Eyebags appear with aging as a result of fat bulging from the orbit due to septum laxity. In the older patients, it is accompanied by skin excess and appearance of wrinkles. They make you appear tired. Lower eyelid surgery can remove the eyebags and rejuvenate your eyes. The most common method used is the transconjunctival approach whereby a small cut inside the lower eyelid to remove excess fat that is bulging. The lower eyelid skin and muscle will fall back and redrape to give a nature look without any external scar. With the use of laser for the surgery, the swelling and bruising are minimized, thus shortening the recovery time.
This method is extremely useful for patients who have no or minimal excess skin. It almost eliminates the risk of complications like ectropion, scleral show and change in the shape of the eyes, which is more commonly associated with conventional external approach due to excess removal of skin and muscle or weakening the wall of the lower eyelid. However if there is excess skin in some older patients which requires removal, the excess skin may be trimmed in the same time through a subciliary approach.
The procedure takes about 1 to 1.5 hours under local anaesthesia. The recovery time is about 3-7 days.