Astrid Plastic Surgery Clinic

Lower Eyelid Surgery

Why Choose Astrid

  • At Astrid, eyelid surgery is a signature treatment at our clinic.
  • We offer the option of scarless lower eyelid surgery, which gives a natural result with shorter downtime.
  • Fine and delicate approach means less discomfort and downtime.

What Is Lower Eyelid Surgery?

Lower eyelid surgery, medically known as lower blepharoplasty, is a cosmetic procedure that addresses issues in the lower eye region, including sagging skin, deep creases, and puffiness. This procedure involves removing or repositioning fat deposits, tightening the skin, and correcting droopiness to rejuvenate the appearance of the eyes.

One common procedure for lower eyelids is eye bag surgery. This treatment tightens muscles, removes excess skin, and elevates suborbital fat to provide a more refreshed look. In some cases, eye bag surgery improves lower eyelid function by addressing issues such as excessive tearing or difficulty closing the eyes fully, which may occur due to ageing, genetics, or previous trauma.


Who Is Suitable for Lower Eyelid Surgery?

A lower eyelid procedure is typically recommended for individuals who have:
● Noticeable puffiness or fat pockets (bags) in the bottom eyelids that create a weary or aged appearance
● A bulge exceeding 5 mm from the lower eyelid and extending further down the bony orbit
● Wrinkled, sagging, loose skin on the lower eyelid
● Good overall health to ensure better recovery



Types of Eye Bag Surgeries

When it comes to addressing under-eye puffiness and bags, different surgical procedures are available to help individuals attain a more rejuvenated look. Depending on the severity of the condition, common types of eye bag surgeries include:
Transconjunctival Lower Blepharoplasty or Scarless Eye Bag Surgery
This procedure removes or repositions excess fats through a small cut in the inner lining of the eyelids (conjunctiva), leaving no visible scars on the exterior. It is ideal for patients with mild to moderate under-eye bags with no skin laxity or excess skin beneath the eye area.
Procedure Details:
● Procedure Time: Approximately 1 hour
● Anaesthesia: Local anaesthesia
● Hospitalisation: Day Surgery
● Recovery Time: Around 3 days
Incisional Eye Bag Removal Surgery
In this procedure, the surgeon creates an incision below the lower lash line to eliminate excess skin and fat tissue. Typically, the scar becomes unnoticeable after about three months. This technique is suitable for individuals with excess skin laxity on the lower eyelid.
Procedure Details:
Procedure Time: Approximately 1 to 2 hours
● Anaesthesia: Local anaesthesia
● Hospitalisation: Day surgery
● Recovery Time: About 2 weeks
The Lower Eyelid Surgery Procedure

What to Expect Before the Procedure?
Before lower eyelid surgery, patients undergo a thorough evaluation with an accredited plastic surgeon to discuss their aesthetic goals and medical history. The surgeon will discuss the treatment plan, expected results, as well as risks to be aware of, so that patients can make an informed decision. Pre-operative instructions will also be given, which include guidelines on medication adjustment, fasting and temporary smoking cessation.
The cost of lower eyelid surgery will depend on the technique used, the condition of one’s eyelids and the severity of the problem, such as in revision surgery. Please consult our plastic surgeon for more accurate cost advice.
What to Expect During the Procedure?
During surgery, the patient will receive local anaesthesia, and the surgeon will make an incision either in the inner part of the lower eyelid (transconjunctival approach) or along the eyelash line (subciliary approach), depending on the patient’s condition and specific needs. The surgeon will excise or reposition the excess fat, muscle, and skin to correct under-eye bags and sagging. The incision will then be carefully closed using fine sutures.
What to Expect After the Procedure?
Patients can expect some swelling, bruising, and discomfort in the treated area immediately after the procedure. These reactions usually subside after a few weeks. The sutures are removed within a week, and most patients can resume regular activities within 10 to 14 days.
Post-operative Care

Following the surgeon’s instructions is key to ensuring a smooth recovery and reducing the risk of complications. These measures include:
Keeping the Head Elevated – It is recommended to sleep with the head slightly elevated on pillows for a few days after the surgery to minimise swelling.
Medication and Compresses – Pain medication prescribed by the doctor can help manage discomfort. Applying cold compresses to the treated area for the first three days and then warm compresses on the fourth day after surgery helps reduce swelling and bruising.
Use of Eye Drops – The doctor may recommend lubricating eye drops to maintain eye moisture and prevent dryness and irritation.
Adopting a Low-Salt Diet – A low-salt diet can help the body regulate fluid levels and reduce water retention and swelling.
Sun Protection – Avoid direct sunlight and wear tinted sunglasses during outdoor activities to protect the eyes from excessive UV exposure and environmental irritants.
Follow-up Appointments – Follow-up check-ups with the surgeon are necessary to ensure the recovery process is going smoothly as intended.
Potential Risks & Complications

Lower eyelid surgery is generally considered a safe procedure, especially in the hands of an experienced surgeon. However, like any surgery, it carries certain potential risks, such as:
● Infection
● Eye dryness and light or sun sensitivity
● Difficulty fully closing the eyes
● Ectropion, which refers to an outward turning of the lower eyelid
● Changes in vision, which may be temporary or permanent
To reduce the likelihood of these happening, be sure to follow post-operative instructions and seek immediate medical attention if any complications arise during recovery.


Surgeries often done together with lower blepharoplasty surgery for more eyelid enhancement:

Read More On Lower Eyelid Surgery

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