External
DCR.

Your Comfort, Your Care

Having constantly watery eyes can be incredibly frustrating. Ordinarily, your eyes produce tears to stay lubricated, and these should drain away naturally into your nose through the tear drainage system. When this delicate system becomes blocked, you might experience constant tearing, blurred vision, sticky eyelids, or uncomfortable itching. In most instances, watery eyes resolve on their own, but when they do not, it is important to find out why.

I believe that good care starts with simply listening to you. It is never about a doctor telling you what to do; it is entirely about understanding what is bothering you and what you would like to improve. My absolute priority is to provide a safe space where you feel genuinely heard and validated.

If simple at-home measures or treatments for underlying causes like dry eyes have not resolved the issue, we can discuss surgical options. External Dacryocystorhinostomy (external DCR) is a highly effective operation designed to bypass a blocked tear duct. It creates a completely new passage for your tears to drain from the tear sac directly into the nose, allowing them to flow normally again.

When we meet, we will take the time to discuss your symptoms and examine your eyes carefully. We will talk through exactly what can be achieved with this surgery, ensuring you have all the clear, honest information you need. We will only move forward when you feel completely comfortable and ready.


"True care means putting my ego aside to listen to what is bothering you, so that together we can safely restore the comfort and natural harmony of your eyes."

Dr. Swan Kang

Your Journey at a Glance

Time in Surgery Approximately 1 hour
Anaesthesia Options General or Local
Stay Details Day case (return home same day)
Initial Recovery Rest quietly at home
Discomfort Mild and easily managed
Returning to Work Usually 1 to 2 weeks
Bruising & Swelling Settles within a few weeks
Visible Scarring Small mark on the nose that fades
Condition Treated Blocked tear duct
Tube Removal A few months after surgery
Success Rate Very high
Final Result Long-term relief from watering
Ophthalmology Consultation
Your Questions Answered

Exploring Your Options
Together

The tear duct is a vital part of your eye's drainage system, designed to carry tears away from the surface of your eye and into your nasal cavity. When this becomes blocked, tears cannot flow away as they should, leading to the watering and discomfort you may be experiencing.

We usually consider an external Dacryocystorhinostomy when gentle, conservative treatments like warm compresses, eyelid massage, and topical antibiotics have not been enough to resolve the problem and provide you with relief.

The surgery typically takes about an hour and is most often performed as a day case under general anaesthetic. If a general anaesthetic is not the safest option for you, we can also perform the operation using local anaesthesia. We will discuss this thoroughly beforehand so you know exactly what to expect.

During the operation, I will create a new pathway for your tears by making a delicate connection between the tear sac and the inside of your nose. This involves removing a tiny piece of bone to allow tears to flow freely again. A very fine tube is placed inside to keep this new passage open while you heal, which we will simply remove after a few months.

Recovering from an external DCR is generally very manageable and well-tolerated. You might notice some mild swelling, bruising, and a bit of discomfort around the side of your nose, but these effects usually fade away within a few weeks.

This is a highly effective, well-established procedure with a low risk of complications. Most importantly, it offers excellent long-term relief. The vast majority of patients see a wonderful improvement in their symptoms, enjoying freedom from constant tearing and a significantly lower risk of eye infections.

The best way forward is simply to have a chat. Every patient is different, and the right approach depends entirely on your unique situation, your anatomy, and what you want to achieve. My role is to listen to your concerns and give you clear, honest advice.

If you have more questions or just want to talk through your options in a comfortable, pressure-free setting, please reach out to us to schedule a personal consultation.


MORE QUESTIONS? PLEASE BOOK A CONSULTATION
Patient Results

Transformations

Before After
Before After
View Full Gallery →
Patient Experiences 5.0/5

Cosmetic

5.0/5

★★★★★
Blepharoplasty Patient

"I was extremely happy with the service provided."

Verified Patient · 07 Jul 25
★★★★★
Blepharoplasty Patient

"They were quick to provide an appointment.
I received a clear picture of my situation and choices.
We had an open and friendly discussion."

Verified Patient · 11 Nov 25
★★★★★
Blepharoplasty Patient

"Dr. Swan Kang was very thorough with all my eye issues and went further to track down my glaucoma history with Moorfields NHS. She was very friendly, highly professional, and explained clearly what would be involved with the upper eyelid surgery. She spent a lot of time understanding my background health history. I was very happy with my first consultation appointment."

Verified Patient · 21 Nov 25
★★★★★
Blepharoplasty Patient

"Dr. Kang is a real professional and a good listener who takes the time to explain everything about your operation.
Also, her aftercare is second to none."

Verified Patient · 12 Dec 25
★★★★★
Blepharoplasty Patient

"Communication was excellent, and the procedure was explained in great detail. The follow-up was great, too."

Verified Patient · 13 Mar 26
★★★★★
Blepharoplasty Patient

"A highly professional, first-class practitioner. The advice, procedure, and aftercare could not have been better."

Verified Patient · 21 Mar 26
★★★★★
Blepharoplasty Patient

"An excellent surgeon with a kind, approachable personality."

Verified Patient · 23 Mar 26
★★★★★
Blepharoplasty Patient

"She was brilliant; she reassured me, and I felt instantly at ease."

Verified Patient · 02 Apr 26
★★★★★
Blepharoplasty Patient

"She was really helpful and explained the process and expectations. I am only three days post-op and am pleased with the results so far. I highly recommend her."

Verified Patient · 02 Apr 26
★★★★★
Blepharoplasty Patient

"Ms. Kang and her team, Frederick and Andres, were all exceptional. They were professional but friendly, and cheerful while remaining well within the bounds of professionalism. I found them to be very helpful and truly felt they all cared about how I was coping with the experience."

Verified Patient · 12 Jun 26

Functional

5.0/5

★★★★★
Tear Duct Surgery Patient

"Dr. Kang has been there with me every step of this journey. Thank you to her!"

Verified Patient · 14 May 25
★★★★★
Patient

"Dr. Kang took the time to explain what was about to happen and the expected results. She listened to my questions, responded thoroughly, and made sure I was comfortable with her feedback."

Verified Patient · 12 Jun 25
★★★★★
Eyelid Lump Patient

"Really great experience."

Verified Patient · 01 Jul 25
★★★★★
Eyelid Lump Patient

"Dr. Kang was incredibly thorough, understanding, and kind."

Verified Patient · 01 Jul 25
★★★★★
Patient

"Everything was very good."

Verified Patient · 09 Jul 25
★★★★★
Tear Duct Surgery Patient

"I had a very good experience.
I would recommend Miss Kang; she listens and explains instructions clearly."

Verified Patient · 11 Jul 25
★★★★★
Eyelid Lump Patient

"I had two appointments with Miss Swan Kang to treat a stubborn chalazion on my eyelid. Miss Kang diagnosed the lump and my eyelid skin condition using a microscope and carefully explained the mechanics of how the eyelid and meibomian glands work. The options for treatment were well elaborated. Miss Kang's medical approach is empathetic. I felt respected and trusted throughout the process. My condition improved after the first consultation, and no surgery was needed."

Verified Patient · 24 Sep 25
★★★★★
Eyelid Lump Patient

"Really impressed with Dr. Swan."

Verified Patient · 21 Feb 26
★★★★★
Entropion Patient

"Do not worry or be anxious; you will be in expert hands!"

Verified Patient · 23 Feb 26
★★★★★
Eyelid Lump Patient

"She is lovely and corrected more issues during my eye surgery than I knew were there. The follow-up was good."

Verified Patient · 13 Mar 26
★★★★★
Ptosis Patient

"Everything was well organised and efficient."

Verified Patient · 22 May 26
Locations

New Cavendish Street

50-52 New Cavendish Street
London W1G 8TL

Get Directions

Bath Street

9-11 Bath Street
London EC1V 9LF

Get Directions
Moorfields
Booking

Arrange a
Consultation

Take the first step towards exceptional care. Reach out directly via phone or email, or securely book your appointment online.

Email Address info@swankang.co.uk
Phone Number +44 (0)7353 760 871
Contact Us
MBioch (Oxon) & MBBS & FRCOphth