• Under Eyebag removal surgery remodels and tightens the eye area
  • Refreshes the lower eye area by reducing eye bag formation
  • Restores a more youthful appearance
  • 0% Finance Available

Home » Cosmetic Surgery » Face & Eyes Surgery » Eyebag Removal
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Medically reviewed by Lorcan Sheppard BSc MBBS FRCA, Chief Medical Officer for The Private Clinic of Harley Street, London.
Last Reviewed November 17th 2023

Under Eye Bags Removal (Lower Blepharoplasty)

Under Eye Bags Removal is a surgical procedure that reduces the amount of excess fat and skin tissue from the lower eye area.

At The Private Clinic our Consultant Plastic and Reconstructive Surgeons are highly experienced in lower blepharoplasty procedures with countless experience so you can ensure that you are in the best of hands.

They are also able to combine the procedure with an upper blepharoplasty or a facelift at the same time. Consultations are available in London, Birmingham, Manchester, Leeds, Liverpool and Northampton.

When addressing excess skin or fatty tissue during Lower or Combined Blepharoplasty, an incision is made below the lower eyelash line or inside the lower lid, making any scarring barely visible following surgery.

Blepharoplasty has one of the fastest recovery times of any plastic surgery procedure. After two weeks any swelling should be very subtle, and results can be quite dramatic giving a refreshed and younger appearance.

Eyebag Removal at a glance

Procedure Time
1 hour

Day case

Support Garments

1 – 2 weeks

1 week

Up & Mobile

Sexual Activity
4 weeks

Back To Work
4 weeks

1 – 2 weeks

6 weeks

Full Recovery Time
4 – 6 weeks

Final Results
2 – 3 months

Anaesthetic Type
General Anesthetic

Elevated on back for 1-2 weeks

The Reasons for Choosing Blepharoplasty

Eyes are usually the initial focal point for any person’s face. Puffed eye bags can be the result of ageing or genetics. They are caused by fatty deposits that accumulate under your eyes.

Eyebags can become more pronounced as your skin ages and your collagen levels deplete. Many patients feel that they give the impression of being constantly tired, or ageing a bit more rapidly than they’d like.

Lower Blepharoplasty with a small fat transfer to the cheeks can take years off your age and leave you looking refreshed.

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Blepharoplasty Before & After Photos

Our Plastic Surgeons will work alongside you to help you achieve your goals 
Simply book a consultation today to hear about the best options available for you.

What to Expect

The Private Clinic has been treating patients for over 40 years with thousands of people placing their trust in us each year. We pride ourselves on being able to offer a personalised service. We have a team of friendly nurses and expert surgeons who understand the importance of this decision and will support you throughout your journey with us.

The Consultation

At The Private Clinic, our Consultant Plastic and Reconstructive Surgeons are highly experienced in lower blepharoplasty. In many cases, they combine the procedure with an upper blepharoplasty at the same time.

At your consultation, your surgeon will go through the lower blepharoplasty surgical procedure in detail. They will then examine your areas of concern and assess your suitability for Lower Blepharoplasty surgery.

Your surgeon will then discuss:

  • Your medical history
  • Your expectations from the surgery
  • The risks and complications of Lower Blepharoplasty surgery
  • The aftercare and recovery process of Lower Blepharoplasty surgery

After your consultation with the surgeon, you will be allocated a dedicated patient coordinator who will be your point of contact should you wish to proceed with a lower blepharoplasty procedure.

Eye Bag Removal treatment consultations are available in our London Harley Street, Birmingham, Leeds, Northampton, and Manchester clinics.

Consultation Image 1

Pre-Operative Appointment

In the interests of patient safety, all our patients are assessed against our patient selection criteria. Following your consultation your medical history will be reviewed and the pre-operative nurse will choose which pre-operative tests to carry out which are going to be most appropriate to you. Most pre-operative assessments include a blood test, MRSA swabs, urine test and a blood pressure test.

They will also advise you of any precautions you need to take in the days or weeks leading up to your eye bag surgery procedure and let you know of any medication that you will need to stop taking ahead of your surgery.

Consultation Image 1

Under Eye Bags Surgery

There are two types of Lower Blepharoplasty techniques;

  • Transconjunctival Lower Blepharoplasty – Best for lower eye bag removal
  • Transcutaneous Lower Blepharoplasty – Best for removing loose wrinkled skin

If the purpose of your lower blepharoplasty procedure is to reduce the appearance of lower lid bags then the transconjunctival approach could be suitable as the surgeon will be able to remove excess fat causing the bags by making an incision through the inside of the lower lid which means no visible scar on the exterior of the eye.

However, if you have excess loose wrinkled skin, then a transcutaneous technique would be better suited as it allows the surgeon to remove the skin.

Both blepharoplasty procedures are performed under general anaesthetic in theatre. The procedures take around 1 hour to perform but this will vary depending on the complexity of the case.

Transconjunctival Lower Blepharoplasty

A transconjunctival blepharoplasty involves a small incision (1-1.5 cm) being made on the inside of the eyelid.

The excess fat creating the eye bag is then removed via this incision. The lower eye area then may be sculpted and repositioned based on your needs. The incision does not require stitches and usually closes within 24 hours.

Transcutaneous Lower Blepharoplasty

A transcutaneous lower blepharoplasty involves an incision below the lower eyelash line.

Any excess fat that causes puffiness is removed, while any unwanted loose skin can also be addressed.


Our surgeons pay extreme attention to detail and make sure that their incisions follow your face’s natural lines and creases to avoid scarring and achieve aesthetically pleasing results. Your eye bags will be reduced so that you look refreshed, rejuvenated and more youthful.

Consultation Image 1

After your lower blepharoplasty

We advise that a friend or family member chaperone you home following the procedure. All patients will be scheduled a 6 week follow-up appointment with their surgeon.

Stitches/Suture Removal

To ease your recovery and prevent scarring, if stitches are required, we use very fine sutures that will be taken out after 4-5 days.

Recovery Time

You can usually expect a recovery time of 1-2 weeks. It is advisable to take a week off work.

Blepharoplasty surgery has one of the fastest recovery times of any plastic surgery procedure. After two weeks any swelling should be very subtle, and results can be quite dramatic giving a refreshed and younger appearance.

Consultation Image 1

The Private Clinic have collaborated with Chrysalis Finance to offer 0% finance for our patients.*

*Acceptance is subject to status. Terms and conditions apply.


Am I suitable?
An experienced surgeon will need to assess you prior to any procedure, but blepharoplasty is suitable for most people who are suffering with hooded, drooping or puffy eyelids. The procedure will not be suitable for those looking to rid of crow’s feet or some fine wrinkles. Your surgeon will be able to advise on other options like wrinkle injections or fillers. A blepharoplasty is suitable for both male and female patients.
How long will the procedure take?

Most of our patients are day cases, with simple procedures taking as little as 30 minutes and longer cases taking up to 2 hours. The majority of patients return home after the procedure with no need for a hospital stay.

Where are the blepharoplasty incisions made?

Incisions for an upper blepharoplasty or eyelid surgery are made in the natural crease of the upper eyelid.  Incisions for a lower blepharoplasty or eyebag surgery are made underneath the eyelashes or alternatively inside the eye. Incisions for blepharoplasty procedures heal well.

Is a blepharoplasty painful?

Eyelid/Eyebag surgery is performed under local or general anaesthetic so you will not feel anything during the procedure. A few hours after the procedure your eyes may feel a little uncomfortable but you will be given painkillers to help with this and any discomfort usually settles after 48 hours.

Will a blepharoplasty improve the wrinkles around my eyes?

Eyelid/Eyebag surgery is not designed to treat wrinkles around the eyes. Wrinkles around the eyes are best treated with wrinkle relaxing injects or laser rejuvenation treatments such as the Regenlite.

Can a drooping brow be corrected with eyelid surgery?

A blepharoplasty only targets the upper and lower eye lid areas. In order to improve the appearance of your brow you will need to have a brow lift.

Can a blepharoplasty be combined with another procedure?

Blepharoplasties are commonly performed alongside facelifts, brow lifts and also fat transfer.

Dermal fillers can also be used post-procedure to help retain the results of the procedure by improving the tear trough area.

What is the downtime?

You will experience some swelling and bruising for up to two weeks, but may return to your social activities within one week post-procedure. Your stitches will be removed 4-5 days post-procedure, and make-up can be used 7 days after the surgery. You may need pain relief to help with any discomfort while the eyelids heal, though your surgeon will discuss this fully with you.

It can take up to a few months for your eyelids to settle completely, but our medical team will offer you all the necessary advice and support for your healing process.

When will I be able to return to work after blepharoplasty surgery?

Depending on your case and procedure your surgeon may advise between 7-14 days off work, particularly for more complicated surgeries. You will need someone to take you home and we recommend that someone stays with you for the first 24 hours post-surgery.

Can I drive after a blepharoplasty?

You will not be able to drive immediately after a blepharoplasty this is due the after effects of the anaesthetic that may still be in your system and your vision may be temporarily impaired immediately after surgery. We would recommend that you avoid driving for a week or at least until you are off pain medication and feel comfortable to do so. We would advise against driving for long distances in the initial stages of healing too. If in doubt – do check with your surgeon.

When can I exercise after a blepharoplasty?

Light to moderate exercise may be resumed at 2-3 weeks but it may take at least 3-4 weeks before you can get back to higher impact activities. Swimming / diving should be avoided during the first 3-6 weeks after surgery.

Can I wear glasses or contact lenses after a blepharoplasty?

You will be able to wear glasses as normal after eyelid or eyebag surgery. We advise waiting 2-3 weeks before wearing contact lenses again.

When can I wear make-up after blepharoplasty surgery?

We recommend waiting at least 10 days before applying any type of eye make-up including eyeshadow, fake lashes, mascara and eyeliner.

Will there be any scarring?

Blepharoplasty is one of the safest plastic surgery procedures you can have. Our experienced surgeons will only make incisions along the natural folds and creases of your eyes, making the risk of scarring minimal.

What is an Asian Blepharoplasty?

An Asian blepharoplasty is a modified procedure that creates or re-defines an upper eyelid crease.

What are the risks of eyelid/eyebag surgery?

A blepharoplasty procedure is a relatively safe procedure but it does carry risks just like any surgical procedure would do.

Risks and complications that are associated with blepharoplasty in particular are; bleeding, dry eyes, infection, slight asymmetry in healing or scarring, swelling at the corners of the eyelids, temporary blurred vision, and whiteheads.

Your surgeon will discuss these all in full at your consultation.

What does a free blepharoplasty consultation mean?

We can offer patients a free blepharoplasty phone or video consultation with one of our experienced patient coordinators to discuss eyelid or eyebag surgery.

Our patient coordinators can provide you with information about the procedure and the best blepharoplasty surgeon to suit your needs.

To secure your timed phone or video appointment we will ask you to pay a £25 refundable deposit. This is refunded once the consultation takes place. You can change your appointment time up to 48 hours before.

Contact us to book a free phone or video consultation.

What is a blepharoplasty?

A blepharoplasty is the medical term for eyelid or eyebag surgery to improve the appearance of drooping eyelids or large eyebags that also may be affecting the sight of the patient.

The procedure involves reshaping the upper or lower eyelid by removing or repositioning of excess tissue, as well as reinforcing surrounding soft tissues.

There are 3 types of blepharoplasty procedures;

Upper Blepharoplasty which targets the eyelid and upper portion of the eye but not including the brows. Lower Blepharoplasty which targets the lower portion of the eye and a combined blepharoplasty which is when an upper and lower blepharoplasty are performed at the same time.

Can a blepharoplasty treat eye bags?

Eye bags or sagging around the eyes can be corrected with blepharoplasty surgery. The procedure removes excess skin underneath the eye resulting in a fresher look.

What happens during a blepharoplasty procedure?

During an upper blepharoplasty an incision is made within the natural eyelid crease. Excess skin and fatty pockets are then removed before the incision is then closed.

A lower blepharoplasty procedure involves an incision usually below the lash line or inside of the bottom eyelid. Excess fatty tissue is then removed from the area and the incision is closed.

Procedure Length


Anaesthesia Used


Upper Blepharoplasty (Upper Eyelid)

A short procedure which can take only 30 minutes

Incisions are made in the eyelid crease

Typically performed using local anaesthetic

Minimal downtime and you can return home shortly after

Lower Blepharoplasty* (Lower Eyelid)

Slightly more complex, the procedure can take between 1-2 hours

Incisions will be disguised under the eyelashes or inside the eye

Often requires general anaesthetic

More downtime than upper blepharoplasty, the exact amount depending on the individual patient**

Combined Blepharoplasty* (Upper and lower eyelid)

Approximately 2 hours

As above for each eyelid

Usually requires general anaesthetic

** Same as above

*Eye Bag Removal can also be performed in a lower or combined procedure, helping to reduce any puffiness, without creating a hollowed out appearance

How much does Upper and Lower Blepharoplasty (Eye Bag Removal and Eyelid Surgery) cost?

The average price for blepharoplasty surgery for an upper eyelid procedure starts at £3,900 (under local anaesthetic) and the cost for a lower eyelid procedure starts at £4,900 (under general anaesthetic).

If you require a full blepharoplasty (both upper and lower eyelids), prices start from £6,400.

We don’t follow a one-price-fits-all policy and prices are quoted on a case by case basis. You will be given an accurate quote for your requirements following your consultation.

Consultations with our plastic surgeons are £100 at our clinics in London Harley Street, Birmingham, Leeds, Manchester and Northampton.

We also offer consultations with our highly experienced Patient Coordinators which require a £25 refundable deposit to secure your place. These are available in BirminghamLeedsManchester and Northampton..

Patient coordinators are able to offer you all the information you require prior to meeting a surgeon.

Please note all consultations available at our Harley Street clinic are with a surgeon.

When will I see the results?

Results are instant however everyone heals at a different rate. Most visual swelling should go down after a month and the majority see results within 2-3 months of their procedure.

Things to Consider

Our advice on what to consider when deciding to have a blepharoplasty procedure:

1. When choosing a clinic, you should always do your research, and only go to an established, reputable clinic.

The Private Clinic has been in the cosmetic surgery industry for over 40 years. We are here to answer all of your questions and give you peace of mind.

2. When choosing a surgeon, make sure you know who you’ll be seeing. Their expertise, qualifications and patient satisfaction rate are important factors to take into consideration.

At The Private Clinic, we only source the most experienced and specialised surgeons. Find out more about our plastic surgeons here.

3. Price should never be the deciding factor when choosing where to have your treatment. Safety should be your number one priority and feeling confident that they will look after you – not only before, but also after your procedure

4. When it sounds too good to be true, it often is. Always find out what your clinic’s reputation is.

Our excellent reputation for patient safety and satisfaction, honest advice and outstanding care means your journey with The Private Clinic will be an exciting experience to a newfound shape.

Blepharoplasty Patient Stories

Outstanding care, patient satisfaction and results mean everything to The Private Clinic Team

Read about our patients’ experiences to see what you can expect from our award-winning procedures.

Why Choose The Private Clinic

  • The Private Clinic are a multi-award-winning Cosmetic Surgery provider with over 40 years’ experience.
  • We have world-class top specialist surgeons.
  • Dedicated care with your expert facial surgeon and nursing team including a 24-hour help line.
  • We have state of the art hospital facilities.
  • We have one of the highest patients’ satisfaction rates; Trustpilot 5 Star Rating
  • We see over 15,000 new patients every year performing over 10,000 procedures.
  • 96% of patients would recommend us to their friends and family.
  • 0% Finance Available
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Meet our Surgeons

We have a dedicated Plastic Surgeon and medical team who will be with you throughout your journey.

Blepharoplasty Procedures at The Private Clinic are performed by some of the UK’s top consultant facial plastic surgeons who have decades of experience.