Rated 5 Stars on Doctify

Eyelid Lumps and Bumps

Consultant-led treatment from Mr Hooman Sherafat, with precision care and personal support at every step.

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Overview

Treatment at The London Eye Clinic

Lesion of eyelids are very common and arise for a variety of causes. On occasions these lesions may be removed either because of concerns about their nature or a patient’s wish to do so, due to their concerns about appearance of their eyelid.

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Symptoms

Reasons you may seek excision or excision may be recommended:

  • Concerns about nature of the lesion
  • Symptoms such as impact on vision, irritation or discomfort
  • Concerns about appearance

About

About Excision

What is Excision and lesion of eyelids?

Lesion of eyelids are very common and arise for a variety of causes. On occasions these lesions may be removed either because of concerns about their nature or a patient’s wish to do so, due to their concerns about appearance of their eyelid. 

In some cases, the lesion may not be fully removed but a small part of it removed (biopsy) and sent off for histological (lab) testing, so that the appropriate treatment is administered, once its exact nature is determined.

Treatment

Information on the procedure

The treatment is carried out in a dedicated outpatient minor-ops room, A local anaesthetic injection is given to the affected area and the lesion is removed. Most commonly the area does not need to be stitched and is allowed to heal itself, but on occasions stitches may be needed to close the defect. Depending on the features of the lesion, it may be recommended that it is checked histologically i.e. sent to the lab, so its precise nature is identified.

When the procedure is completed, your eye may be padded. If your eye is padded it would advisable that you do not drive.

 

What are the risks of excision?

Removal of lesions of eyelid are generally safe and low risk and do not lead to any long-term sequelae, however there is always a risk. Some of the risks are the same as those applying to an of any procedure on any part of the body. Some risks are specific to the particular area of the eyelid, where the lesion presents.

General risks:

Infection, bleeding, bruising & swelling, scarring, incomplete excision, recurrence, further surgery depending on the histology results.

Specific risks:

  • Lid margin lesions: Removal of lesions involving the eyelid margin and eyelashes, may result in loss of some lashes or their growing back in a different direction. Usually lost eyelashes grow back, but on occasions this may be permanent.
  • Lesions close to the tear drainage opening: Removal of lesions near the tear drainage opening (puncta), may lead damage to the tear drainage or a change in its position and lead to watery eye.

What to expect post-operatively

The treated eyelid maybe swollen, red & bruised. The eye may be a bit red, gritty or watery. These symptoms are usually transient and shouldn’t last more than a day or two. Bruising from the procedure or injection of anaesthetic may take a longer to clear. The treated area may be left to form a scab and heal. You are advised to keep the area to be kept dry for the rest of the day, until a dry, crusted scab is formed. Once the scab is formed, you can wet and wash the area as usual, but not soak it for prolonged periods. You are encouraged not to pick the scab and remove it, but to allow it to drop off spontaneously. This would favour the best healing of the underlying wound.

 

Patient Journey

What you can expect under our care

Consultation & Examination

The operation is usually performed under a local anaesthetic that is injected in your eyelid as a daycase.

Your Procedure

After an injection of local anaesthetic, the lesion is excised, drained or curetted (scraped).

Recovery & Follow-up

The treated eyelid maybe swollen, red & bruised. The eye may be a bit red, gritty or watery. These symptoms are usually transient and shouldn’t last more than a day or two.

Frequently Asked Questions

Common questions we are asked

Got a question that’s not covered here?

Just get in touch with our friendly team we’re happy to help and always here to talk through your options.

Contact us

Ready to book a consultation?

Whether you’re looking for more information or want to take the next step, our friendly team is here to help and happy to talk things through with you.


Contact us

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Why Choose Us

Reasons Our Patients Trust Us with their eyes.

Our patients know that they are cared for and listened to. We take the time to provide clear information about all available options, along with the benefits and risks of each. This approach gives every patient the confidence to make informed choices about their treatment, knowing they are supported every step of the way.

View Testimonials

Putting the patient first

At The London Eye Clinic, patient care is at the heart of everything we do. Hooman is known for his caring, transparent approach, taking the time to understand each person’s individual needs and creating treatment plans that are compassionate, thorough, and patient-centred . From leading the Best Interest Ophthalmology Service for patients with learning difficulties to offering clear guidance on surgical and non-surgical options, his focus is always on doing what’s right for the patient.

Advanced eye care treatment

With extensive training at leading London hospitals, including St George’s, Guy’s and St Thomas’, and Moorfields. Hooman brings advanced expertise in oculoplastic, lacrimal, and reconstructive surgery alongside general ophthalmology. The London Eye Clinic offers a wide range of treatments, from cataract operations to delicate eyelid procedures, delivered with the latest techniques and the highest standards of care. Whether routine or complex, every treatment is carried out with precision and attention to detail.

Over 20 years of experience

Since qualifying in 1992, Hooman has gained over two decades of experience treating thousands of patients. His work is recognised not only in the UK but also internationally, performing cataract operations in Ghana, Bangladesh, and Burma, and being invited to the House of Lords in recognition of his support for the visually impaired. This depth of experience gives patients confidence that they are in safe, capable hands.

Testimonials

What Are Patients Saying?

Real stories from patients who trusted their eyes to Hooman Sherafat.

Exceeding all my expectations

I recently underwent ptosis treatment and corrective surgery with Mr Hooman Sherafat, and the experience exceeded all my expectations. From our first consultation, Mr Sherafat’s expertise and warmth put me completely at ease. He explained every step in detail, instilling total confidence in his abilities. His exemplary bedside manner, coupled with his team’s unwavering professionalism and kindness, made the entire process seamless and reassuring. The surgery itself was flawless, and the results have been life-changing. My eyelid was perfectly corrected, restoring both my appearance and my confidence. If you are considering this procedure, I wholeheartedly urge you to trust Mr Sherafat; his skill and dedication are truly exceptional.

5 Stars

Ptosis Repair Patient

Clearer, Brighter and the Colours are Wonderful

I just don’t know how to thank you for my improved eye sight. Everything is clearer, brighter and the colours are wonderful! Of course, I was a little fearful of the operation, but I had great confidence in you. The actual procedure was totally painless. The right eye could not have been more comfortable; in the left eye I had some very slight discomfort. Two days later the right eye was perfect and there was some ‘grittiness’ in the left; after one week both eyes are excellent.

5 Stars

ST, Cataract Patient

Thorough & Honest

After to meeting Mr Sherafat straight away I knew he was the right consultant for me. He was thorough & honest. My surgery was painless and I was constantly out at ease & informed of what was happening by him & his team. My results are very pleasing, exactly what I wanted natural & symmetrical. I couldn’t have asked for a better experience or better results. I have already recommended him to 3 people & one has already booked after seeing my results.

5 Stars

Blepharoplasty Batient

Professionalism gave me the utmost confidence

Mr Sherafat is obviously a very experienced eye surgeon and his manner and professionalism gave me the utmost confidence in proceeding with my operation.

5 Stars

Entropion Repair Patient

View the World in its Full Glory

Thank you for enabling me to once more view the world in its full glory. I am enjoying it immensely apart from discovering that I have more wrinkles than I had realised! However, a very tiny price to pay for full vision again.

5 Stars

AD, Cataract Surgery Patient

Rated 5 Stars on Doctify

Initial Consultation

Consultant-led treatment from Mr Hooman Sherafat, with precision care and personal support at every step.

Book a Consultation

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Overview

An Initial Consultation is your first step at the London Eye Clinic

Led by Mr Hooman, consultant ophthalmic and oculoplastic surgeon and founder of the clinic, the evaluation is a detailed consultation designed to understand your eyes, your lifestyle, and your goals — and to create a clear plan forward.

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Symptoms

Why is the evaluation important?

  • You’re experiencing new or persistent eye symptoms such as dryness, watering, irritation, or changes in your eyelids
  • You’ve been referred for specialist assessment or would like a second opinion
  • You’re thinking about surgery or other treatments and want clear guidance before making decisions
  • You’d simply like reassurance about the health and comfort of your eyes from an experienced surgeon

An evaluation is an essential first step in understanding your eye health and planning the right treatment. It gives you direct access to Hooman’s expertise and ensures nothing is overlooked.

Treatment

What happens during an Evaluation?

During your appointment, Hooman will:

  1. Get to know you
    He’ll talk through your medical and eye history, lifestyle, and what you hope to achieve — whether that’s better comfort, improved appearance, or clearer vision.

  2. Examine your eyes
    A thorough eye examination is carried out, which may include vision testing, eyelid assessment, checking tear function, examining the eye surface, and using specialist imaging if needed.

  3. Explain his findings
    Hooman will discuss what he’s seen, provide a clear diagnosis (or outline possible causes) and explain how these affect you.

  4. Outline your options
    You’ll hear about every suitable treatment route — from lifestyle measures and medical therapies to in-clinic procedures or surgery where appropriate.

  5. Agree a plan
    Together, you’ll decide the best next steps, with clear guidance on timing, recovery, and follow-up.

Patient Journey

Why is the Evaluation Important?

Direct access to expertise

Meet with Hooman, the clinic’s founder and lead surgeon, for a thorough consultation.

Complete assessment

Functional, cosmetic, and medical aspects of your eye health are reviewed in one visit.

Clear next steps

Leave with a diagnosis, treatment options, and confidence about what to do next.

Ready to book a consultation?

Whether you’re looking for more information or want to take the next step, our friendly team is here to help and happy to talk things through with you.


Contact us

"*" indicates required fields

Why Choose Us

Reasons Our Patients Trust Us with their eyes.

Our patients know that they are cared for and listened to. We take the time to provide clear information about all available options, along with the benefits and risks of each. This approach gives every patient the confidence to make informed choices about their treatment, knowing they are supported every step of the way.

View Testimonials

Putting the patient first

At The London Eye Clinic, patient care is at the heart of everything we do. Hooman is known for his caring, transparent approach, taking the time to understand each person’s individual needs and creating treatment plans that are compassionate, thorough, and patient-centred . From leading the Best Interest Ophthalmology Service for patients with learning difficulties to offering clear guidance on surgical and non-surgical options, his focus is always on doing what’s right for the patient.

Advanced eye care treatment

With extensive training at leading London hospitals, including St George’s, Guy’s and St Thomas’, and Moorfields. Hooman brings advanced expertise in oculoplastic, lacrimal, and reconstructive surgery alongside general ophthalmology. The London Eye Clinic offers a wide range of treatments, from cataract operations to delicate eyelid procedures, delivered with the latest techniques and the highest standards of care. Whether routine or complex, every treatment is carried out with precision and attention to detail.

Over 20 years of experience

Since qualifying in 1992, Hooman has gained over two decades of experience treating thousands of patients. His work is recognised not only in the UK but also internationally, performing cataract operations in Ghana, Bangladesh, and Burma, and being invited to the House of Lords in recognition of his support for the visually impaired. This depth of experience gives patients confidence that they are in safe, capable hands.

Testimonials

What Are Patients Saying?

Real stories from patients who trusted their eyes to Hooman Sherafat.

Exceeding all my expectations

I recently underwent ptosis treatment and corrective surgery with Mr Hooman Sherafat, and the experience exceeded all my expectations. From our first consultation, Mr Sherafat’s expertise and warmth put me completely at ease. He explained every step in detail, instilling total confidence in his abilities. His exemplary bedside manner, coupled with his team’s unwavering professionalism and kindness, made the entire process seamless and reassuring. The surgery itself was flawless, and the results have been life-changing. My eyelid was perfectly corrected, restoring both my appearance and my confidence. If you are considering this procedure, I wholeheartedly urge you to trust Mr Sherafat; his skill and dedication are truly exceptional.

5 Stars

Ptosis Repair Patient

Clearer, Brighter and the Colours are Wonderful

I just don’t know how to thank you for my improved eye sight. Everything is clearer, brighter and the colours are wonderful! Of course, I was a little fearful of the operation, but I had great confidence in you. The actual procedure was totally painless. The right eye could not have been more comfortable; in the left eye I had some very slight discomfort. Two days later the right eye was perfect and there was some ‘grittiness’ in the left; after one week both eyes are excellent.

5 Stars

ST, Cataract Patient

Thorough & Honest

After to meeting Mr Sherafat straight away I knew he was the right consultant for me. He was thorough & honest. My surgery was painless and I was constantly out at ease & informed of what was happening by him & his team. My results are very pleasing, exactly what I wanted natural & symmetrical. I couldn’t have asked for a better experience or better results. I have already recommended him to 3 people & one has already booked after seeing my results.

5 Stars

Blepharoplasty Batient

Professionalism gave me the utmost confidence

Mr Sherafat is obviously a very experienced eye surgeon and his manner and professionalism gave me the utmost confidence in proceeding with my operation.

5 Stars

Entropion Repair Patient

View the World in its Full Glory

Thank you for enabling me to once more view the world in its full glory. I am enjoying it immensely apart from discovering that I have more wrinkles than I had realised! However, a very tiny price to pay for full vision again.

5 Stars

AD, Cataract Surgery Patient

Rated 5 Stars on Doctify

Blepharoplasty

Consultant-led treatment from Mr Hooman Sherafat, with precision care and personal support at every step.

Book a Consultation

Scroll to learn more

Overview

Blepharoplasty at The London Eye Clinic

Blepharoplasty corrects hooded upper eyelids, and puffy bags under the eyes. It aims to achieve this by removing excess skin, muscle and/or fat from the upper eyelid or protruding tissue from the lower eyelid.

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Symptoms

Reasons You May Seek Blepharoplasty

  • Cosmetic
  • Heavy hooding of eyelids causing eye strain
  • Heavy hooding of eyelids impairing field of vision

About

About Blepharoplasty

What is Blepharoplasty?

Blepharoplasty corrects hooded upper eyelids, and puffy bags under the eyes. It aims to achieve this by removing excess skin, muscle and/or fat from the upper eyelid or protruding tissue from the lower eyelid. Blepharoplasty aims to provide a more youthful appearance. As aging is a continuous and progressive process with associated changes, which will continue after surgery, it is important that a long-term, rather than a short-term view of the aesthetic outcome is taken into consideration. It is vital that any excision of tissue is carried out judiciously and any aesthetic objective is balanced against preserving the functional integrity of the eyelids in closing and protecting the delicate ocular surfaces. The integrity of the eye and vision is always the primary concern. Two problems may be addressed by blepharoplasty:

  • Excess Upper Eyelid Skin +/- fat: The skin and muscles of the eyelids stretch with time, sunlight exposure and gravity. Excess skin may even form a hood over the eyelid, which may interfere with your vision.
  • Sagging and Bulging Lower Eyelids: Almost everyone develops some degree of bagginess under the eyes with time for the same reason as the upper eyelids. In some people there may be a family history. As well as excess skin, the fat that normally surrounds the eyeball tends to move forward causing bulging.

What results can I expect after Blepharoplasty surgery?

Blepharoplasty removes excess skin and fat from the eyelids to create a fresher, more alert appearance. Patients often find their eyes look brighter and less heavy, with subtle, natural results that enhance rather than change their overall look. In many cases, the procedure also helps improve comfort by reducing eyelid droop or heaviness. Final results develop as swelling settles, leaving the eyes looking rejuvenated and well-rested.

Pre-op 

Post-op

Pre-op

Post-op

Treatment

Information on the procedure

  • Excess tissue in the upper lid is removed through an incision, which is made in the natural skin crease above the eye.
  • Protruding fatty tissue in the lower lid is usually removed through an incision through the skin just underneath the lower eyelid eyelashes (sub-ciliary).
  • Fat in the lower eyelid without excess skin can sometimes be removed via an incision through the inside of the eyelid (trans-conjunctival).
  • The scars that result from these incisions are quite inconspicuous when healed. Of course, women can camouflage any marks with make up, and men tend to find that the scars disappear into the natural smile lines around the eyes.
  • Eyelid surgery is usually performed with a local anaesthetic (injections to the numb the eyelids) and sedation (an injection in the back of the hand that makes you sleepy and less anxious). General anaesthesia is rarely used.
  • Although the time required for surgery varies from person to person, each eyelid treated takes approximately 60 minutes.

Patient Journey

What you can expect under our care

Consultation & Examination

Eyelid surgery is usually performed with a local anaesthetic (injections to the numb the eyelids) and sedation (an injection in the back of the hand that makes you sleepy and less anxious).

Your Procedure

Excess tissue in the upper lid is removed through an incision, which is made in the natural skin crease above the eye.

Recovery & Follow-up

You will be required to stay in the hospital for a minimum of 2 hours following surgery.

Frequently Asked Questions

Common questions we are asked

Got a question that’s not covered here?

Just get in touch with our friendly team we’re happy to help and always here to talk through your options.

Contact us

Ready to book a consultation?

Whether you’re looking for more information or want to take the next step, our friendly team is here to help and happy to talk things through with you.


Contact us

"*" indicates required fields

Why Choose Us

Reasons Our Patients Trust Us with their eyes.

Our patients know that they are cared for and listened to. We take the time to provide clear information about all available options, along with the benefits and risks of each. This approach gives every patient the confidence to make informed choices about their treatment, knowing they are supported every step of the way.

View Testimonials

Putting the patient first

At The London Eye Clinic, patient care is at the heart of everything we do. Hooman is known for his caring, transparent approach, taking the time to understand each person’s individual needs and creating treatment plans that are compassionate, thorough, and patient-centred . From leading the Best Interest Ophthalmology Service for patients with learning difficulties to offering clear guidance on surgical and non-surgical options, his focus is always on doing what’s right for the patient.

Advanced eye care treatment

With extensive training at leading London hospitals, including St George’s, Guy’s and St Thomas’, and Moorfields. Hooman brings advanced expertise in oculoplastic, lacrimal, and reconstructive surgery alongside general ophthalmology. The London Eye Clinic offers a wide range of treatments, from cataract operations to delicate eyelid procedures, delivered with the latest techniques and the highest standards of care. Whether routine or complex, every treatment is carried out with precision and attention to detail.

Over 20 years of experience

Since qualifying in 1992, Hooman has gained over two decades of experience treating thousands of patients. His work is recognised not only in the UK but also internationally, performing cataract operations in Ghana, Bangladesh, and Burma, and being invited to the House of Lords in recognition of his support for the visually impaired. This depth of experience gives patients confidence that they are in safe, capable hands.

Testimonials

What Are Patients Saying?

Real stories from patients who trusted their eyes to Hooman Sherafat.

Exceeding all my expectations

I recently underwent ptosis treatment and corrective surgery with Mr Hooman Sherafat, and the experience exceeded all my expectations. From our first consultation, Mr Sherafat’s expertise and warmth put me completely at ease. He explained every step in detail, instilling total confidence in his abilities. His exemplary bedside manner, coupled with his team’s unwavering professionalism and kindness, made the entire process seamless and reassuring. The surgery itself was flawless, and the results have been life-changing. My eyelid was perfectly corrected, restoring both my appearance and my confidence. If you are considering this procedure, I wholeheartedly urge you to trust Mr Sherafat; his skill and dedication are truly exceptional.

5 Stars

Ptosis Repair Patient

Clearer, Brighter and the Colours are Wonderful

I just don’t know how to thank you for my improved eye sight. Everything is clearer, brighter and the colours are wonderful! Of course, I was a little fearful of the operation, but I had great confidence in you. The actual procedure was totally painless. The right eye could not have been more comfortable; in the left eye I had some very slight discomfort. Two days later the right eye was perfect and there was some ‘grittiness’ in the left; after one week both eyes are excellent.

5 Stars

ST, Cataract Patient

Thorough & Honest

After to meeting Mr Sherafat straight away I knew he was the right consultant for me. He was thorough & honest. My surgery was painless and I was constantly out at ease & informed of what was happening by him & his team. My results are very pleasing, exactly what I wanted natural & symmetrical. I couldn’t have asked for a better experience or better results. I have already recommended him to 3 people & one has already booked after seeing my results.

5 Stars

Blepharoplasty Batient

Professionalism gave me the utmost confidence

Mr Sherafat is obviously a very experienced eye surgeon and his manner and professionalism gave me the utmost confidence in proceeding with my operation.

5 Stars

Entropion Repair Patient

View the World in its Full Glory

Thank you for enabling me to once more view the world in its full glory. I am enjoying it immensely apart from discovering that I have more wrinkles than I had realised! However, a very tiny price to pay for full vision again.

5 Stars

AD, Cataract Surgery Patient