Cosmetic Eyelid Surgery/ Blepharoplasty Surgery for the Young

Am I too young to have cosmetic eyelid surgery/ blepharoplasty?

Contrary to common belief not all cosmetic eyelid surgery is performed in patients who are 40 years old plus i.e. for rejuvenation purposes.

Around 30% of the cosmetic eyelid surgery performed by Mr Cheung is for patients aged 18-35 ( Mr Cheung does not offer cosmetic surgery to patients under 18 years old).

As with all blepharoplasty surgery, success is often often dependent on careful surgical consultation, planning and meticulous surgery e.g. to create a skin crease which is harmonious with the patient’s facial features, ethnicity and cosmetic wishes.

Although Mr Cheung is happy to consider cosmetic blepharoplasty in patients from the age of 18 years old onwards; as with any cosmetic type procedure, it is vital that the patient is mature enough to consider the potential psychological/ emotional implications as well as the potential risks of any planned surgery.

For this reason, Mr Cheung would therefore normally recommend that patients only consider cosmetic surgery from the age of 25 onwards.

There are various reasons for young patients attending Mr Cheung’s cosmetic clinics but the most common reasons include:
• Young patients wanting greater exposure of their upper eyelids often to enable them to wear eye makeup or to make their upper eyelids look more symmetrical.
• Young patients unhappy with their lower eyelids looking fatty and bulging.
• Young patients feeling that their lower eyelids look tired and hollow.

This sort of cosmetic surgery is therefore designed to alter features which the patient was born with.

Upper Eyelid Anchor Blepharoplasty | Upper Cosmetic Eyelid Surgery in the Young

This sort of surgery is usually only performed by oculoplastic surgeons and involves creating newer, often higher, skin creases to increase the upper lid show (ULS) a.k.a. pretarsal lid show.
• This may involve surgery to both upper eyelids to increase the upper lid show on both sides.
• Whilst for other patients this involves performing surgery to one upper eyelid only to try to improve its symmetry with the eyelid on the other side.

Western Eyelid anatomy

The normal skin crease is formed due to the presence of an attachment between the skin and the fibres of the levator aponeurosis (main tendon responsible for elevating the upper eyelid). An anchor blepharoplasty is a specialised type of blepharoplasty which involves creating a new higher skin crease by making a incision where you want the new skin crease to be, carefully exposing the levator aponeurosis and then creating a new attachment between the skin and the levator aponeurosis by suturing the skin to the levator aponeurosis with so called anchor sutures (hence name).

Unlike older patients, young patients often do not have much excess skin to remove within the eyelid fold as one would normally do for a conventional upper eyelid blepharoplasty. Therefore to increase upper lid show safely, one cannot simply just remove skin as doing so would cause closure problems of the eyelid leading potentially to a dry eye syndrome.

By elevating the skin crease however, one can therefore increase the upper lid show safely. This sort of surgery evolved Mr Cheung’s work from incisional Oriental blepharoplasty where that sort of surgery in essence is all to do ablation of unwanted skin creases and then formation of new skin creases to the patient’s request.

Lower Cosmetic Eyelid Surgery in the Young

For most young patients attending Mr Cheung's clinics for their lower lids, their main complaint is typically of them looking either too bulging (lower lid fat bags) or slightly too hollow (tear trough deformity).

Before and One Week After Pictures of a Young Patient After Lower Transconjunctival Lower Lid Blepharoplasty

  • As the skin and muscle quality is usually excellent in young patients, these do not require treatment. Mr Cheung has therefore performed a transconjunctival lower lid blepharoplasty where the access incision is made on the back surface of the lower eyelids, thus avoiding the the need for a skin incision or risk getting a scar.
  • This young lady complained of bulging of the lower lid before surgery.
  • Surgery is typically performed under sedation and a small amount of fat is removed from the fat pockets to make them look less apparent. Recovery time is very quick and most patients are back to work after 2 weeks.


Tear trough filler treatment in the young to correct lower eyelid hollows/ dark circles

For most young patients though with hollow looking lower eyelids, surgery is NOT required. Instead these patients often do very well without surgery using tear trough filler injections of restylane

  • Stacks Image 654

    Tear trough deformity in a 30 year old lady. She complained that she looked tired.

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    Notice that she has some hollowing under her eyes (tear trough deformity) and a mild bulging of a fat bag

  • Stacks Image 664

    She complained that she had looked tired even in her teens and that this had worsened as she got older.

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    Immediately following injection of Restylane. Only a tiny volume was necessary on each side

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    Notice the single injection points when using a microcannula technique

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    There was minimal bruising and the patient can return to work the following day

  • Stacks Image 684

    Two weeks Restylane injection for tear trough deformity.

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    All the bruising has disappeared. The Restylane filler not only fills up the under eye hollowing but also helps disguise the mild bulging from the small fat bag

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    Before treatment again

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    After treatment again

Frequently Asked Questions

It is often advisable to have someone accompany you on the day of surgery, particularly if the surgery is performed as a day case procedure. Rarely, the eyes may be covered with pressure dressings for an hour, to help reduce the build up of any postoperative swelling. As the anaesthetic wears off, your eyelids may feel tight and sore, but this wears off quickly and is usually easily treated with simple painkillers. If the postoperative pain is severe, this may indicate a serious problem and patients should get in touch with their surgeon immediately.
You will advised to sleep upright and apply regular cold compresses to the eyelids to reduce the postoperative swelling. It is especially important to keep your wounds clean and dry. Eye drops are commonly provided to help soothe the eyes which can feel slightly dry due to temporary impairment of the normal blink reflex following surgery.

-Swelling and minor bruising is normal and peaks about 24-48 hours after the procedure.
-However 90% of the swelling usually disappears by 10 days but minor swelling may still persist for 10-12 weeks depending on the complexity of the procedure. For example, most of Mr Cheung's patients who return to work after 10-14 days often comment that their work colleagues remark that they look fresher but often do not realise that any surgery has been performed.
-Most patients return back to work about 10-14 days after blepharoplasty surgery.
- The first clinic visit following surgery is usually scheduled for 1 - 2 weeks following surgery. Mr Cheung often personally removes any skin sutures with the aid of an examination microscope to ensure there is no retention of the fine skin stitches.
-Make up can be safely used usually from the 10th postoperative day.
- Most patients are usually discharged at 3-6 months following surgery.
Most cosmetic eyelid surgery can performed quite safely as a day case procedure so that most patients go home the same day. It is advisable that someone you know can take you home and stay with you at least overnight just to be on the safe side. For some patients attending from outside the Midlands, particularly those undergoing complex surgery, Mr Cheung may advise staying overnight in the hospital or in a nearby hotel.

As with any cosmetic procedure, the patient's part in expecting a realistic outcome and understanding the potential complications is probably more important than the skill of the surgeon. Any good surgeon will take the time to chat with the patient so that they have a good understanding of what to expect and what is realistically achievable. Patients with unrealistic expectations are likely to be disappointed no matter how skilled the surgeon or good the postoperative result.

Complications are extremely rare and the vast majority of patients are extremely satisfied following surgery. The complications of blepharoplasty surgery include:
  • default_titleEyelid Asymmetry: where one side does not match the other
  • default_titleUndercorrection where insufficient skin/ orbital fat has been removed. It is important to be realistic about how much skin can safely be removed.
  • default_titleOvercorrection-If too much skin is removed during upper eyelid blepharoplasty, the eyelid may not be able to close properly (termed lagophthalmos), which can be sight threatening. Lagophthalmos can be temporary from eyelid swelling, or permanent if too much skin from the upper eyelid was removed. The cornea (clear window on the front of the eye) may start to dry out due to the incomplete closure of the eyelid. This may be sight threatening since the cornea may ulcerate as a result. For severe cases of lagophthalmos, a skin graft or flap to replace the upper eyelid skin shortage may be necessary to allow the eyelid to function normally again.
  • default_titleTemporary dry eye commonly occurs following upper eyelid blepharoplasty surgery and is commonly due to temporary impairment of the muscles involved in eyelid closure. Ocular lubricant drops are commonly prescribed for a few weeks following surgery for symptomatic relief. Less commonly though, permanent dry eye may result particularly particularly following excessive skin removal (both in upper and lower eyelid blepharoplasty) and in patients who have pre-existing problems with dry eye, tear film problems, previous refractive surgery and ocular surface problems. It is for this reason that the Dept of Health recommends that all patients undergoing any type of blepharoplasty surgery undergo a formal assessment by an ophthalmologist including testing ocular motility, tear film production and quality assessment.
  • default_titleIf too much lower eyelid skin is removed, the eyelid may look hollowed out, too concave or may cause the eyelid to turn outwards leading to ectropion formation. All oculoplastic surgeons are trained to avoid this by performing additional procedures if necessary e.g. eyelid tendon tightening such as lateral canthopexy.
  • default_titleScarring can also occur post-operatively, leading to a poor cosmetic outcome. Scarring following lower eyelid blepharoplasty can result in the lower eyelid being pulled out and downwards, leading to an unnatural appearance and ectropion. Corrective surgery may be necessary to address this. It can usually be avoided by meticulous dissection in the correct surgical planes and is rare in the hands of oculoplastic surgeons.
  • default_titleAcute glaucoma is an rare but potentially blinding complication that can occur with any type of eyelid surgery and occurs when the internal pressure of the eye starts to rise as a result of some of the side effects of some of the drugs and injections utilised during eyelid surgery. Oculoplastic surgeons are trained to recognise and manage this complication through their general ophthalmology training. It is recommended in the US, that a formal ophthalmological assessment be performed prior to eyelid surgery to look for the potential risk factors for this complication.
  • default_titleBleeding into the skin, known as a skin haematoma, after the procedure is an uncommon complication and excessive bruising leading to a collection of blood within the tissue. It is critical to stop all tablets which may increase the risk of bleeding and your surgeon should advise you about this prior to surgery. In the first few days following surgery, you should avoid any vigourous activity such as lifting, bending, since this can worsen any bruising or swelling of the eyelids.
  • default_titleCorneal abrasion is when the corneal surface is damaged either due to the inadvertent trauma. This complication is extremely rare in the hands of oculoplastic surgeons.
  • default_titleEyelid ptosis- Uncommonly the main tendon (levator aponeurosis) within the eyelid may be damaged during cosmetic eyelid surgery causing the actual eyelid itself to descend and stay permanently low. This complication is extremely rare for oculoplastic surgeons since they routinely operate on this structure anyway and the most experienced in recognising the complex anatomy. Indeed, oculoplastic surgeons routinely perform ptosis surgery anyway and may recommend simultaneous ptosis correction/ repair in patients who already have a compromised eyelid tendon.
  • default_titleSunken eye (enophthalmos) and hollow eyelids- The fat within the socket (orbital fat) normally starts to shrink with age leading the the eyeball looking sunken over time. However, an artificially sunken eye can occur following excessive orbital fat removal. Similarly if excessive fat is removed the eyelids can look artificially hollow (sometimes known as skeletonisation). This complication occurs less commonly now surgeons have learnt to avoid it by being very conservative with orbital fat removal and performing safer techniques e.g. orbital fat repositioning.
  • default_titleBy far, the worst complication of blepharoplasty and thankfully the rarest, is an orbital haematoma. Uncontrolled bleeding, usually from a blood vessel from manipulation of some of the pockets of fat, results in compression on the optic nerve and its blood supply. If left untreated, permanent blindness can occur. Early diagnosis—recognised by severe eye pain or visual changes—is critical. Urgent reoperation may be necessary to stem the bleeding point and relieve the pressure on the optic nerve. It is for this reason, that eyelid plastic operations should ideally be performed by surgeons who are experienced in handling the fat of the eye socket to not only avoid this problem but also be able to manage it quickly and safely should it arise. Oculoplastic surgeons perform more operations within the orbit and around the eyelids than any other type of surgeon and are therefore best equipped to avoid and manage this rare but fearsome complication.
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It is for all these reasons that Mr Cheung tends to err on the side of caution i.e. towards conservative blepharoplasty surgery to reduce the risk of complications and also give a more harmonious balance appearance, to try and avoid a 'plastic' unnatural look. Most complications can be avoid with careful preoperative examination, surgical planning and meticulous operative technique.
Yes. About 50% of Mr Cheung's cosmetic patients are from outside the West Midlands region and undergo this surgery quite safely as a day case procedure. Most travel between home and hospital for their consultations and surgery to reduce accommodation costs.
Yes (and No).

Yes you can have blepharoplasty surgery for functional reasons on the NHS i.e. if your eyelid hooding is so severe that it interferes with your visual field or if is for rehabilitation purposes from some pathological process e.g. for thyroid eye disease.

However the NHS is unlikely to fund blepharoplasty surgery purely for cosmetic purposes for the sake of rejuvenation purposes e.g. severe thyroid eye disease, amyloidosis.

For quite some time now, most CCGs (clinical commissioning groups) have brought out their eligibility criteria which patients would have to meet prior their surgery being agreed to be funded by their local NHS.

Dudley Procedures of Limited Clinical Value/ Aesthetic Policy Document 2019

Sandwell and West Birmingham/ Birmingham and Solihull CCG Policy for Cosmetic Surgery - Eyelid Surgery 2019

..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: