Find Out If You’re Suitable for Eyelid Surgery

This quick assessment helps determine if you’re suitable for eyelid surgery. A specialist will review your answers and contact you.

First Name *

Last Name *

Email *

Phone *

Yes, I would like to receive updates, offers and tips by email, SMS or phone.

What concerns you most about your eyelids?

Droopy upper eyelids

Excess upper eyelid skin

Hooded eyelids

Puffy lower eyelids

Under-eye bags

Lower eyelid sagging

Eyelid turning inward (entropion)

Eyelid turning outward (ectropion)

Irritation / watery eyes

Vision partially blocked by eyelid skin

Cosmetic appearance only

Is your concern affecting your vision?

Yes – my vision feels obstructed

Sometimes

No – cosmetic only

Do you experience any of the following?

Eye irritation

Redness

Excess tearing

Dry eyes

Recurrent infections

None

Have you previously had eyelid surgery?

Yes

Do you have any of the following medical conditions?

Thyroid eye disease

Glaucoma

Diabetes

High blood pressure

Bleeding disorders

None

Are you currently taking blood thinners?

Yes

How long have you had this issue?

Less than 6 months

6–12 months

1–3 years

3+ years

How much does this concern bother you on a scale of 1–5?

What outcome are you hoping for?

Improved vision

More youthful appearance

Removal of under-eye bags

Correction of eyelid position

Relief from irritation

All of the above

Are you open to a surgical procedure if suitable?

Yes

Maybe, need more information

No, looking for non-surgical options

When are you considering treatment?

As soon as possible

Within 3 months

Within 6 months

Just researching

Upload a clear photo of your eyelids (front and side view). (optional)

+44 7462 676558

171 West Road, Newcastle upon Tyne, NE15 6PQ United Kingdom

Clinic 2 The Door W4 The Hogarth club, W4 2NW London United Kingdom

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