Introduction
Eye bag removal surgery (lower blepharoplasty) is a cosmetic procedure that reduces puffiness, wrinkles, and sagging under the eyes. As we age, fat deposits and weakened muscles can create a tired, aged appearance. This surgery restores a more youthful, refreshed look by removing excess fat and tightening skin.

Who Needs Eye Bag Removal?
Good Candidates:
✔ Visible under-eye bags that make you look tired
✔ Excess sagging or wrinkled lower eyelid skin
✔ Puffiness caused by fat deposits
✔ Healthy individuals without serious eye conditions
Not Recommended For:
❌ Severe dry eye syndrome
❌ Uncontrolled high blood pressure or diabetes
❌ Unrealistic expectations about results
Types of Eye Bag Removal Surgery
1. Transconjunctival Blepharoplasty (Internal Approach)
- Best for: Younger patients with fat deposits but minimal skin laxity
- Procedure: Surgeon makes an incision inside the lower eyelid (no visible scar).
- Recovery: Faster healing, less swelling
2. Transcutaneous Blepharoplasty (External Approach)
- Best for: Older patients with excess skin and fat
- Procedure: Incision made just below the lash line to remove fat and tighten skin.
- Recovery: Slightly longer healing, fine scar fades over time
3. Laser or Radiofrequency-Assisted Blepharoplasty
- Less invasive options that tighten skin with minimal downtime.
Procedure Details
Before Surgery:
- Consultation with a board-certified plastic surgeon or oculoplastic specialist
- Medical evaluation to ensure safety
- Avoid blood thinners (aspirin, ibuprofen) before surgery
During Surgery (1–2 hours):
- Local or general anesthesia administered
- Incision made (inside eyelid or below lash line)
- Excess fat removed or repositioned
- Loose skin tightened
- Incisions closed with fine sutures
After Surgery:
- First 48 hours: Cold compresses to reduce swelling
- 1 week: Stitches removed (if external approach used)
- 2 weeks: Most swelling and bruising fade
- Final results: Visible after 4–6 weeks
Recovery & Aftercare
What to Expect:
- Mild bruising and swelling (peaks at 2–3 days)
- Temporary dryness or irritation
- Avoid strenuous activity for 1–2 weeks
Tips for Faster Healing:
✔ Sleep with head elevated
✔ Use prescribed ointments/eye drops
✔ Wear sunglasses to protect eyes
✔ Avoid rubbing eyes
Results & Longevity
- Immediate improvement in under-eye bags
- Final results appear after swelling fully subsides (1–2 months)
- Long-lasting effects (typically 10+ years)
- Aging will continue, but eyes remain more youthful
Risks & Complications
- Temporary blurred vision
- Dry eyes
- Infection (rare)
- Slight asymmetry
- Scarring (minimal with internal approach)
Cost of Eye Bag Removal
- $3,000–$8,000 (depends on surgeon, technique, location)
- Usually not covered by insurance (considered cosmetic)
Alternatives to Surgery
- Dermal fillers – Camouflage hollows (temporary fix)
- Laser treatments – Tighten skin mildly
- RF microneedling – Stimulate collagen
Conclusion
Eye bag removal surgery provides a permanent solution for under-eye puffiness and sagging skin. Choosing an experienced surgeon ensures natural-looking results with minimal risks. If you want to look more refreshed and youthful, consult a specialist to discuss your options!
Interested? Ask about:
✓ Which technique is best for you
✓ Before-and-after photos
✓ Combination treatments (e.g., with facelift or filler)
