Upper, Lower and Double Eyelid Surgery in Bangkok

*Recovery times / results may vary
Your eyes are usually the first thing people notice and often the first place aging shows. If you keep hearing "you look tired" on days you feel anything but, eyelid surgery in Bangkok at Nirunda Clinic may be worth a closer look. Known as blepharoplasty, it addresses drooping upper lids, under-eye bags, and monolids, and it is one of the most rewarding procedures we perform.
Quick Highlights
- Nirunda Clinic offers upper, lower, and double eyelid surgery in Bangkok, including scarless techniques.
- Lower blepharoplasty is an outpatient procedure under local anesthesia with sedation, taking 1 to 2 hours.
- Most patients return to normal activities within about a week, with results that typically last five to seven years or longer.
- Eyelid surgery is among the least painful cosmetic procedures, and many patients resume their routine within a day or two.
Table of contents
Upper Blepharoplasty in Bangkok
As we age, skin loses elasticity and collagen, and the upper eyelids can begin to droop. The result is hooding, a lost eyelid crease, excess skin, and a tired or withdrawn look, even when you feel rested. In severe cases, drooping lids can interfere with vision itself. An upper blepharoplasty in Bangkok, Thailand removes that excess skin and fatty tissue, improving both how you look and, where needed, how well you see.
Am I a Candidate for Upper Eyelid Surgery?
You may be a good candidate if you recognize yourself in any of these:
- Weak eyelid muscles that make it difficult to fully open your eyes
- Puffy upper eyelids that leave you looking tired even when well-rested
- Sagging upper eyelids create a hooded appearance
- Vision interference is a significant concern that warrants consultation with a qualified oculoplastic surgeon or ophthalmologist
- A monolid or thick upper eyelid, where surgery can create a double eyelid
Double Eyelid Surgery Techniques in Bangkok
Not every eye needs the same approach, so double eyelid surgery in Bangkok at Nirunda is offered in three techniques:
- Full-incision: a permanent solution for significant enhancement and age-related correction. It works for all eye shapes, especially severe drooping that hinders vision.
- Partial-incision: smaller incisions address excess fat and loose muscle, with the muscles tightened and secured by sutures to create a new crease. Minimal scarring and discomfort, and a particularly popular choice in Asia.
- Buried suture (non-incision): also called scarless double eyelid surgery, this approach uses internal sutures to create natural-looking double eyelids without an incision.
The upper lids are only half the story, though. For many patients, the real concern sits just below.
Lower Blepharoplasty and Eye Bag Removal
Puffy under-eyes can add years to your face and make you look tired or even grumpy when you are neither. Lower blepharoplasty, also known as eye bag removal in Bangkok, targets puffiness and wrinkles in the lower eyelid area: excess fatty deposits that create bags, loose skin that contributes to a tired appearance, and fine lines around the lower lids.
Am I a Candidate for Lower Eyelid Surgery?
This procedure suits generally healthy adults with realistic expectations, particularly if you have:
- Under-eye bags or puffiness that casts shadows
- Fat protrusion, where drooping skin or milia (tiny white bumps) signal fat deposits under the lower lids
- Hollowing under the eyes creates dark shadows, which can be addressed with replacement fat injected into the area
- Fine lines and wrinkles that make you look older than your years
How Lower Blepharoplasty Works
Two main approaches are used at our Bangkok clinic:
- Transconjunctival: the incision is made inside the lower eyelid, leaving no visible external scars. Ideal for excess fat, though less suited to significant skin concerns.
- Transcutaneous: an incision along the lower lash line allows removal of both excess fat and skin for a more dramatic rejuvenation.
The surgery is typically performed under local anesthesia with sedation and takes one to two hours depending on the correction needed.

Preparing for Your Eyelid Surgery
Good preparation makes for a smooth experience, and it applies across upper, lower, and double procedures:
- Share your complete medical history: current conditions, past surgeries and anesthesia experiences, dental issues, and any allergies. Patients with underlying conditions may need additional tests such as blood work, X-rays, or an EKG.
- Your surgeon will perform a physical examination, a vision test, and take photographs of your eyelids.
- Bring a full list of your medications. You will be advised to stop certain medications, herbal remedies, and supplements at least a week before surgery, including aspirin, anti-inflammatories, cod liver oil, vitamins A, C, and D, and omega-3 supplements.
- Stop smoking at least six weeks before surgery, and avoid alcohol for 24 hours before and at least one week after.
- Shower and wash your hair the day before, and avoid cosmetics around the eyes for at least a week beforehand.
- Follow your doctor's food and drink restrictions, which matter for safe anesthesia.
Recovery, Results and Aftercare
Here is the encouraging part: an eyelid lift in Thailand is one of the least painful cosmetic surgeries, and most people are back to their daily routine within a day or two. Swelling and bruising typically subside within 1 to 2 weeks, stitches are removed and healing checked at 5 to 7 days, and your appearance can keep improving for 1 to 3 months. To protect your results:
- Apply a cold compress for the first few days and sleep with your head raised to reduce swelling.
- No smoking or alcohol for at least 5 days after surgery.
- Keep wounds dry and clean, using cotton swabs with saline solution 2 to 3 times a day.
- Wear sunglasses for at least a week to manage light sensitivity, and avoid rubbing your eyes for at least 2 months.
- Avoid reading, screens, spicy food, and strenuous activity for about a week.
- Continue avoiding aspirin and anti-inflammatory medications for two weeks after surgery, as advised by your doctor.
Everyone heals at their own pace, so treat this as a general timeline rather than a promise, and tell your doctor about any pain, redness, or irritation around your incisions.

*Recovery times / results may vary
Cost of Eyelid Surgery in Bangkok, Thailand
The honest answer on price is that it depends on your procedure: an upper blepharoplasty cost differs from a lower or combined case, and the technique chosen (full-incision, partial, or buried suture) shapes the figure too. What we can promise is transparency. Nirunda provides clear pricing in advance, so you know exactly what to expect, and eyelid surgery in Thailand is generally far more affordable than comparable procedures in the United States, the United Kingdom, or Australia. Book a consultation for a quote based on your eyes, not an estimate based on averages.

Traveling to Bangkok for Eyelid Surgery
If you are flying in for an upper blepharoplasty in Thailand, the logistics are simpler than most surgeries. Blepharoplasty in Bangkok at Nirunda is performed on an outpatient basis, and with stitches removed at 5 to 7 days, your stay can be planned around that follow-up. Our team will help you map out timing when you book, so your trip works around your healing rather than the other way around.
See the Difference for Yourself
Sometimes the change you want is measured in millimeters, and that is exactly why it belongs in expert hands. Contact Nirunda Clinic in Bangkok for a consultation on upper, lower, or double blepharoplasty, ask anything you like, and find out what refreshed eyes could look like on you.
Disclaimer: All results and recovery timelines described on this page are indicative and vary by individual. They are provided for general informational purposes and do not constitute medical advice or a guarantee of outcome. A consultation with a qualified physician at Nirunda Clinic is required to determine your suitability, expected results, and associated risks.
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