Scarless Eyebag


Scarless Eyebag

Transconjunctival Lower Blepharoplasty



‘The eye is the jewel of the body’ Henry David Thoreau

The lower eyelids are an integral part of the overall frame of the eye. If the upper eyelids serve as the highlight of attractive and alluring eyes, the lower eyelids serve as the foundation upon which this frame is built. Like the upper eyelid, the lower eyelid is made up of a combination of skin, muscle, fascia and fatty tissue, and any discrepancy in these structures leads to irregular and tired-appearing lower eyelids. Causes of lower eyebags include swelling (which can be due a variety of reasons), genetics, excess pretarsal muscle, herniated or excess fat. These and other conditions can be corrected through surgical and non-surgical procedures.

What is scarless eyebag removal?

Scarless eyebag removal is the removal of the fat or muscle causing the eyebags without leaving any visible scar. This is done via a small incision in the conjunctiva, which is on the inside of the lower eyelid skin. This enables direct visualization of the lower eyelid structures, and more accurate and permanent correction. It is also known as transconjunctival lower blepharoplasty.


How is scarless eyebag removal surgery performed?

The procedure is commonly performed under local anaesthesia. Once you are comfortable, and with adequate eye protection, the surgeon makes a small incision in the inferior lining of the inner lower eyelid, identifying the excess fat and either removing it, or using it to smoothen out the contours of the lower eyelid. If required, other manoeuvres to enhance the appearance of the eyelid and cheek, such as ligament release, can be performed.

What can you expect after the procedure?

Post-procedure, there is usually mild swelling or bruising of the lower eyelids, which settles in 1-2 weeks. For the first few days, you may be given painkillers and anti-swelling medication to help with any residual pain and to hasten recovery, along with instructions for cold compress of the lower eyelids.
Full recovery
The scar is completely hidden and there are no sutures that need to be removed.
Potentially more serious post-procedural complications include infection, uncontrolled bleeding and problems with vision and dry eyes, but these are exceedingly rare.

Who is a suitable candidate?


While it can be performed on a wide range of patients, individuals with lower eyebags made up of fat and/or muscle, without too much excess skin, are ideal candidates for this procedure, and can achieve satisfactory results in a single sitting. Patients with other contributing factors to lower eyelid irregularity, such as overhanging skin or loss of cheek volume, may need adjunct procedures to help with the correction. The decision to undergo scarless eyebag removal should be based on a thorough assessment of your plastic surgeon, and a discussion as to your expectations and desires. Alternative procedures such as minimally-invasive injectables or lasers or more extensive techniques such as transcutaneous mid-cheek lift procedures may be recommended. Ultimately, the aim is to tailor make a procedure for you, to achieve a harmonious, lasting result.

Why choose Illumia Medical?

Our plastic surgeon is fully accredited with MOH, is double-fellowship qualified, and has extensively trained and observed with eminent blepharoplasty surgeons from the East and West. He will perform a thorough assessment and, in discussion with you, recommend the appropriate, tailor made procedure to achieve what you desire.


Above all, your comfort and safety are our priority.


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