Cosmetic, reconstructive and functional eyelid and tear duct surgery, and complex cataract surgery, at Nuffield Health Bristol Hospital.
I am a Consultant Ophthalmologist and Oculoplastic Surgeon, specialising in cosmetic, reconstructive and functional eyelid and lacrimal surgery, and complex cataract surgery.
My training spanned more than 17 years across London, Bristol, Bath and Cheltenham, and included two fellowships, in cataract surgery and in oculoplastic surgery.
Every consultation includes a full eye examination, so that eyelid symptoms are assessed in the context of the health of the whole eye. I take time to explain your options clearly, including non-surgical approaches, and I will always give you a written summary of what we discussed, the risks and benefits, and the costs involved.
I am committed to improving outcomes through research. I hold a Master's degree with Distinction in vision research from University College London, and I have published and presented award-winning research in cataract and oculoplastic surgery. I have also written textbook chapters and peer review for several journals, including the British Medical Journal.
Most conditions are assessed and treated in clinic or as day-case procedures, usually under local anaesthetic.
Replacement of a cloudy natural lens to restore clear vision, including complex cases.
Removal of excess skin, muscle or fat from the upper and lower eyelids.
Surgery to lift a drooping upper eyelid, often to improve the upper field of vision.
Correction of eyelids that turn in or out, which can cause irritation, watering and redness.
Assessment and treatment of blocked or narrowed tear drainage.
Treatment of involuntary eyelid closure and spasm, in partnership with neurology colleagues where needed.
Management of sore, sticky, gritty or itchy eyelids.
Removal of eyelid cysts, lumps and skin cancers, with reconstruction to restore eyelid function and a natural appearance.
A selection of my patients' results. Every patient is different, and I will discuss what you can realistically expect at your consultation.
Photographs are shared with the written consent of the patients shown. Individual results vary.
A full history and eye examination, including vision and eye pressure checks. Please bring your glasses, contact lenses and a list of your medications.
We discuss your options together. You will receive a detailed letter covering the findings, recommended treatment, risks and costs.
Most procedures are performed as a day case, usually under local anaesthetic, with general anaesthetic available when appropriate.
Follow-up appointments are included in surgical fees, with clear written guidance on recovery and who to contact.
You will receive a written, itemised quote after your consultation, including the surgeon fee, hospital fee and any anaesthetist fee.
New appointment: £300
Follow-up appointment: £220
Procedure fees vary depending on the treatment and are confirmed in writing before you decide to proceed.
I am recognised by Bupa (including Bupa Fee Assured), AXA Health, Aviva Health, Vitality, WPA, Cigna and Allianz Worldwide Care. Please obtain authorisation from your insurer before your appointment or procedure.
Based on 161 verified patient reviews on Doctify, across cataract, eyelid and tear duct surgery.
I can't thank Gemma enough for the care she has taken with me during the whole experience. I felt I could put my complete trust in her, especially as I am very squeamish about eyes. During the actual procedure she made sure I kept calm and reassured. Gemma is caring and gentle but at all times totally professional. Thank you once again.
Having had dry eyes for many years, after a few appointments with Gemma my eyes have improved amazingly, no more walking around with tissues in my hand and people asking if I’m alright as they thought I was crying. Gemma is really easy to speak to and extremely knowledgeable as an eye specialist. I would highly recommend.
I am absolutely thrilled with the surgery that Dr Manasseh has performed on my eyes. She is an extremely kind, professional and brilliant surgeon. She explained everything very clearly that was going to happen and kept me informed at all times. I cannot praise her high enough.
A referral from your GP or optometrist is helpful, and is usually required by insurers, but self-pay patients can book directly.
Most eyelid procedures are performed under local anaesthetic. Longer procedures, such as four-lid blepharoplasty or DCR, may be recommended under general anaesthetic. We will discuss what is best for you.
Expect bruising and swelling for around two weeks, sometimes longer. Stitches are usually removed after one week. Most people return to normal activities within two weeks, avoiding strenuous activity during this time.
Some eyelid procedures are medically necessary, for example when the eyelid or excess skin blocks your vision. Others are performed to improve appearance. I will advise which applies to you, which may affect insurance cover.
Yes. I am happy to work alongside your GP and NHS teams, and many patients start treatment privately while waiting for NHS care.
Please contact my secretary to arrange an appointment or to ask any questions about treatment and fees. Live bookings are also available online.
Book online via Nuffield Health