Procedures

I am deeply committed to helping individuals restore a naturally youthful appearance through a carefully considered combination of advanced surgical and non-surgical techniques. My approach is rooted in the belief that facial rejuvenation should enhance, not alter, your natural features creating results that are subtle, harmonious, and true to you.
Every treatment journey begins with a comprehensive consultation. This is a vital step where we take the time to thoroughly discuss your concerns, understand your aesthetic goals, and review any relevant medical history. From there, we collaborate to develop a personalised treatment plan that aligns with your needs, preferences, and lifestyle.
Above all, patient safety is at the core of everything I do. I ensure every treatment is delivered with precision, care, and a strong emphasis on clinical excellence—providing not only beautiful outcomes but also peace of mind.

Oculoplastic Surgery

  • Brighten and Refresh Your Eyes with Blepharoplasty

    Blepharoplasty (eyelid surgery) rejuvenates the eyes by removing excess skin, reducing puffiness, and restoring a more youthful, rested appearance. It can be performed on the upper eyelids, lower eyelids, or both—depending on your needs.

    Upper Eyelid Surgery

    Corrects drooping or heavy lids by removing excess skin and fat.

    • Time: ~1 hour under local anaesthetic

    • Recovery: Day case with 1 week of downtime

    • Aftercare: Cold compresses, antibiotic ointment

    • Follow-up: 7–14 days post-op

    Lower Eyelid Surgery

    Reduces under-eye bags and tightens skin via incisions inside or just below the lash line.

    • Anaesthesia: Sedation or general

    • Downtime: 1–2 weeks with swelling and bruising

    • Follow-up: 7–14 days post-op

    Ideal for those with age-related changes or excess eyelid skin. A consultation will help determine the best treatment approach for you.

  • Ptosis surgery tightens the levator muscle to lift drooping eyelids, improving both appearance and vision. Performed under local anaesthetic, incisions are hidden in the eyelid crease to minimise scarring. Recovery takes about a week, with cold compresses and antibiotic ointment recommended. A follow-up is scheduled within 1–2 weeks.

  • Lift Drooping Brows with a Brow Lift

    Brow ptosis (drooping brows) can be corrected with a brow lift, performed alone or with blepharoplasty. Surgical options include internal brow fixation (browpexy) and direct brow lift, tailored to your needs and typically done under local anaesthetic. Non-surgical treatments, like anti-wrinkle injections, are also available for subtle brow elevation.

  • Chalazion (Eyelid Cyst) Removal

    A chalazion is a common, harmless eyelid lump caused by a blocked oil gland. It can cause redness, swelling, and discomfort.

    Removal is a quick procedure under local anaesthetic, with a small incision made inside the eyelid—leaving no visible scar. Mild swelling or bruising may occur and usually settles within a few days. Antibiotic ointment is provided to aid healing.

  • Ectropion Repair

    Ectropion is a condition where the lower eyelid droops outward, exposing the inner eyelid and increasing the risk of irritation or infection. Symptoms include redness, soreness, watery eyes, and a gritty or dry sensation.

    Surgery is typically done under local anaesthetic and takes about 30 minutes per eye. A protective eye pad is worn for the rest of the day, and antibiotic eye drops are prescribed to support healing. A follow-up appointment is arranged 1–2 weeks after the procedure.

  • Entropion Correction

    Entropion occurs when the eyelid—usually the lower one—turns inward, causing the lashes to rub against the eye, leading to irritation and discomfort.

    Surgery involves tightening the eyelid’s muscles and tendons, with small stitches placed below the lashes and at the outer corner of the eye.

    After the procedure, you'll use antibiotic ointment for one week and apply cold compresses to reduce swelling. A follow-up appointment will be scheduled 1–2 weeks after surgery to monitor healing.

  • Reconstructive Eyelid Surgery

    Reconstructive eyelid surgery is a personalised treatment designed to repair eyelid issues caused by injury, surgery, or medical conditions. Because every case is unique, the approach is carefully tailored to suit the size, location, and nature of your specific concern.

    This type of surgery often involves a team effort. We may work alongside other specialists such as eye doctors and dermatologists to make sure you receive the most thorough and effective care possible.

    From your first consultation through to recovery, we’re here to guide and support you. Our goal is to restore both the function and appearance of your eyelid, helping you feel comfortable and confident again.

  • Eyelid Cyst and Mole Removal

    Cysts, moles, and other small lumps on the eyelids are usually harmless, but they can be uncomfortable or affect your confidence. At our clinic, we offer quick and effective removal under local anaesthetic, typically completed in just 10–20 minutes.

    What to Expect

    After your procedure, you’ll be given an antibiotic ointment to use for one week and advised to apply cold compresses to minimise swelling and bruising. Most patients recover within 7 days, and we’ll arrange a follow-up appointment 1–2 weeks later to ensure everything is healing well.

    Your Safety Comes First

    As part of our standard care, any removed tissue is sent for lab analysis (histology) to confirm it’s benign. This is included in the cost of your treatment and ensures complete peace of mind.

    If you have a lump, mole, or cyst you'd like assessed, feel free to contact us to book a consultation.

  • Xanthelasma Removal

    Xanthelasma are soft, yellowish cholesterol deposits that appear on or around the eyelids—often near the inner corners. While they’re usually harmless, many people choose to have them removed for cosmetic reasons.

    Treatment Options

    The most effective way to remove xanthelasma is through a simple surgical procedure. This is done under local anaesthetic and may involve small stitches. After the treatment, you'll be given antibiotic ointment to aid healing, and we’ll arrange a follow-up appointment 1–2 weeks later to check your progress.

    If xanthelasma are affecting your confidence or comfort, we’re here to help. Book a consultation to explore

Close-up of a person receiving an injection in their cheek with a syringe, medical gloves visible.

Aesthetic Treatments

  • Anti-Wrinkle Injections

    Anti-wrinkle injections gently relax the muscles that cause wrinkles and fine lines, helping your skin look smoother and more refreshed. They work well on areas like forehead lines, crow’s feet, and frown lines, and can also lift the brows or fix minor unevenness.

    This quick, minimally invasive treatment has little to no downtime, and results typically last about four months.

  • Polynucleotide injections help refresh and improve your skin by working deep at a cellular level. They boost hydration, firm the skin, and reduce signs of ageing like dullness, dark circles, fine lines, and wrinkles.

    These treatments encourage collagen production and protect your skin from damage. They can be used on areas such as under the eyes, cheekbones, jawline, neck, and chest to improve firmness and definition.

    For the best results, we recommend a course of two treatments spaced 2–4 weeks apart, with a follow-up maintenance session about 8–9 months later.

  • Profhilo Skin Rejuvenation

    Profhilo is a special treatment that uses a high concentration of hyaluronic acid to deeply hydrate and firm your skin. Instead of adding volume like fillers, it helps stimulate your skin’s natural ability to renew itself.

    It’s great for improving loose or crepey skin on the face, neck, and body. For best results, we recommend two treatments one month apart, followed by maintenance sessions every four months.

  • Dermal fillers are a flexible way to restore lost volume, smooth wrinkles, and enhance your natural facial features. There are different types of fillers to suit your unique needs, and your treatment will be personalised to help you achieve the look you want.

    This quick, minimally invasive procedure has little downtime, and any mild swelling or bruising usually fades within a few days.

  • Microneedling is a treatment that helps your skin heal and renew itself naturally. Tiny needles create gentle, controlled micro-injuries that encourage collagen production, improving skin texture, fine lines, wrinkles, and scars like those from acne or stretch marks.

    Usually, a course of three treatments spaced a month apart is recommended, with occasional maintenance sessions to keep your skin looking its best. Mild redness may last for 1–2 days after each treatment.

  • As we get older, our skin can lose its even tone, smoothness, and firmness. Thanks to advanced laser technology, we can refresh your skin and reveal a brighter, more youthful complexion.

    Erbium laser resurfacing is a gentle, non-surgical treatment that uses light energy to remove the top layers of skin. This helps reduce fine lines, wrinkles, sun damage, and acne scars with minimal discomfort and little downtime.

    The depth of treatment is tailored to your skin’s needs and how much recovery time you have. Using the Sciton® Erbium Laser, we customise each session to target your specific concerns and goals.

    What to Expect During Recovery

    After treatment, your skin may feel warm and look red, similar to a sunburn. Mild swelling and peeling are normal and usually improve within 5–7 days. It’s important to keep your skin moisturised and protected from the sun while it heals.

Medical equipment includes a slit lamp and a phoropter used in eye examinations, set up in a clinical room.

Ophthalmology

  • Blepharitis is a common condition that causes inflammation along the edges of the eyelids. It often makes your eyes feel sore, gritty, and dry. Sometimes, you might notice a dandruff-like crust forming around the eyelashes.

    This condition is usually caused by a buildup of bacteria at the base of the lashes or a blockage in the eyelid’s oil glands. It’s also more common in people with skin conditions like acne, rosacea, or dermatitis.

    The good news is that blepharitis can be managed with several effective treatments tailored to your needs.

  • Dry eyes can make your eyes feel irritated, itchy, and burning. The most common way to ease these symptoms is by using lubricating eye drops.

    Another effective treatment involves tiny silicone plugs called punctal plugs. These are gently placed in the small openings of your tear ducts (called puncta) and usually stay in place for 3 to 6 months. By blocking tear drainage, the plugs help keep your eyes moist and comfortable.

    The plugs are very small and hardly noticeable once inserted.

  • Epiphora is a condition where your eyes produce too many tears, causing them to water excessively. It’s common as we get older and often affects older adults. Along with watery eyes, you might experience blurred vision, light sensitivity, soreness, redness, bloodshot eyes, or swollen eyelids.

    Epiphora can also be caused by eye injuries, irritation from foreign objects, allergies (like hay fever), infections, inflammation, or a blocked tear duct. Treatment varies depending on the cause and can include medication or surgery.

  • Conjunctivitis is a common condition that makes the white part of the eye look red or pink due to inflamed blood vessels, often called “bloodshot” eyes.

    It can be caused by a virus, bacteria, or an allergic reaction. I will carefully diagnose the cause and recommend the right treatment, which is usually eye drops.

  • Thyroid eye disease is the most common condition affecting the eye socket in the UK, mostly seen in women aged 20 to 60. It usually occurs alongside thyroid gland problems caused by the immune system.

    Symptoms can include:

    • Puffy, red eyelids

    • Eyelid retraction causing a wide-eyed look

    • Dry eyes from increased exposure

    • Bulging eyes due to swollen muscles and fat

    • Double vision or eye misalignment

    • Eye socket ache, especially when moving the eyes

    Treatment is personalised based on how active and severe the condition is.

  • Flashes and floaters happen because of natural changes in the vitreous—the clear, jelly-like substance inside your eye. As you age, the vitreous shrinks and slowly pulls away from the retina at the back of the eye. This is called a posterior vitreous detachment and is common, especially in people over 50. In most cases, it doesn’t cause any damage to the retina.

    Flashes and floaters usually don’t lead to serious problems and don’t require treatment. If floaters bother you, wearing dark glasses can help, especially in bright sunlight or when looking at bright surfaces. Over time, flashes often fade, and floaters become less noticeable as your brain adjusts.

    If you notice new or sudden symptoms, it’s important to have your retina checked to make sure there are no tears or detachments, which may need treatment.

Request a Consultation with Adriana Kovacova

If you’d like to book a consultation or have any questions about the treatments, we’re here to help. For all enquiries, please get in touch by phone, email, or by completing the contact form on this page.