Eye-Bag Removal Surgery – by Leading Oculoplastic Surgeon, Dr Sabrina Shah-Desai, in London

What is Eye-Bag Removal Surgery?

Eye-Bag Surgery, otherwise referred to as “Lower Lid Blepharoplasty”, is a surgical procedure designed to improve the appearance of the lower eyelids or eye-bags. Correctly performed, it can help to refresh the appearance and make the patient appear more youthful, with results lasting upwards of 10 years. While there are some excellent non-surgical options for mild cases, such as Plasma and Tixel, an Upper-Lid Blepharoplasty is the most effective way to treat moderate to severe eye bags.

What causes eye bags?

As we age, the bony foundation beneath our eyes alters, and the membrane under the eye thins: allowing the fat to bulge forward. This leads to the development of eye bags, which can cause a “tired” appearance – no matter how well we are sleeping, or how many topical products we use. Dr Sabrina Shah-Desai is a world renowned oculoplastic surgeon and is one of London’s leading eye sur

How does the procedure work?

Eye-Bag Surgery works to smooth the under-eye area by removing excess skin, bulging fat and lax muscle from the lower eyelids. To do so, we make a tiny cut, which is either hidden in the natural lower lid crease, or inside the lower lid, in the case of a “Transconjunctival Blepharoplasty”. The unwanted tissues are then removed or repositioned, before the cut is closed with fine stitches. The skin can also be treated by laser resurfacing or a chemical peel, to help tighten the skin of the lower lid. Eye-Bag Surgery is performed under general anaesthetic as a day case – so you can go home the same evening.

  • ‘No scar’ – cut is hidden in the natural eyelid crease
  • Long-lasting results – for up to 10 years
  • Unrivalled expertise – performed by leading oculoplastic surgeon

Eyelid Lift Surgery – Before & After Gallery

Disclaimer: Your results may vary. Any specific claims or length of results vary for each patient and are not guaranteed.
“New look for my Daughters wedding” – Read review

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 Patient Questions

Commonly Asked Questions about Eye-Bag Surgery 

What are the different types of Eye-Bag Surgery or “Lower-Lid Blepharoplasty”?

We offer two types of Eye-Bag Surgery. The first is a scarless approach, where the incision is made from the inside of the eyelid, therefore leaving no visible cut. The tissues are then removed or repositioned, giving the under-eye area a smoother appearance. This is an ideal approach if you have tight, non-wrinkled skin beneath the eyes, which is often the case with younger patients (though older patients can be suitable too). The second approach, which is not scarless, is better suited to more mature, or wrinkled skin, and involves a small incision being made on the outside of the eyelid. This allows the removal or repositioning of the fat, while simultaneously improving the appearance of saggy or severely wrinkled skin.

What are the non-surgical alternatives to Eye-Bag Surgery or a Lower-Lid Blepharoplasty?

Eye-Bag Surgery (Lower-Lid Blepharoplasty) is the gold standard procedure for treating hypertrophic eye bags. Expertly done, a Lower-Lid Blepharoplasty will remove severe eye bags with results often lasting upwards to 10 years. Although there are many non-surgical options which offer less down time, they are temporary fixes and are therefore a better option for those with only mild to moderate protruding fat.

What is the recovery time from Eye-Bag Surgery or a Lower-Lid Blepharoplasty?

Following a scarless Lower-Lid Blepharoplasty, patients usually recover within 2 weeks and return to work quickly.

After the non-scarless option, patients tend to be bruised for 2 weeks, recovering fully after a 4-12 week period. Normally, the stitches are visible for the first week; then, once they have been removed, a faint scar is visible. The scar may seem a bit thickened and red for 6-12 weeks, becoming almost invisible after that period. A thickened or reddened scar can be improved with silicone scar remodelling gel in addition to our complimentary skincare kit, which is designed to aid your recovery.

What are the risks of Eye-Bag Surgery?

The risks of Eyelid Lift Surgery include:

  • Infection: This is very rare; however, occasionally the stitches may become infected or inflamed. This can be swiftly settled with oral and topical antibiotics.
  • Scarring: Generally, scars are hidden in the skin fold, or the inner part of the lid. Stitches are normally visible for the first week, then, when they are removed, a faint scar is visible. While the scar may seem thickened and red for 6 to 12 weeks, it will gradually become almost invisible after that period. While not every scar heals equally well, silicone scar remodelling gel can improve the appearance of a thickened or reddened scar – however, the treatment needs to be continued for several months to have a good result.
  • Large bruise or haematoma: This is minimised by regular use of ice packs, avoiding heavy exercise for 2 weeks after surgery, and stopping aspirin and other anticoagulants (if safe so to do) 2 weeks pre-operatively. If you do experience a haematoma, you may have to go back into theatre to have the blood clot removed, and have your stitches redone. This runs the risk of a worse scar.
  • Theoretical risk to vision: Any eyelid surgery carries the risk that an undiagnosed infection or bleed could damage the optic nerve. This is so rare that, by comparison, a normal car journey poses a much greater risk to your vision.
  • “Hollow” appearance: This is rare, but can occur – usually when too much fat has been removed.
  • Temporary poor blink: Generally, blinking returns to normal within 12 weeks.
  • Sagging of the lower lid: This can happen as a result of scarring between the layers of the lid, or inadvertent removal of excess skin, and can alter the shape of the lower lid – and even cause watery eyes. Occasionally, this may require corrective surgery with either a skin flap/graft or a midface lift.

How do eye-bags develop?

How The Peri-orbital Area Ages

About Dr Sabrina Shah-Desai MS, FRCS

Dr Sabrina Shah-Desai is a distinguished oculoplastic surgeon and one of London’s leading eye specialists. She has over two decades of surgical experience and is renowned for her ability to create a natural look.

Dr Sabrina has a deep anatomical knowledge of the periorbital area and an appreciation for the differences in treating both men and women. When raising the brows and eyelids in a male Upper-Lid Blepharoplasty, it is important to preserve the T-shaped brow – in order not to feminise their appearance.

Eye Bag Surgery Reviews

Eye Bag Surgery Cost

Prices are a guide; your doctor will calculate total costs during consultation
Bilateral Lower Lid Blepharoplasty from £8000

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