Surgeon-Led Specialist Clinic

Led by plastic surgeon Dr. Ayad Harb, we pride ourselves on the standard of care, quality and safety of our treatments.

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SRGN has three state of the art clinic locations in Central London, Bicester & Ascot.

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All of our surgeons are registered with the General Medical Council.



Eyelid Hooding and Loose Skin

Medically Reviewed April 2023, by Dr. Ayad Harb, one of the world's leading plastic surgeons

About Eyelid Hooding and Loose Skin

The eyes often bear the weight of our emotional expressions, signalling joy, sorrow, excitement, and fatigue. In many cultures, eyes are regarded as the mirrors to one's soul. They hold an unspoken power in human interactions, drawing people in or pushing them away. Given this profound influence, any alteration in the aesthetics of our eyes can have a significant impact on our self-perception and how we communicate non-verbally with the world.

One of the increasingly common concerns in the realm of facial aesthetics is the issue of eyelid hooding and the presence of loose skin around the eyes. Both of these issues can profoundly affect an individual's appearance, making them seem older, more fatigued, or even less attentive than they truly are. But what really lies beneath these concerns?

Eyelid hooding essentially refers to the condition where the upper eyelid skin begins to droop or sag. This drooping effect can sometimes extend to such an extent that the skin hangs over the eyelashes. While the aesthetic implications are obvious and can be distressing, in severe cases, the hooding also becomes a functional concern. It can impede one's field of vision, sometimes obstructing the peripheral view, which can affect daily tasks such as reading, driving, and recognizing faces.

On the other hand, loose skin around the eyes is an inevitable sign of ageing for many. Over time, the skin naturally loses its elasticity. The structural proteins, collagen and elastin, which provide our skin its youthful bounce and tightness, decrease in production as we age. The result is the formation of fine lines, wrinkles, and sagging skin. The delicate skin around our eyes, being thinner than the rest of our face, is often the first to manifest these signs.

But why do some people experience these concerns earlier or more prominently than others? Several factors contribute to this. Genetics, for instance, play a pivotal role. If your family lineage showcases a history of pronounced eyelid hooding or sagging skin around the eyes, you might find yourself facing these issues earlier than most. It's a hereditary hand-me-down that isn't always welcomed.

The natural ageing process is another key player. As we grow older, our skin doesn't just lose collagen and elastin, but it also thins out, making it more susceptible to external factors. External aggressors like prolonged sun exposure can expedite the ageing process. Ultraviolet (UV) rays from the sun can hasten the breakdown of collagen and elastin fibres, leading to early onset of sagging and wrinkling. Similarly, habits like smoking don't just harm the lungs; they restrict blood flow to the skin's surface, depriving it of essential oxygen and nutrients.

Furthermore, lifestyle choices and skincare habits, or a lack thereof, can either mitigate or amplify these concerns. Poor hydration, lack of a proper skincare regimen, and not using sun protection can make the skin more vulnerable to premature ageing.

In today's age, self-awareness and the pursuit of aesthetic enhancement have merged with advancements in medical science to provide solutions to these concerns. The field of aesthetic and plastic surgery now offers a plethora of options, both surgical and non-surgical, to treat and manage the issues of eyelid hooding and loose skin. These treatments not only offer cosmetic relief but also restore a sense of self-confidence and, in some cases, improve functional aspects of vision.


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Types of Eyelid Hooding and Loose Skin

Functional Hooding

The eyes, among the body's most essential organs, require clear and unobstructed vision for optimal function. Functional hooding is one of the concerns that can hinder this necessity. This form of eyelid drooping goes beyond cosmetic concerns and becomes a matter of functional impairment. When the sagging skin from the upper eyelid obstructs the peripheral vision, especially the upper and outer parts of one's field of view, it can have profound implications on daily activities.

Imagine reading a book or driving, and having a "blind spot" caused not by external factors, but by your own eyelid. Such a condition can be both frustrating and dangerous. It's not just about the physical hindrance; the constant need to adjust one's field of vision or raise eyebrows can lead to other complications, such as forehead wrinkles from frequent lifting of the brow or even headaches from the strain.

Furthermore, the emotional and psychological impacts of functional hooding cannot be understated. Individuals with this condition often find themselves feeling limited, restrained, and even at a disadvantage in activities that others take for granted.

Cosmetic Hooding

Cosmetic hooding, while not impeding one's vision like functional hooding, carries its own set of challenges and implications. The drooping or sagging of the eyelid skin in this scenario might not extend over the eyelashes but is noticeable enough to give the eyes an appearance of chronic fatigue, ageing, or displeasure. The eyes might look half-closed, even when one is fully alert and awake.

The aesthetic implications of cosmetic hooding can lead to a cascade of self-esteem issues. We live in a world that often equates beauty with wide, alert eyes. When the eyes appear constantly tired or droopy, it can affect interpersonal interactions, professional engagements, and even one's own self-perception.

In certain cultures or professions, where eye contact is crucial, cosmetic hooding can be mistaken for disinterest or inattentiveness. This miscommunication can lead to missed opportunities, misunderstandings, and unnecessary judgments.

Fine Lines and Crow's Feet

The skin surrounding our eyes is delicate, making it particularly vulnerable to the telltale signs of ageing and external damage. Fine lines and crow's feet are among the most common manifestations. They are those tiny, etched lines that fan out from the corners of the eyes, resembling the foot of a bird – hence the name.

These lines develop from a combination of factors. Repeated facial expressions, such as squinting or laughing, can cause these lines to form over time. The natural ageing process, with the decrease in collagen and elastin production, further compounds their development. While these lines are a testament to a life filled with emotions and expressions, they can also be a source of cosmetic concern for many.

Beyond just the aesthetic aspect, the presence of fine lines and crow's feet can also signal underlying skin health issues. They can indicate chronic sun damage, dehydration, or even a lack of essential nutrients in the skin.

Deep-set Wrinkles

As time marches on, the skin undergoes various transformations. While fine lines are the early signs of skin ageing, deep-set wrinkles are their more mature counterparts. These wrinkles, more profound and noticeable than fine lines, form when the skin's loss of elasticity and volume becomes significant.

Deep-set wrinkles around the eyes can be more pronounced due to the thinness and sensitivity of the skin in this area. They can form as a result of prolonged exposure to harmful UV rays, consistent neglect of proper skincare, and the natural decrease in the skin's collagen and elastin production. Additionally, habits like smoking, poor diet, and inadequate hydration can exacerbate their formation.

While deep-set wrinkles are often perceived as badges of wisdom and experience, they can also make an individual appear significantly older than their actual age, leading many to seek treatments to address them.

Eyelid Hooding and Loose Skin Treatments


Morpheus8 is a groundbreaking skin treatment that combines microneedling with radiofrequency (RF) energy to target the deeper layers of the skin and fat. This innovative approach promises to rejuvenate the skin in ways traditional treatments might not achieve.

The essence of Morpheus8 lies in its ability to reach the subdermal layers, where a majority of skin ageing processes begin. When we think of signs of aging, we often picture them as surface-level concerns. However, beneath the skin, a complex interplay of collagen loss, fat displacement, and tissue laxity comes together to create the appearance of sagging skin, fine lines, and wrinkles.

Morpheus8 integrates the benefits of microneedling with the thermal properties of RF energy. As the device's needles penetrate the skin, they simultaneously emit RF energy. This dual action provides a twofold benefit: the controlled injury from the needles stimulates collagen production, while the RF energy tightens the skin and remodels the underlying tissue.

Focusing on eyelid hooding and loose skin around the eyes, Morpheus8's precision becomes vital. The skin in this region is notoriously thin and delicate, making it susceptible to early signs of ageing and damage from aggressive treatments. The controlled and targeted approach of Morpheus8 ensures that the skin is treated with the necessary delicacy while still achieving noticeable results.

With Morpheus8, patients often experience reduced hooding, tighter skin, and a significant reduction in fine lines and wrinkles around the eyes. Moreover, due to the subdermal targeting of the treatment, results tend to be long-lasting, giving individuals a refreshed and youthful appearance for extended periods.

Eyelid Lift

Eyelid lift, medically termed as blepharoplasty, is a surgical procedure designed to rejuvenate the appearance of the eyelids. As with many structures in our body, the passage of time, genetics, and external factors can lead to changes in our eyelids that convey an impression of tiredness, sadness, or ageing.

An eyelid lift aims to address these concerns. The procedure can be performed on the upper eyelids, lower eyelids, or both, depending on the individual's needs. For those with significant hooding or sagging, an upper eyelid lift can remove excess skin and fat, thereby restoring a more alert and youthful eye contour. Conversely, a lower eyelid lift primarily targets puffiness or bags under the eyes, refining the under-eye area.

The surgery begins with careful incisions, made within the natural creases of the eyelids to ensure minimal visible scarring. Through these incisions, excess skin is removed, and underlying tissues are adjusted to produce a more youthful and rested appearance. Once the desired modifications are made, the incisions are meticulously sutured.

Following the procedure, patients often experience swelling, bruising, and discomfort, but these side effects generally subside within a week or two. The results of an eyelid lift can be transformative. The eyes, often considered the windows to the soul, appear brighter, more open, and more youthful.

Moreover, beyond just cosmetic benefits, an upper eyelid lift can also offer functional improvements. For those whose vision was impeded due to severe hooding, the procedure can restore a clearer, unobstructed field of view.

In the world of aesthetic treatments, an eyelid lift stands as a testament to the blend of art and science. Through careful surgical techniques, it revitalises one of the most expressive parts of the human face, allowing individuals to put forth their best self, both in appearance and in spirit.


The journey to youthful, radiant skin is often marked by the exploration of innovative treatments, and microneedling stands as one of the most notable in the realm of aesthetic medicine. Revered for its efficacy and minimal invasiveness, microneedling has made its mark in addressing a plethora of skin concerns, especially eyelid hooding and the appearance of loose skin around the eyes.

At its core, microneedling involves the use of a device adorned with multiple tiny, sterile needles. This device is delicately passed over the skin, creating controlled micro-injuries. While the term "injury" might sound daunting, these punctures are superficial and are strategically created to stimulate the skin's natural healing mechanisms without causing genuine harm.

When these minute punctures are made, the skin enters a state of repair. This reparative phase is marked by an increased production of collagen and elastin, vital proteins that serve as the bedrock of youthful skin. Collagen provides the skin with structure and resilience, while elastin grants it flexibility. As these proteins are produced in abundance post-treatment, they work together to revitalise the skin, rendering it firmer, smoother, and more supple.

A noteworthy advantage of microneedling is its ability to improve product absorption. Post-procedure, the skin becomes more receptive, allowing topical treatments to penetrate deeper layers of the skin. This boosts the efficacy of serums or creams applied after the session, ensuring that the skin benefits more profoundly from their active ingredients.

Considering the delicate skin around the eyes, microneedling can be an excellent remedy for the challenges of eyelid hooding and sagging. With increased collagen synthesis, the skin in this region gradually tightens, reducing the appearance of hooding. Moreover, the fine lines that often accompany loose skin are also diminished, as the increased collagen works to fill and smooth them out.

The aftermath of a microneedling session is typically marked by a mild redness, akin to a sunburn, but this subsides within a couple of days. As the skin heals, the results become increasingly apparent, unveiling a refreshed, rejuvenated appearance that harks back to one's youthful days.

In essence, microneedling is a harmonious blend of simplicity and science. It taps into the skin's innate ability to heal and rejuvenate itself. By merely kickstarting a natural process, it offers a solution that is both effective and minimally invasive, making it a favoured choice for many seeking to restore a youthful visage.

About Our Clinic

Located in the heart of Ascot, Bicester, and London, the SRGN Clinic exemplifies afusion of cutting-edge science, unparalleled skill, and an unwavering commitment to patient care. The clinic stands as a beacon of excellence in thefield of aesthetic and plastic surgery.

Leading the team at SRGN is Dr. Ayad Harb, a renowned plastic surgeon and aesthetic trainer. His expertise, honed by years of experience and a genuine passion for improving lives, defines the very core of the clinic's ethos. Dr. Harb's innovative techniques, combined with an artistic eye for detail, enable him to deliver consistently exceptional results that are tailored to each patient's individual needs and desires.

At SRGN, we believe in the transformative power of aesthetic and plastic surgery. Our treatments, ranging from non-invasive procedures to complex surgical interventions, are designed to enhance and accentuate your natural beauty. We strive to provide a safe, comfortable, and confidential environment where you can discuss your aesthetic goals openly, and together we create a treatment plan that brings these goals to life.

Every member of the SRGN team shares a deep commitment to patient care. We prioritise your comfort, safety, and satisfaction from the moment you step into our clinic. Each of our facilities mirrors the luxury and tranquility of their surroundings, offering a serene space where you can embark on your journey to self-improvement.

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