Eye Bags Surgery: Get Rid of Eye Bags Once and For All


Eye creams and serums of various skins care products and vitamins supplement may help alleviate the appearance of under eye bags but it is still NOT an ideal solution in the long run.

If you are opting for an under eye bags cosmetic surgery, here’s one you should consider:

“The best surgical solution for persistent under-eye bags is lower BLEPHAROPLASTY.” said Plastic surgeon Mark Codner, MD, Atlanta, GA.

What is Blepharoplasty?

It is a common eyelid surgery to get rid of eye bags and improve the appearance of the skin around the eye.

Along with advice from your surgeon, Blepharoplasty surgery can be carried out on the upper eyelids, lower eyelids or both at the same time if necessary.

Unlike what was used to be done traditionally,

Blepharoplasty surgery today is about REVERSING the structural changes of the eye. Click To Tweet

According to oculoplastic surgeon Steven Fagien, MD,

In the past, muscle was removed, making the eyes look pulled.

Today, lower eyelid surgery is not about removing the muscle, but rather using it as a bulking agent, like filler, to add fullness to the area, allowing your eyes to look more natural.

Generally, the whole surgery involves removing or repositioning  of skins, excess fat and sagging muscles to ‘refashion’ the eye area for a younger and fresher appearance.

Besides removing bags under eye, this surgery also modifies the shape; restore the smooth line of eyelids as well as giving an effect of eye lift… and the results?

Here’s what you would expect to see…

  • younger fresher looking eyesImproved peripheral eyesight through the removal of baggy skin that interfere vision.
  • Restore youthful appearance with a fresh look.
  • Firmer under eye skin that makes you look less tired and more alert.
  • Effects last for several years at least.
  • Softened wrinkles
  • Improved eyelid function

So you might be asking ….

Is Blepharoplasty Surgery Effective?

It’s effectiveness is reflected in it’s POPULARITY!

Cosmetic eyelid surgery (Blepharoplasty) is ranked no.3 in the Top 5 Surgical Procedure in the U.S.

2013-2014 comparison on cases of blepharoplasty

As you can see from the screen shot, the number had increased 2.7% from 2013 to 2014.

These figures are not only recorded for these 2 years but have been starting since 1997 by American Society of Aesthetic Plastic Surgery (ASAPS).

Check out this 18-year comparison (1997-2014) on blepharoplasty performed in U.S.

97-14 Comparison

It shows an increment of 4.1% since 1997 to 2014.

Don’t be surprised that more than 100,000 people choose Blepharoplasty as their medical or cosmetic solution every year!

Despite all the benefits it offers, Blepharoplasty however, is not able to remove dark circles and crow’s feet under the eyes.


How is Blepharoplasty Surgery Been Carried Out?

A preoperative evaluation will be conducted by your surgeon to have a detailed underlying facial muscle structure, bone structure, and the symmetry of your eyebrows.

This evaluation allows your surgeon to decide how much skin, muscle, and/or fat to be removed or redistribute.

Basically, there are 2 methods of performing Blepharoplasty surgery:

Transcutaneous Blepharoplasty
Transconjunctival Blepharoplasty 

Want to have a clearer picture of these 2 methods?

Keep reading…

Transcutaneous Blepharoplasty

A direct incision  is made from the outside “through the skin”, just below the eye lashes.

If you are having the upper eyelid surgery using this method, incision normally will be made in the crease of the upper eyelid to hide its visibility.

Transcutaneous blepharoplasty under eye bags surgery
Image credit: reference.medscape.com

Be it your upper eyelid or lower eyelid, external incision is normally made in a discreet place hidden from plain view.

The excess fat tissue can be removed or redistribute for a smooth contour at the under eye area. Problems like muscle laxity can be correct at the same time via adjustment.

Case with excessive aging skin and eyelid supporting muscle can be corrected by trimming the excess skin and muscle from the lower lid.

At the end of the surgery, sutures are required to cover the incision. This cut can be virtually invisible as it is fully healed among the eyelid’s surrounding natural creases.

However, darker pigmentation (hyperpigmentation) along the incision line may sometimes experienced if you have a darker skin.

Here’s what you need to take heed of…

The complexity after surgery such as lower eyelid retraction might occur to some people.

It is utmost important to ensure your surgeon is specialized in this type of surgery with an understanding of other eyelid procedures to preserve the natural shape of the eye.

Let’s move on to the 2nd method of lower eyelid surgery.

Transconjunctival Blepharoplasty 

transconjunctival blepharoplasty under eye bags surgery

Lower eyelid is pulled from the eyeball to expose the inner surface of eyelid.

An incision is made on the inner surface of eyelid. The incision can be done using surgical instruments or by laser, depending from case to case.

Resurfacing skin using laser can help smoothing wrinkles and tighten skin at the lower eyelid. Click To Tweet

In this stage, fat may be removes or redistribute in the lower lids to achieve a more natural look and minimize uneven swelling.

For certain cases like younger patients, fat may not be removed especially from the lower eyelid.

The reason is to prevent creating a hollow look under the eyes of young patients in years to come.

Also for patients with dry eye symptoms, less tissue will be removed to limit the area of eyes exposing in the air which can worsen the symptoms.

Orbicularis Muscle under eyes
Image credit: hcp.botoxcosmetic.com

The orbicularis oculi muscle integrity is preserved in the surgery to retain the shape of the eyes.

Risks of complexity after surgery will be less when the fragile eyelid structure is not disturbed.

When it is done, self-dissolving sutures is used to close the cut or sometimes the cut is left to heal by itself naturally.

As you can see from the procedures, no external incision is made throughout the surgery.

You will NOT notice a single sign of surgery as no excess skin is removed or visible scars.

This technique is common and works well especially on younger people with thicker and more elastic skin.

As you can see, both methods can be performed with laser or scalpel.

In fact, laser surgery offers better advantage with smaller incisions and cauterization of blood vessels, which reduces bleeding during the procedure.

Laser Blepharoplasty to remove under eye bags

Since Blepharoplasty is performed in the immediate vicinity of the eyes, it is a riskier procedure comparing to some other types of cosmetic and reconstructive surgery.

If laser incision is used, there is a HIGHER risk with the possibility of laser beam penetrate into the eye.

So this is one important point not to be missed during the discussion with your surgeon.

Go high-tech or play safe? Well, it’s pretty much depending on your surgeon’s advice whether laser is necessary.

So what’s left to consider about?

Type of Anesthesia to be Used

Normally, general anesthesia or local anesthesia with sedation is used for eyelid surgery.

How does it work?

Local anesthesia for blepheroplastyIf general anesthesia is used during your surgery, you will be given an intravenous (IV) injection to make you asleep during surgery, which lasts from 30 minutes to two hours, depending on the complexity of the procedure.

Unlike general anesthesia, local anesthesia numbs only the area around your eyes and you will be AWAKE during surgery.

You will experience a much lower risk of nausea after surgery if local anesthesia is used and of course NO intubation is required.

After the surgery…

you might experience some discomfort like…

  • Minimal pain and tearing sensation around eyelids as the anesthesia slowly subsides.
  • Temporary blurred or double vision that should recover within 24 hours.
  • Swelling and bruising around the eyes that may eventually reduced in a week or more.
  • Dry, sticky, puffy eyes with itchiness.
  • Red and visible incisions but will disappear once healed.
  • Eyelids are tight and difficult to close your eyes while sleeping.
  • Sensitive and watery eyes.

post-surgeryThese are part of the wound healing process and it takes time as it recovers naturally.

In worst case, if you feel any severe, long-lasting pain, bleeding or any signs of infections, contact your surgeon IMMEDIATELY.

Also, not to worry much about the stitches as sutures will dissolve within a week and you do not need to have them removed.

If non-dissolving sutures are used, your surgeon will remove them about a week after your surgery.

Most of the time, eyelid surgery does not required overnight stay in the hospital. The procedure is normally carried out as a day case.

You are allowed to return home in the same day of your surgery after receiving specific instructions of post-surgical care from your surgeon.

Here’s some basic post- surgery care you should know:

  • Use ice packs or cold compresses on your eyes for the first two days to help reduce swelling.
  • Use eye drops which are usually prescribed to prevent eye infections, dry eyes and itchiness.
  • Apply recommended ointment to lubricate your eyes and bandage if advised by your surgeon.
  • Gently rinse the surrounding area to keep it clean.
  • Control any mild discomfort or relief pain with prescribed analgesics.
  • Consume only medication prescribed by your surgeon.
  • Apply lukewarm eye pads or compress after a few days from your surgery to facilitate blood flow around the eye area.

… and things you should AVOID doing:

  • Skip heavy lifting and strenuous activities as it will affect the healing process.
  • Avoid taking aspirin, ibuprofen, naproxen, and any other medications or herbal supplements as it may increase bleeding.
  • No alcohol as it will cause fluid retention.

Now here’s the next thing you might be concerning:

Under eye bags surgery recovery time

Check out this brief time frame of recovery process that most patients undergo.

Post-Surgery Recovery Process

After all the days of suffering, you might be thinking if it’s worth going for this surgery. Well, wait till you see the results yourself.

According to surgeon, blepharoplasty can last as long as 10 years or even permanent for most patients. It is very much depending on your health and other factors while you age.

TV presenter and journalist Anne Robinson, a no stranger to the cosmetic surgeon’s scalpel, says:

Anything that allows women to feel better about themselves is worth it

So what you should do next?

Go find a reliable and competent cosmetic surgeon or credential hospital for consultation once you’ve decided to go for cosmetic surgery.

You might also want to find out whether you are a good candidate to undergo eye bags cosmetic surgery.