Scarless Eye Bag Removal Surgery

As the name suggests, this is a type of blepharoplasty (eyelid surgery) which effectively reduce and remove eye bags while leaving no visible scars. This is achieved via an incision inside the lower eyelid. The entire procedure takes about 20 minutes.

Eye bags are formed when excess fat collect in lower eyelid skin. This usually appears as mild swelling/puffiness under the eyes. Eye bags often worsen with age as the more fat tend to collect under the eyes the older and individual is, and the skin under the eyes also tend to loosen and sag with age.

Other causes of eye bags may include:

  • Genes and hereditary effects
  • Water retention
  • Pseudo Eye Bags from prominent orbicularis oculi muscles (muscles around the eyes)

Surgery Procedure

The procedure will be carried out under local or general anaesthesia. Firstly, the surgeon will make an incision within lower eyelid. The surgeon will remove or reposition fat and tissue via this incision before closing it with a suture. The procedure lasts for about 20 minutes.

Effects of the procedure are visible immediately after the swelling and bruising from the surgery have subsided in several days.

Possible risks/complications

As with all surgical procedures, there are some risks involved. Depending on the success of the surgery, the following complications may arise:

  • The surgical wounds may become inflamed or infected.
  • Nerves around the eyes may be disturbed, resulting in blurry and/or double vision.
  • If the lacrimal apparatus (tear glands and associated structures) are disturbed, the patient may experience excessive tearing or dry eyes post-surgery.

A follow-up surgery may be required to treat any complications that arise.

Before the surgery, the doctor/surgeon will usually request for the patient’s medical history or conduct a simple health check. He/she will also discuss in detail what are the possible complications depending on the patient’s condition. A mutual understanding between doctor and patient regarding the risks involved is important in maximising the success of the procedure.

Eye bags and aging skin

Eye bags are undesirable because it gives a “tired” look, which is often associated with old age. Usually, when patients request an eye bag removal procedure, they are looking to get rid of this “tired” look for a more youthful appearance. However, rectifying this is often more complex than just removing eye bags as it is only one of the many tell-tale signs of aging skin.

In addition to eye bags, the appearance of the cheeks, which are directly below the eyes, can contribute to an aging look as well. The midcheek area is often full and rounded in youths, whereas the same area can look hollow and saggy in older adults. The latter, together with eye bags, forms the typical “tear troughs” under the eyes associated with aging. If eye bags are simply removed without treating the rest, the hollow and saggy look remains, and may even become enhanced, worsening the “tired” look.

Eye bag removal is indeed effective in improving the lethargic look in individuals who only exhibit limited signs of aging in midcheek area of the face, and genuinely have excess fat in the eyelid cheeks. However, in other cases, fat may need to be redistributed instead of removed to fill out some of the “hollows” below the eyes. A cheek or face lift is also recommended to reduce sagging and tighten the skin. Skin fillers can also help replace the lost volume in the face. Overall, a combination of these treatments is much more effective at achieving the refreshed look compared to just removing eye bags alone.

At Clifford Clinic, our doctors are highly experienced in aesthetic procedures. Visit us for a consultation and they will assess your situation, before recommending the most suitable course of treatment catered for you.

Call us today at (65) 6532 2400, Whatsapp us at (65) 8318 6332 or email us at to book an appointment or enquire on any of our cosmetic services and treatments.


I do not wish to undergo surgery. Are there other ways of removing eye bags non-surgically?

Yes. You may wish to try Non-Surgical Eye Bag Removal with AGNES & Secret RF. It utilises special radiofrequency to effectively reduce and remove eye bags.

What is the difference between scarless surgical and non-surgical eye bag removal procedures?

Type of Double Eyelid SurgeryScarless SurgicalNon-surgical
Procedure length
20 - 30 mins
DowntimeUp to 3 days depending on the individual. Some may experience no downtime at allAlmost no downtime. You can resume daily activities soon after the procedure
EffectivenessWorks for most, if not all eye bag related problemsEffectiveness is limited for more severe cases.
Swelling and bruisingArea around the eyes may swell and bruise for up to 3 days depending on the individual
Best effects seen afterEffects are usually visible immediately, after the swelling and bruising subsidesSlight results can be seen within a week post-treatment, but the best results usually show up from a month after.

Is the procedure painful?

The procedure can be performed under local or general anesthesia. If the latter is chosen, the surgery may take slightly longer to allow the anesthesia to subside.

Is there any downtime?

The area around the eyes is expected to bruise and swell for up to 3 days depending on the individual. If this is not a concern, you can resume daily activities immediately after the procedure.

What should I take note of before the procedure?

Please inform the doctor/surgeon of any products you are currently using/medication you are currently on. You may be asked to stop using certain products around the eyes or stop certain medication by the doctor/surgeon. This will be further discussed during your consultation session.

What should I take note of after the procedure?

You may need to avoid putting make-up and other cosmetic products (eyeliner, eyeshadow) around your eyes for several days as advised by the doctor.

The doctor may request that you avoid wearing contact lenses for several days after the procedure, depending on the individual.

Avoid putting excessive force on/around the eye area (general rubbing of your eyes, using makeup remover etc) until the wounds are completely healed to minimise the risks of infections and other complications.

Am I suitable for scarless eye bag removal?

Most people are suitable for Scarless eye bag removal as long as they are in good general health. However, please do consult the surgeon before the procedure. He will advise you accordingly and propose alternatives if needed.