and after surgery. I felt at ease and confident during my operation and was quite surprised when surgery was completed... Thank you once again!”

Mrs IH. Surgery performed: Excision of eyelid tumour followed by reconstruction after histological confirmation of clearance under local anaesthetic.

"..... thank you so much for giving me my new eyes!!  What a difference it has made to me, not just the fact that I can see more now than I could before, but I also have eyelids, a fact that my daughter keeps commenting on.  She says that she has never seen me with eyelids before and she’s is almost 30!!  People at work have commented that I look younger and fresher, without looking startled which is just what we wanted to achieve.  I can’t believe that on the day of surgery I was so calm, I am usually quite an anxious person, particularly where hospitals and treatment is concerned, but your chats beforehand and on the morning of the surgery put me completely at my ease.  I really can’t remember anything of what went on even though you told me that I was talking the whole way through.  Please thank your theatre team for their care too...."
Mrs AJ (Gibraltar). Surgery performed: bilateral upper eyelid blepharoplasty under local anaesthesia with twilight sedation as an outpatient procedure at the Edgbaston Hospital

"....if I had known about you guys before [oculoplastic surgeons], I wouldn't have gone to a general plastic surgeon and been in such a dreadful state when I first saw you. Thank you so much for giving me back my eyes. I wished I'd come to you in the first place! Please pass on my thanks to your wonderful caring team..."
Mrs TT (London). Surgery performed: revisional lower eyelid blepharoplasty and tear trough restylane performed at the Edgbaston Hospital.

"...Hello David, Thanks very much for the photos.  And yes, they are a HUGE improvement!  It has totally transformed my face..... I just want to say Thank you so much!  My eyes literally pop when I have my war paint on! Lots of best wishes"
Mrs SC (Edinburgh). Surgery performed: Bilateral upper Oriental Blepharoplasty/ Double Eyelid surgery at the Edgbaston Hospital, Birmingham

“... I was referred to Mr Cheung by my doctor. He told me what I needed doing, which was that my top and bottom eye lids need to be tightened up and tear ducts washed out (nip and tuck). It involved injections around the eyes. I was rather nervous but need not have worried. He has done a lovely job. I have not had any problems since. I wish to thank Mr Cheung for the excellent job he and his team did.”
Mrs CD (Birmingham). Surgery performed: bilateral upper lid blepharoplasty, bilateral lower lid tightening and ectropion correction.

"...My eyelids look so lovely! I'm so thrilled! Thank you oh so much. Swelling has almost completely disappeared already. You just can't see the scars. My husband passes on his thanks too. He said I look like I did when he first met me 20 years ago. Thank you. Thank you. Thank you..."
Mrs KG (London). Procedures performed: bilateral upper lid blepharoplasty, bilateral lower lid blepharoplasty, tear trough rejuvenation with Restylane and wrinkle relaxing injections with Botulinum Toxin A injections under local anaesthesia at the West Midlands Hospital, Halesowen

“…Before having my tear trough treatment I was naturally a little apprehensive. David gave me all the facts and his friendly and knowledgeable manner put me at ease and made me feel confident that he knows exactly what he is doing.I didn't need to worry however as he did a fantastic job and I had no problems whatsoever. What strikes me most about Mr Cheung is his skill and knowledge, as each case is individual, but he knows what to do to get the best result possible for you. I also felt assured that he would correct any problems, I actually emailed him for advice and he replied promptly and answered my query. It is clear to me that he is a principled and conscientious practitioner, who wants to achieve the best results possible for his patients. On top of that he has a friendly helpful manner and is generally a top guy!....
Mr SH (London). Tear trough filler treatment for under eye dark circles and hollowness at the Edgbaston Hospital, Birmingham

"....One of the best pieces of news that I ever received in my life today when you told me that I was cleared of my eyelid cancer. My husband says that he can't see where you've actually removed the tumour. I was so worried at the time but you calmed down and instilled me with confidence. I'm so indebted to you and your team. Merry Christmas and carry on with the good work!..."
Mrs EH (Birmingham) Surgery performed: Skin cancer (BCC) removal from lower eyelid (Moh's micrographic surgery) with reconstruction as a day case under local anaesthesia at Sandwell Hospital, Birmingham

"....Finally my eyes are dry! The incision has disappeared altogether and after 10 years of embarrassment, I can finally play a round of golf with my friends asking why I'm crying! I should have had this surgery done years ago. Thank you so much again for you professionalism, skills and expertise. From the first time we met, you took the time to explain what was going on and what surgery entailed without resorting to jargon such that I knew what was going to happen. I knew I would be in competent hands. Thank you so much...."
Mr FT. Surgery performed: Dacryocystorhinostomy (tear duct bypass surgery for blocked tear ducts) to treating watering eyes under local anaesthesia with twilight sedation as a day case procedure at the West Midlands Hospital, Halesowen

.....It's been just over 3 weeks since I had the op, and I wanted to write to say a big thank you.  As the swelling has settled down some more, I am really happy with the results.  The whole experience from the moment I first contacted you has been a very positive one.  You have been very informative throughout, always quick to reply to emails and have always put me at ease. A big thank you for the "freebie" on the day too, and the professional care you and your team provided at the time...."
Miss LL (Manchester). Surgery performed: bilateral upper eyelid Asian/ Oriental blepharoplasty combined with ptosis correction under local anaesthesia at the Edgbaston Hospital, Birmingham

".....Thank you so much for operating on my eyes recently for the removal of skin on the upper eyelids. The in how I look and therefore feel is remarkable in only three weeks. I can now work and carry on with my creative work without getting 'tired' and heavy eyes. I can also wear make-up again (very important to us women!). Thank you again for such a marvellous outcome...."
Mrs CP (London). Surgery performed: bilateral upper eyelid blepharoplasty under local anaesthesia as an outpatient procedure at the West Midlands Hospital, Halesowen

"Dear Mr Cheung, I just wanted to say thank you so much for looking after my mom and removing her eyelid cancer. We were so worried but you always put our minds at ease and we can't even see where the original lump was now. You were so busy and everyone kept coming to ask for your advice when we saw you. We had to wait a while to see you each time because you were so busy with so many patients but you always made my mom feel special and safe. The NHS needs stars like you so please don't ever just leave our hospital"
Mrs RC. Daughter of a patient treated at Russells Hall Hospital, Dudley for Basal Cell Carcinoma of the eyelid

“The consultation with Mr Cheung was both informative and relaxed. He put me at ease about the surgery and explained the procedure. The operation itself went very smoothly and I had the best possible care at West Midlands Hospital. The recovery period was as I expected and I took 12 days annual leave from work. The bruising and swelling had disappeared by the time I went back to my job as a flight attendant. The recovery was pain free, just a little itching as the stitches were healing. So many people have commented on how fresh faced I look since the surgery. My work colleagues have been asking me if I've been on holiday as I look so well rested. I can honestly say that I had total confidence in Mr Cheung and had a very good experience in his care. My confidence in my appearance has improved and I feel 10 years younger...”

Miss KL (Cheltenham, Gloucestershire). Surgery performed: Bilateral lower lid blepharoplasty under local anaesthetic with twilight anaesthesia at the West Midlands Hospital, Halesowen

“....Oh David, I don’t want to big up your head too much but what others say about you is true! You are where medicine, art, science and habit meet. As you can tell I’m so damn happy with what you’ve done with my eyes. Thank you so so much....”
Miss MS (Manchester, Lancashire). Surgery performed: Bilateral lower lid blepharoplasty under local anaesthetic with twilight anaesthesia at the West Midlands Hospital, Halesowen

“...David, if only you really knew how much you’ve altered my life for the better! I can’t thank you enough. I can see again, everything looks so much brighter. Lovely lashes! Thanks so much for all the pictures of my eyelids but I don’t really want to look at them again. They remind me of how old I used to look. Thank you, thank you, thank you, thank you....”
Miss JC (Oxford). Surgery performed: Four eyelid blepharoplasty with twilight anaesthesia at the BMI Edgbaston Hospital, Birmingham

“...Now I understand why there’s a waiting time to see you and for surgery! You were so worth the wait though. I bit more expensive than my local plastic surgeon but so much more thorough. The plastic surgeon I saw before I saw you didn’t do half the tests that you did. I had total confidence in your care. Now to save up for my lowers! Thanks so much David”
Miss MB (Bristol). Surgery performed: Bilateral upper eyelid blepharoplasty with ptosis correction under local anaesthetic at the BMI Edgbaston Hospital, Birmingham
“ I would like to take this opportunity to thank you and your team for the friendly care and attention you gave me on my recent DCR operation which went very well, I’m glad to say. You and your team really did a first class job. You especially Mr Cheung!
I’m very grateful that it was you who personally performed the operation as you really are top class. I have to have further treatment later on but I have every confidence in your ability. You and your team have put me at ease and looked after me very well. I’m very happy with your system of patient care. Many thanks”

Mr DQ. Surgery performed: Unilateral dacryocystorhinostomy and retrointubation for lower canalicular obstruction (complex tear drainage surgery) under general anaesthetic.

"....Thank you again for your excellent care. For the first time in 15 years, I can finally say that I'm happy with my eyes. Thank you for giving them back to me! My husband is very, very happy and sends you his best regards. Please pass on my thanks to your excellent team and to all the nurses who looked after me. Your service is an example of clinical excellence and professionalism in the NHS."
Mrs GT. Surgery performed: Four eyelid blepharoplasty eyelid lowering with orbital fat debulking & repositioning for thyroid eye disease.

“...First and foremost, I would like to say that I have recovered very well from the surgery to my left eye. I did not experience any pain or bruising during recovery and I returned to work within a few days. My eye looks better than ever and I have not experienced any of the explained risks i.e. double vision or dry eye.
In considering relative comments about my experience, I have to say that initially I was concerned about the prospect of undergoing invasive eye surgery, which I feel is only natural. However on speaking to you about the procedure all my fears disappeared. You instil confidence in your patients and put them at ease, I feel this is of great importance for their well being. After consulting with you, I actually looked forward to the operation. Your bedside manner and professionalism is a credit to the Trust.
We must also mention the staff and your team at the ophthalmology unit. I thank them for all the care they provided before and after the operation. Every member was so helpful and courteous- a credit to the unit. This also speeds recovery and makes patients feel better. The way the ophthalmology is run is reminiscent of the way hospitals used to be: small is beautiful. Many thanks...”

Mr AP. Surgery performed: Debulking of prolapsed orbital fat under general anaesthetic.

“ I have had a thyroid problem for years, but the past 4 years or so it’s affected my eyes. They thought there was something behind my eye, pushing it forward, it was so bad. I had a CT scan and everything was clear. I was then referred to an ophthalmologist who said that my eyes did need minor surgery, so he referred me to Dr Cheung. I was so self conscious about my eyes when I was talking to anyone. I stopped using makeup. I had no eyelid at all in my left eye. When I first met Dr Cheung, he said that there was a minor operation he could do. I was so pleased that someone could help but on the other hand I was very very nervous, but he really put me at ease. When Dr Cheung told me I would be awake for the operation, this made me more nervous, but I thought just do it. I did have the operation and I’m so glad I did. I didn’t feel a thing. I now can look people in the eye, when I’m talking to them. I would like to thank Dr Cheung and I would recommend this operation to anyone who has a similar condition to mine. Thank you again Dr Cheung!”
Mrs RG. Surgery performed: Unilateral upper eyelid lowering for lid retraction due to thyroid eye disease.

“...I just wanted to say thank you once again for doing such a great job on my eyes last year. I'm so pleased with the results. I also thought you were a really nice and caring person as well as highly professional. Thank you so much Mr Cheung!”
Miss JA (London). Surgery performed: Bilateral upper eyelid revisional blepharoplasty under local anaesthetic at the BMI Edgbaston Hospital

“….Just wanted to say how thrilled I am with my new eyelids. From my consultation with Mr Cheung through to my operation, Mr Cheung was very professional and reassuring. I didn’t feel any pain when having my left and right eyelids done. In fact I would do it all over again! Before the operation, Mr Cheung said that it would be “better than going to the dentist and the operation is a bit like having your hair done” and he was right! The results are truly amazing. Thank so very much Mr Cheung!..”
Mrs RA (Walsall, West Midlands). Surgery performed: Bilateral Upper Eyelid Blepharoplasty/ Upper Eyelid Lift as an outpatient under local anaesthetic at the West Midlands Hospital, Halesowen

“....Dear David, thanks a billion for your photos, I will keep them for life as this is a very special memory of mine and I am very satisfied with the results, thanks for your amazing professionalism and constant reassurance! ...Many thanks for your incredible skills and consideration....”
Miss KIL (London). Surgery performed: Bilateral Upper Eyelid Oriental Blepharoplasty (Double Eyelid surgery) and Single Anchor Point Medial Epicanthoplasty under local anaesthetic at the BMI Edgbaston Hospital, Birmingham

" David. Thanks so much for looking after me. I'm made up with the result! I just wanted to say thank you for all your skills, your patience and always being there for me. Most of all thank you for looking after me as an individual. I know you're busy but I could never tell it from your consultation style, emails, telephone calls…Good luck with the future and I may see you again for my uppers in a few years…"
Mrs VP, Worcester. Surgery performed: Anterior approach lower lid fat draping blepharoplasty

“....Hi David, Thank you so much for the pics, but thank you more for the fantastic, skilled surgery and the complete overall experience, I couldn't be happier with the results....”
Mrs AP (Stourbridge, West Midlands). Surgery performed: Bilateral upper eyelid blepharoplasty and transblepharoplasty brow lifting with Endotine

“....Hi Mr Cheung. Photos look great on website. Thanks again for doing an amazing job on my eyes....”
Miss MU (Stourbridge, West Midlands). Surgery performed: Complex lower lid blepharoplasty

“ Hi David, thank you for the pics. It was good to see you too. So glad my eyes have improved so much, thanks to your expertise....Lastly thank you so much for taking care of me, no need to worry about me going to anyone else. I have found the best and will stay with the best!....”
RL (Coventry, East Midlands) Surgery performed: Bilateral lower eyelid transconjunctival blepharoplasty under twilight sedation

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Private Patient Appointments

Mr Cheung sees self funding patients and patients with private medical insurance at The Edgbaston Hospital, The Westbourne Centre & The West Midlands Hospital.

The BMI Edgbaston Hospital, Birmingham Website / Location
22 Somerset Road
B15 2QQ
Tel: 0121 456 2000

Appointments: 0121 4522810
Clinics held on Wednesday mornings

The Westbourne Centre, Birmingham Website / Location
53 Church Road,
B15 3SJ
Tel: 0121 456 0880

Appointments: 0121 456 0880
Clinics held on Saturday mornings

The West Midlands Hospital, Halesowen Website / Location
Colman Hill
West Midlands
B63 2AH
Tel: 0138 456 0123

Appointments: 01384 632607 & 07384 4253011
Clinics held on Thursday mornings

Forthcoming clinics for Mr Cheung

Frequently Asked Questions

  • - Probably about 70% of Mr Cheung’s patients live outside the West Midlands area. Indeed about 20% live abroad.
  • - Mr Cheung often sees patients with quite complex eyelid problems e.g. patients requesting revisional eyelid surgery, patients wanting bespoke cosmetic eyelid surgery. Thus many patients come quite a distance to see him, rather than a general ophthalmologist or general plastic surgeon.

Mr Cheung runs regular clinics for consultation on:
  • - Wednesday mornings (8.30am-12.30pm) at the BMI Edgbaston hospital in central Birmingham. Telephone: 0121 452 2810.
  • - Thursday mornings (8.30am -12.00pm) at the West Midlands Hospital in Halesowen, B63 2AH. Telephone: 01384 632607 and 07384 253011
  • - Saturday mornings (8.30am - 12.30pm) at the Westbourne Centre in Central Birmingham 0121 456 0880
Most patients living outside Birmingham prefer to see Mr Cheung at the BMI Edgbaston hospital due to its central convenient location. It is approximately 10mins by taxi from Birmingham New Street Train station and 45 minutes taxi from Birmingham International Airport. Currently 30% of Mr Cheung’s patients are from London: many of whom commute for their morning appointments by train, to arrive back home just around lunchtime.
Patients attending for eyelid problems rarely need to have dilating drops instilled during their consultation and are therefore fine to drive.
  • - Look at the calendar above to find a suitable appointment date

Mr Cheung runs regular clinics for consultation on:
  • - Wednesday mornings (8.30am-12.30pm) at the BMI Edgbaston hospital in central Birmingham. Telephone: 0121 452 2810. Website
  • - Thursday mornings (8.30am-12.00pm) at the West Midlands Hospital in Halesowen, B63 2AH. Telephone numbers: 01384 632607 and 07384 253011 Website
  • - Saturday mornings (8.30am- 12.30pm) at the Westbourne Centre, Birmingham. Telephone 0121 456 0880 Website

  • - Ring the clinic on the phone numbers above to arrange the appointment to suit you. You may be asked to leave a voicemail message since the clinics can be very very busy.
  • - Please bear in mind that rush hour traffic congestion can be severe especially during school term time in central Birmingham and if necessary allocate additional travelling time for this.
  • - If you have any difficulty booking an appointment, then please feel free to email Mr Cheung directly:
  • - Mr Cheung’s operating lists of usually in the morning. Patients commonly arrive for 7.45- 8am, undergo their surgery and are going home by lunchtime. Most patients are usually back home by mid afternoon.
  • - Less commonly patients book a hotel nearby for the night before and night of the actual operation. This is usually for convenience’s sake so that the commute is less rushed but Mr Cheung is quite happy for patients to commute back and forth on the day of their surgery.

Local Anaesthetic Surgery
Most patients undergo their surgery under local anaesthetic due to its lower costs and convenience. Patients often commute by public transport or are driven to the hospital by friends or family. For some smaller procedures Mr Cheung is happy for the patient themselves to drive and attend accompanied.

Twilight Sedation Surgery
Patients can request for an anaesthetist at extra cost to be present during the operation to administer sedation. Following intravenous sedation though, patients may have slightly slower reactions and are therefore advised not to drive nor operate machinery for 24 hours afterwards. They should attend hospital for their operation accompanied by a friend or family and can commute by public transport or be driven by car.
  • - Mr Cheung is able to offer consultation and outpatient minor operations/ filler work at the same attendance. However this needs to be prearranged and Mr Cheung would therefore prefer the patient contact him beforehand so that it can be organised.
  • - For most operations, including all those which need to be performed in an operating theatre, Mr Cheung is unable to offer same day consultation and surgery. Like most reputable hospital facilities, the hospitals at which Mr Cheung operates insist on a ‘cool down’ period of at least 10 days to allow the patient to fully consider the consequences, risks and benefits of any discussed surgery. If you do have a specific date in mind for your consultation and surgery, then please feel free to email Mr Cheung directly to discuss further.
  • Patients undergoing minor procedures sometimes do not need to be seen again following their procedure.
  • However most patients undergoing more extensive operations e.g. double eyelid surgery, blepharoplasty surgery, cosmetic eyelid surgery, are usually seen at 1-2 weeks afterwards. Stitches are often removed at the appointment.
  • Most patients are then seen again at 3-6 months following their procedure just as a final check up. However many patients from outside the West Midlands are quite happy to cancel this final outpatient appointment and email Mr Cheung to reassure that everything is fine.
Consultation costs vary depending on the type and complexity of the patient’s condition.

  • For most patients, initial consultations typically cost £100 and are payable on the day and any follow up consultations e.g. following surgery, are typically free.
  • However for patients with more complex cosmetic problems e.g. for patients requesting a second opinion following surgery performed by another surgeon, the initial consultation cost is £250.

  • Initial consultation appointments cost £160.
  • There may be additional costs for diagnostic procedures performed in clinic and Mr Cheung will inform the patient fully about these before performing any tests.
  • Follow up consultation appointments are typically free.

  • Mr Cheung will charge your medical insurer £250 per consultation for both initial and follow up appointments.
  • Please ensure that you know the claims excess on your insurance policy as this is typically collected from the patient at the initial consultation.
  • Mr Cheung is a recognised provider for all major health insurance companies e.g. BUPA, AXA/ PPP, PruHealth, Aviva, WPA, Simply Health, PHS/ PoliceHealthcare etc but is NOT a ‘fee-assured’ provider. This is because he believes in an individual patient’s freedom of choice to see whichever consultant he/ she wishes. Click here for further information from the Federation of Independent Practitioner Organisations (FIPO). Please ensure that any costs have been preauthorised by your health insurer before booking an appointment as any shortfalls will be charged to the patient directly.

Mr Cheung's PA for private patients
Mrs Elizabeth Carter
Tel: 01384 632636

For technical questions relating to surgery and advice, Mr Cheung would be grateful if you would kindly direct any queries via email to him directly via: