Upper Eyelid Surgery

Upper eyelid aging is a common problem. It’s certainly the main contributor to that much disliked look of tiredness that comes with aging. Eyes that once looked alert and lively now appear flat and dull, having lost their expressiveness under a layer of droopy skin. Drooping upper eyelids can also cause significant functional and/or cosmetic problems. If you feel like your eyelids are affecting your daily life, you may be a prime candidate for elective upper eyelid surgery, also known as an upper blepharoplasty. Make an appointment for an upper blepharoplasty at our clinic in Bangkok, Thailand. The cost of an upper blepharoplasty can be much less than you ever imagined.
Are you a good candidate?
- Puffy upper eyelids
- Sagging upper eyelids
- Upper eyelid interfering with your vision
What is an Upper Blephaloplasty?
An upper blepharoplasty is performed to rid the upper eyelids of excess skin and fat that can negatively affect your appearance and in some cases interfere with vision. Double Eyelid Surgery is also a method of blepharoplasty. The techniques used are explained below:
- Full-Incision Double Eyelid Surgery: Full incision double eyelid surgery is a popular choice for many at our clinic in Bangkok due to its extended capability to enhance and modify the eyelids while addressing the signs of aging. Full-incision eyelid surgery produces permanent effects and can be applicable to all eye shapes. It offers better results for patients with severe eyelid drooping that interferes with vision.
- Partial-Incision Double Eyelid Surgery: A partial incision double eyelid surgery involves making minor incisions on the eyelid to remove excess adipose tissue and loose muscle tissue. The muscles are then tightened and sutured to create the new crease. The benefit of this procedure is the minimal scarring and procedural discomfort during and after treatment when compared to the full-incision method. Partial double eyelid surgery is more commonly performed in Asia and is very popular at our clinic in Bangkok.
- Buried Sutured (Non-Incision) double eyelid surgery procedure: Also known as scarless double eyelid surgery, the buried suture method is minimally invasive and is used to create natural looking double eyelids. This method of double eyelid fold creation gained popularity when it first came about several decades ago as it was one of the first such procedures to create folds, and because it was non-invasive.
Result and Follow up
- A cold pack is advised as a soft compress to the eyes for the first few days.
- No smoking and drinking at least 5 days after the surgery.
- The patient should keep the wounds dry and clean. Baby wipes are suggested to clean the facial area as well.
- Make up can be applied after the sutures are removed.
Lower Eyelids Surgery

As with the upper eyelids, many patients find that their lower eyelids become puffy or droopy over time. Some develop bags under the eyes, while others find their lower eyelids becoming wrinkly or darker in color. Lower eyelids with these characteristics often give a tired or worn appearance to the entire face. Lower eyelid surgery, also known as a lower blepharoplasty, can rejuvenate your looks and reduce the noticeable effects of aging.
Are You a Good Candidate for Lower Eyelid Surgery?
In a lower blepharoplasty, excess skin and fat may be removed and/or repositioned around your eyes to create a natural, more vibrant appearance without changing your face’s shape.
If you have excess lower eyelid skin and/or puffy bags under and around the eyes, you may be an excellent candidate for eye bag removal with a lower blepharoplasty. Make an appointment for a consultation and examination to find out your suitability for a lower blepharoplasty, upper blepharoplasty or double eyelid surgery at our clinic in Bangkok, Thailand. The lower blepharoplasty involves under eye bag surgery that can leave you looking much younger and more vibrant. The best candidates for these procedures are healthy patients who do not smoke and do not have any serious eye conditions.
There are 2 Techniques Used for Lower Eyelid Surgery
- Lower Blepharoplasty: In cases of excess skin, an incision will be made just beneath the eyelash row. The surgeon will remove the fat pocket and precisely control bleeding by electrocauterization. Then they will tighten the orbicularis muscle (squeezing eye muscle) to eliminate sagging. Excess skin will be adjusted and trimmed out in the proper proportions.
- Transconjunctival Incision: In cases of no excess skin, incisions can be made internally and the fat pocket will be removed with precise cauterization.
Preparing for a Lower Blepharoplasty
Once you’ve decided on a procedure to be performed at Nirunda Clinic, you’ll meet with an eye surgeon to discuss your expectations for the procedure and go over your medical history. You’ll be scheduled for a physical examination, a vision test and have your eyelids photographed.
You’ll be asked to stop smoking at least two weeks before the procedure as smoking can slow the healing process. You’ll also be asked to stop taking any medication that causes bleeding.
As Nirunda Clinic in Bangkok performs eyelid surgery on an outpatient basis, you’ll also be asked to arrange for a ride home after the procedure.
Result and Follow-up
- A cold pack is advised as a soft compress to the eyes for the first few days.
- No smoking and drinking for at least 5 days after the surgery.
- The patient should keep the wounds dry and clean. Baby wipes are suggested to clean the facial area as well.
- Make up can be applied after the sutures are removed.

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