Eyebag Surgery 

Eyebag Surgery (Lower Blepharoplasty)



Eyebag occurs in facial aging and make a person looks tired and old. Eyebag may also appear in young people due to hereditary and environmental factors. Laxity of skin and supporting structures and protrusion of fat in the lower eyelid are the primary causes of eyebag. Eyebag is often associated with dark eye circle and ‘tear trough,’ a condition where a groove or depression appears at the junction between the lower eyelid and the cheek.


Eyebag surgery (lower blepharoplasty) is an effective treatment for eyebag. There are two types of eyebag surgery: The transcutaneous technique and the transconjunctival technique. The selection of which approach to use depends on the type and severity of the eyebag problem. As the lower eyelid is continuous with the cheek, lower blepharoplasty can be combined with other procedures to rejuvenate the cheek and mid-face, such as fat graft and facelift,





      1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.
      2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
      3. Stop the following medications and supplements from one week before surgery until one week after surgery.
        1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
        2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
      4. On the day of surgery, wear simple and comfortable clothing and do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.
      5. Bring a pair of sunglasses on the day of surgery for use after surgery.
      6. Don’t wear contact lenses on the day of surgery.






      1. Transconjunctival method: half an hour to one hour
      2. Transcutaneous method: 2 hours

Anaesthesia: Local anaesthesia

Hospitalization: Not required.

Recovery*: Back to work in 3-7 days, light exercise after 1-2 weeks, heavy exercise after 3-4 weeks. *The actual speed of recovery may vary from person to person.

Surgery Technique:

      1. Transcutaneous Method: an incision is made around  the margin of the lower eyelid. The surgeon may remove some of the extra fat and use the remaining fat to smoothen the contour at the lower eyelid-midface junction. The next step is to remove the excess skin and perform a limited midface lift if the case requires. The scar is located very close to the eyelid margin and usually not noticeable after full healing. This technique is suitable for patients with excess and loose skin.
      2. Transconjunctival Method: The surgeon makes a small opening on the lower eyelid’s inner surface (conjunctival surface). Through the opening, fat is removed and repositioned. There is no resection of skin and no external scar. This technique is suitable for those with fat excess but without skin laxity.



Post-operative Care**

      1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that. Post-operative pain is usually minimal.
      2. General care:
        1. Apply the cold pack in the first 3 days and then the warm pack after that. Elevate the head during sleep to reduce swelling.
        2. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
        3. Use sunglasses for protection when going outdoors.
        4. Good rest and adequate sleep are helpful for a speedy recovery.
        5. Be relaxed and calm. Contact the clinic if there are any queries.
        6. Don’t use contact lenses for at least 2 weeks.
      3. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.
      4. Wound care: Clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment. No dressings are required.
      5. Physical activity: Avoid heavy physical activities and exercises for at least one month.
      6. Follow-up: Come back one week after surgery for suture removal and review.
      7. Emergency: If there is heavy bleeding, a rapid swelling or severe pain, contact the clinic/doctor for advice immediately.


**The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

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