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General Information

The two main causes of eyebag are laxity of lower eyelid skin and herniation of fat in the lower eyelid. Eyebag is often associated with dark eye circle and ‘tear trough’, a condition where a groove and depression appears just beneath the eyebag. Eyebag is a common sign of facial aging but eyebag may also appear in young people due to hereditary factor. Lower blepharoplasty is the surgery of the lower eyelids performed to manage the eyebag problems.


Patient 1
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Before                                              After

Patient 2
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Before                                              After

Patient 3
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Before                                              After



1. To remove eyebag
To reduce dark eye circle
To achieve mid-facel lift


Preoperative Preparation

1. Treat and stabilize all existing medical conditions, if any.

2. Stop smoking at least one week before surgery

3. Stop the following one week before surgery:

a. All supplements that contain vitamin E, ginseng, ginko, garlic, fish oil and other ingredients that encourage bleeding during surgery
Medicine that exacerbate bleeding during operation such as aspirin, NSAIDs and warfarin. You may need to consult the physician who prescribed the medicine before stopping them

4. Bring a pair of sunglasses on the day of surgery

5. Don’t wear contact lens and jewelry on the day of surgery




Duration: 1-1.5 hours

Anaesthesia: Local Anaesthesia

When to Go Home after Surgery: On the same day

Recovery Time: 1-2 week

Technique: There are two types of eyebag surgery:

1. Transconjunctival method: a small opening is made on the inside (conjunctival surface) of the lower eyelid. Fat is removed through the opening. No resection of skin is done and there is no external scar. This technique is good to remove excess fat in the lower eyelid but is not able to remove excess skin.

2. Transcutaneous method: an incision is made on the margin of the lower eyelid close to the eyelashes. Adequate amount of fat is removed and the remaining fat is repositioned to fill up the depression between the lower eyelid and the midface. Excess skin is removed. A limited midface lift can also be performed at the same time. Scar is located close to the eyelid margin and usually heals very well and usually not noticeable at normal talking distance.




  • Swelling peaks at the second and third day then gradually subside in 2 to 3 weeks 
  • Patient can read and do light daily activity at home the first week 
  • No dressing is required. Clean the wound with clean cotton tip soaked with sterile water or saline
  • Apply antibiotic ointment onto the wound with cotton tip three times a day
  • Finish the oral antibiotics prescribed
  • To reduce swelling, apply cold pack on the wound for the first 3 days and warm pack after 3 days.
  • Use sunglasses when going outdoor
  • Elevate the head while sleeping to reduce swelling
  • Avoid contact lens for 2 weeks
  • Avoid heavy excise for at least 2 weeks
  • Sutures are removed after 5-7 days
  • If there is heavy bleeding, rapid increase in swelling or severe pain, immediately contact the clinic/ doctor and come back for review.


Pantai Hospital Ampang
Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia

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