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

We offer different types of eye bag removal surgery in the UK. The first method is scarless; no visible cut is seen because the incision is made from the inside of the eyelid. 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 it may also be appropriate for mature patients when combined with a "skin pinch" or LASER resurfacing. The second approach, which is not scarless, is better suited to correct excess 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 improving the appearance of saggy or severely wrinkled skin.

What is the recovery time for Eye Bag Surgery or a Lower Eyelid Blepharoplasty?

After a scarless Lower-Lid Blepharoplasty, patients usually recover within 2 weeks and can return to work quickly. However, after the non-scarless option, patients can experience bruising for 2 weeks, requiring 4-12 weeks to recover completely. Normally, the stitches are visible for the first week; once they have been removed, a faint scar is visible. The scar may seem thickened and red for 6-12 weeks, becoming almost invisible after that period. A thickened or reddened scar can be improved with a scar remodelling gel.

What are the risks of Eyebag Surgery?

While Eyebag Surgery is a safe operation, there are risks associated with it. Some common risks 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, but a faint scar is visible when they are removed. Although the scar may seem thickened and red for 6 to 12 weeks, it will gradually become almost invisible after that period. While most scars heal well, 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 can be minimised by regular use of ice packs, avoiding heavy exercise for 2 weeks after surgery, and stopping Aspirin and other Anticoagulants 2 weeks before surgery. If you do experience a haematoma, you may have to undergo another surgery to remove the blood clot and have your stitches redone. Theoretical risk to vision: There is a very small chance of optic nerve damage from eyelid surgery due to undetected infection or bleeding, though the risk is much lower than that of a typical car ride. 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 the inadvertent removal of excess skin. It 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.

Expert Eye Bag Removal Surgery in London

Lower-lid blepharoplasty is a precise medical procedure designed to address prolapsed fat pads and skin laxity that cause puffiness or irritation, restoring eyelid comfort and a smoother, healthier lid-cheek contour.

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Before & After Lower Eye Bag Removal Blepharoplasty before and after, a patient of Dr Sabrina Shah-Desai

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Lower Eye Bag Removal Blepharoplasty

At a Glance

Duration: 1-2 Hours
Driving: After 1 week
Anaesthesia: General
Hospital stay: Day case
Exercise: After 3-4 weeks
Final results: Up to 10 years

Why choose this treatment

Advantages of Lower Eye Bag Removal Blepharoplasty Treatment

Restores comfort and reduces puffiness

Treats prolapsed orbital fat that can press on the skin or cause irritation and swelling.

Supports ocular surface health

Improves lid support and reduces symptoms related to skin breakdown or fatigue around the eyes.

Long-lasting results

Once corrected, improvements in eyelid comfort and contour are typically stable for many years.

Improved Vision

In some cases, eye bag removal surgery can also improve vision by removing excess skin and tissue that may be obstructing the eyes.

The Procedure

What is Eye Bag Removal Surgery (Lower Eyelid Blepharoplasty)?

Lower-lid blepharoplasty is a surgical procedure performed to correct functional and structural issues in the lower eyelids, such as bulging fat, loose skin, or irritation from tissue prolapse. Fat pads are carefully repositioned or reduced, and only minimal skin refinement is performed where medically indicated to support lid function and ocular surface health.

This is a day-case procedure performed under general anaesthesia, tailored to each patient's anatomy and symptoms. While there are some excellent non-surgical options for mild cases, such as LASER and Tixel, Eye Bag surgery is the most effective way to treat moderate to severe eye bags.

Watch: Dr Sabrina Explains

How Does Lower Lid Blepharoplasty Procedure Work?

No scars: eyelid surgery is done in the natural crease to minimise scarring. Long-lasting results: last up to 10 years. Unmatched expertise: treatment performed by a skilled oculoplastic surgeon.

Dr Sabrina Shah-Desai marking the eyelid before lower lid blepharoplasty

Eye bag removal surgery smooths the under-eye area by removing excess skin, bulging fat, and loose 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 surgeon removes or repositions unwanted tissues before closing the incision with fine stitches. The skin can also be treated by laser resurfacing to help tighten the skin of the lower lid. Dr Sabrina, a leading eye surgeon in London can give you the results you're looking for. During the consultation, you can talk about your goals and view Lower Eyelid Blepharoplasty before and after pictures of similar cases to help you understand the process.

Real Patient Results

Lower Eye Bag Removal Blepharoplasty Before and After

See the Lower Eye Bag Removal Blepharoplasty Surgery before and after results below, achieved by Dr Sabrina.

Lower blepharoplasty before and after, case 27, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 28, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 1, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 2, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 3, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 4, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 6, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 7, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 8, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 9, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 10, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 11, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 12, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 14, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 15, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 16, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 17, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 18, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 19, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 20, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 21, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 22, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 23, by Dr Sabrina Shah-Desai

Lower blepharoplasty before and after, case 25, by Dr Sabrina Shah-Desai

Disclaimer: Your results may vary. Any specific claims or duration of results vary for each patient and are not guaranteed.

In their words

Patient Testimonials

4.8 out of 5 stars, based on 240+ Google reviews and 200 reviews on RealSelf

Meet the Expert: Dr Sabrina Shah-Desai

Dr Sabrina Shah-Desai is the founder and Medical Director of Perfect Eyes Clinic. With over two decades of surgical and non-surgical experience, she is considered one of the safest, most experienced oculoplastic surgeons in the UK.

Her extensive training, combined with her caring and empathetic nature, makes her a natural choice for patients seeking the very best care. Dr Sabrina appears consistently in Tatlermagazine as one of the UK's “Best Eye Surgeons” and “Top Doctors” since 2019.

Learn About Dr Sabrina

Royal College of Surgeons of England - register of Board-Certified Cosmetic SurgeonsBest Aesthetic Doctor - Safety in Beauty 2023Consultant Surgeon of the YearBest Surgical Result - Aesthetic Awards 2021Tatler Best Eye Surgeon 2019-2026

Transparent pricing

Eye Bag Surgery Cost in London

Prices are a guide; your doctor will calculate the total eye bag surgery cost during the consultation.

Bilateral Scarless Lower Eye Bag Removal (Lower Lid Blepharoplasty)from £11,000inclusive of hospital & anaesthetist charge, general anaesthetic; additional £2,000 for 2 laser treatments; pre-assessment tests & overnight stay may apply
Bilateral Outside-Approach Lower Eye Bag Removal (Lower Lid Blepharoplasty)from £12,000inclusive of hospital & anaesthetist charge, general anaesthetic; pre-assessment tests & overnight stay may apply

Important: all cosmetic procedures incur 20% VAT. Fees are estimates and will be confirmed after medical consultation.

Book a medical consultation

Patient Questions About Lower Eye Bag Removal Blepharoplasty

Frequently Asked Questions

The questions patients ask most often, answered by the clinic. If yours isn’t here, ask us directly - we would be delighted to help.

We offer different types of eye bag removal surgery in the UK.

The first method is scarless; no visible cut is seen because the incision is made from the inside of the eyelid. 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 it may also be appropriate for mature patients when combined with a "skin pinch" or LASER resurfacing.

The second approach, which is not scarless, is better suited to correct excess 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 improving the appearance of saggy or severely wrinkled skin.
After a scarless Lower-Lid Blepharoplasty, patients usually recover within 2 weeks and can return to work quickly. However, after the non-scarless option, patients can experience bruising for 2 weeks, requiring 4-12 weeks to recover completely. Normally, the stitches are visible for the first week; once they have been removed, a faint scar is visible. The scar may seem thickened and red for 6-12 weeks, becoming almost invisible after that period. A thickened or reddened scar can be improved with a scar remodelling gel.
While Eyebag Surgery is a safe operation, there are risks associated with it. Some common risks 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, but a faint scar is visible when they are removed. Although the scar may seem thickened and red for 6 to 12 weeks, it will gradually become almost invisible after that period. While most scars heal well, 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 can be minimised by regular use of ice packs, avoiding heavy exercise for 2 weeks after surgery, and stopping Aspirin and other Anticoagulants 2 weeks before surgery. If you do experience a haematoma, you may have to undergo another surgery to remove the blood clot and have your stitches redone.

Theoretical risk to vision: There is a very small chance of optic nerve damage from eyelid surgery due to undetected infection or bleeding, though the risk is much lower than that of a typical car ride.

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 the inadvertent removal of excess skin. It 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.

Call or email us today, we would be delighted to answer your questions.

Ask a Question or Book an Appointment

Patient stories

Rated five stars by patients across the globe

4.8out of 5 from 240+ Google reviews

Desi Stevens

“Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.”

Kealey Hessey

“Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.”

Jo Kirby

“I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.”

Shirley Ford

“I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.”

Radhika Rajan

“Top notch surgeon. Dr.Sabrina Shah is the best. Very meticulous and focused. Very experienced and very skillful. Supported by a great team, Irvana at the office is efficient and directs empathy as well towards nervous patients like myself . All in all a great experience.”

Tina Stonely

“Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.”

Tanya Del Federico

“Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.”

Minda Wang

“I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.”

Samantha Andrews

“Amazing. I’m so happy with the results. Sabrina is a master. She also has a wonderful bedside manner. I can’t recommend Sabrina and her team enough. Worth double the money. 👏🏻”

Hayley Pearson

“I was lucky enough to first meet Sabrina 9 years ago & have never used anyone else since. She has helped transform my appearance; with natural looking aesthetics. I currently live abroad, however remain dedicated to stay a patient of Sabrina. What’s 3,500 miles when you have found the best in the business!”

Desi Stevens

“Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.”

Kealey Hessey

“Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.”

Jo Kirby

“I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.”

Shirley Ford

“I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.”

Tina Stonely

“Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.”

Tanya Del Federico

“Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.”

Minda Wang

“I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.”

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