Eyebag Removal
– Lower Blepharoplasty

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    Eyebag Surgery

    – Lower Blepharoplasty

    2 Methods to remove eye bags

    2 Methods
    to remove eye bags

    • This method is suitable for patients with excess lower eyelid skin and fat pocket. Removal of fat alone would result in gathering of excessive loose skin.
    • A fine cut is made just below the lower lid eyelashes. A small strip of excess skin and fat is then removed.
    • Those patient with severe laxity of the lower lid may need additional tightening procedure to prevent drooping of the lower eyelid post surgery (lateral canthopexy or lateral canthoplasty).
    • The scar below the eyelashes often becomes imperceptible after about 3 months.
    • This method is suitable for patients with excess lower eyelid skin and fat pocket. Removal of fat alone would result in gathering of excessive loose skin.
    • A fine cut is made just below the lower lid eyelashes. A small strip of excess skin and fat is then removed.
    • Those patient with severe laxity of the lower lid may need additional tightening procedure to prevent drooping of the lower eyelid post treatment (lateral canthopexy or lateral canthoplasty).
    • The scar below the eyelashes often becomes imperceptible after about 3 months.
    • This method is suitable for young patients with no skin laxity/excess. The fat pocket is removed via a small cut in the back of the lower lid, leaving no scar on the exterior.

    Comparison of Subciliary vs Transconjuctival Lower Blepharoplasty

    Comparison of Subciliary vs Transconjuctival Lower Blepharoplasty

    Subciliary Lower Blepharoplasty (External Method)Transconjunctival Lower Blepharoplasty (Scarless)
    Photo
    Lower Blepharoplasty - Eyebag RemovalLower Blepharoplasty – Eyebag Removal
    Lower blepharoplasty - Transconjunctival - Scarless Eyebag Removal Lower blepharoplasty – Transconjunctival – Scarless Eyebag Removal

    Side profile of the lower lid showing the cut on the inner (conjunctival) surface.

    ScarFaint scar – below eyelashScarless (incision hidden on the inner surface of the lower eyelid)
    What is done
    • Removal of eyebag
    • Removal of lower lid skin excess.
    • Lateral canthopexy to tighten lower lid laxity (optional)
    • Fat redistribution to smoothen the contour of the lower eyelid (optional)
    • Laser resurfacing of wrinkled lower lid skin (optional)
    • Removal of eyebag
    • Fat injection to smoothen the contour of the lower eyelid (optional)
    • Laser resurfacing of wrinkled lower lid skin (optional)
    Suitable patientAll patients with eyebag.Younger patient with eyebag, and no lower lid skin excess or laxity.
    Suture Removal1 weekNone
    Subciliary Lower Blepharoplasty
    (External Method)
    Transconjunctival Lower Blepharoplasty
    (Scarless)
    Photo
    Lower Blepharoplasty - Eyebag Removal
    Lower Blepharoplasty - Transconjunctival - Scarless Eyebag Removal
    Side profile of the lower lid showing the cut on the inner (conjunctival) surface.
    Scar
    Faint scar – below eyelash
    Scarless (incision hidden on the inner surface of the lower eyelid)
    What is done
    • Removal of eyebag
    • Removal of lower lid skin excess.
    • Lateral canthopexy to tighten lower lid laxity (optional)
    • Fat redistribution to smoothen the contour of the lower eyelid (optional)
    • Laser resurfacing of wrinkled lower lid skin (optional)
    • Removal of eyebag
    • Fat injection to smoothen the contour of the lower eyelid (optional)
    • Laser resurfacing of wrinkled lower lid skin (optional)
    Suitable patient
    All patients with eyebag.
    Younger patient with eyebag, and no lower lid skin excess or laxity.
    Suture Removal
    1 week
    None

    Transconjunctival lower blepharoplasty (scarless method)

    • The lower lid is pulled downwards and a small cut is made on the inner (conjunctival surface).
    • Resection of excess medial, central and lateral fat pad.
    • Wound closure with absorbable sutures.
    • Adjunctive procedure :
      • Fat transfer to lower lids
      • Laser skin resurfacing treatment to lower eyelid/ face
    • Treatment duration: 1 hour
    • Day Treatment (home on the same day)
    • Pre-operative marking to determine amount of lower lid skin to be removed.
    • A cut is made just below the eyelash margin.
    • Dissection to expose and remove the excess lower lid fat pads (eyebag).
    • Excess lower lid skin is trimmed.
    • Wound closure with very fine non-absorbable suture.
    • Adjunctive procedure :
      • Lateral canthopexy to tighten the lower lid and prevent ectropion.
      • Fat transfer to lower lids
      • Laser treatment to lower eyelid/ face
    • Surgical duration: 1-2 hours
    • Day Surgery (home on the same day)

    About DR. NG SIEW WENG
    (伍修永医生)

    Dr Ng Siew Weng is a Consultant Plastic & Reconstructive Surgeon accredited by the Specialists Accreditation Board, Ministry of Health of Singapore. He graduated from the Medical Faculty of the National University of Singapore and pursued several Post Graduate Diploma programs, two of which were in Dermatology.

    He was the first plastic surgeon from Singapore General Hospital (SGH) to receive the HMDP scholarship by the Ministry of Health to train in South Korea.

    During his training in South Korea, Dr Ng worked with world-renowned top plastic surgeons. His surgical techniques have a strong Korean influence especially in popular procedures like breast augmentation, blepharoplasty (double eyelid surgery), eyebag removal, droopy eyelid (ptosis) correction, facelift and fat grafting

    Our Philosophy

    Dr Ng Siew Weng is active in the field of research, as reflected by the numbers of research papers he published, and the several invitations he received to present at medical conferences in North America, Europe and Asia including Singapore. He received a prestgious Economic Development Board Proof of Concept Grant to investigate the treatment of trigger finger and subsequently invented a novel treatment device which is patented.

    Dr Ng has also researched into stem cells and demonstrated that stem cells derived from autologous adipose tissue improved the rate of wound healing. Dr Ng’s research interest in fat stem cells has led him to use it in clinical practice in order to achieve the best cosmetic results.

    He uses fat grafting regularly in his treatment to achieve natural cosmetic enhancement such as fat gratfing to breast and fat grafting to face. 

    Our Clinic is a fully equipped, Ministry of Health accredited ASC as well as state-of-the-art health care facilities. We aim to provide a safe and comfortable environment so that our patients can have their best possible experience when receiving cosmetic treatment in Singapore.

    Our main clinic is located at Farrer Park Medical Centre, Connexion – a three-in-one medical tourism friendly complex that comprises of Farrer Park Medical Centre, Farrer Park Hospital and One Farrer Hotel and Spa. A first of its kind in Asia, patients have the option of recovering in the comfort of a 5-star hotel or hospital after surgery. Our team would be glad to arrange concierge service and hotel stay is required. To serve our patients better, we have a branch in Gleneagles Medical Centre.

    Dr Ng believes in providing sufficient information and management options for the patient to make an informed decision. The patient needs to clearly understand : (1) The nature of their current condition, (2) The whole range of management options : from non-invasive to operative solutions, and (3) The pros and cons of each option.

    Most patients find this approach helpful. Dr Ng often reiterates that his role is to provide guidance, highlight to the patient if the choice of treatment is incorrect, but the final decision still lies with the patient.

    He normally provide a summary list of best plastic treatment procedures that is suited for the patient. It is difficult to balance between providing detailed information and being mistaken for overselling.

    Dr Ng had been active in the training of doctors and residents while he was Visiting Consultant at the Singapore General Hosipital (SGH). He was also an Adjunct Assistant Professor at the Duke-NUS Graduate Medical School. He hopes that training and knowledge sharing would produce the best surgeons in Singapore.

    Despite Dr Ng’s hectic schedules, he had volunteered in humanitarian trips to perform free surgeries to correct cleft lip and/or palate, post-traumatic or burns deformities in Laos, Indonesia, China and Uzbekistan.

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      What can I expect from consultation to recovery?

      Step
      1

      Consultation

      Step
      2

      Pre-operative screening

      Eg : Blood test

      Step
      3

      Treatment day

      Step
      4

      Remove sutures @ 1 week after operation

      Step
      5

      Follow - up review sessions

      What can I expect from consultation to recovery?

      Step 1

      Consultation

      Step 2

      Pre-operative screening

      Eg : Blood test

      Step 3

      Surgery day

      Step 4

      Remove sutures
      @ 1 week after operation

      Step 5

      Follow - up
      review sessions

      Frequently Asked Questions

      • A combination of local anaesthesia with IV sedation for maximal patient comfort.
      • Mild discomfort to be expected include:
        • Swelling usually resolved in 1 week.
          • In rare instances swelling may take several weeks to resolve.
          • Avoid exertion and raise the head up by 30 degrees to hasten the resolution of swelling.
        • Bruising usually resolved by 2 weeks.
        • Tearing
      • Post-operative medications:
        • Antibiotic ointment to be applied regularly 3-5 times a day
        • Antibiotic eye drops 3 times day
        • Oral antibiotics
        • Analgesics (pain relief) and anti-swelling medications
      • Removal of suture at 1 week.
      • Resumption of light exercise after 3-4 weeks.
      • Refrain from wearing contact lens up to 4 weeks post-surgery.
      • Bleeding/ Haematoma (blood clot accumulation)
        • Avoid exertion post-operative.
      • Infection
        • Very rare
        • Avoided by clean (sterile) technique during the operation.
      • Ectropion/ Scleral show
        • This is prevented by performing lateral canthopexy.
      • Lower blepharoplasty for removal of eyebags is considered as cosmetic treatment. The correction of ectropion is a medical procedure.

      What Our Patients Say

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