Incisional Double Eyelid Surgery, Under-Eye Dark Circle & Sagging Removal

Treatment details: Incisional Double Eyelid Surgery, Under-Eye Dark Circle & Sagging Removal

Incisional double eyelid surgery is a procedure that creates a double eyelid crease by making an incision along the desired eyelid line and adjusting the underlying structures, which may include the orbicularis oculi muscle, the tarsal plate and the orbital septum. Under-eye dark circle and sagging removal takes out excess orbital fat from inside the lower eyelid. A 5 to 7 mm incision is made in the conjunctiva behind the lower eyelid, so the outer skin is not cut.

The right photo was taken 1 month after surgery, and recovery timelines differ among individuals.

After incisional double eyelid surgery, temporary swelling, bruising, or discomfort may occur and generally improve over time as healing progresses. Incisional procedures may require more time for swelling and bruising to improve than non-incisional techniques. The incision is placed along the double eyelid crease with the aim of keeping the scar less visible.

After under-eye dark circle and sagging removal, swelling and bruising of the lower eyelids are pronounced during the first week and can take three weeks to clear fully. The area may feel tight or numb while the tissue settles. Removing too much fat can leave a hollow, and removing too little can leave a residual bulge, either of which may need revision. The position of the lower eyelid can change temporarily, and in rare cases the eyelid margin turns outward and needs correction. Bleeding and infection are uncommon. Any change in vision after surgery around the eyes needs urgent assessment.