
Key Takeaway
- Lower blepharoplasty is a surgical procedure that removes excess under-eye fat and skin. It helps reduce sagging and create a smoother, firmer under-eye appearance. With Dr. Roungkaw Technique, the New Lovely Microlaser technology is used to minimize bleeding and achieve smaller incisions.
- This surgical technique leave the incisions along the lash line, suitable for those with puffy under-eye bags while still maintaining good skin elasticity. It is also ideal for patients seeking under-eye bag treatment with smaller incision and shorter recovery time.
- After Eye Bag Removal, swelling and bruising will gradually subside over time. Stitches can typically be removed within 7–10 days. The incision will become less noticeable within 2–4 weeks, while the lower eyelid will gradually settles into a firmer appearance within 3-6 months.
Is lower blepharoplasty dangerous? This is one of the most common questions people have before deciding to undergo the procedure. Since the under-eye area is delicate and requires special care, many people are concerned about pain, recovery time, and the results after surgery. This article will answer common questions about eye bag removal, explain the different techniques and who they are suitable for. You will understand how the procedure can address lower eyelid concerns and create a more natural, well-balanced eye shape.

What is Lower Blepharoplasty
a surgical procedure that removes excess fat from the under-eye area, helping to address sagging skin and wrinkles around the eyes. Dr. Roungkaw’s technique uses New Lovely Microlaser technology to precisely remove excess fat while smoothing and tightening the skin. The incision is carefully placed along the lower lash line, helping to minimize visible scarring, swelling, and bruising.
What problems can under eye bag removal address?
- Removes prominent under-eye bags, creating a firmer and smoother under-eye areas.
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Removes excess, sagging skin that develops with age, helping to reduce wrinkles around the eyes.
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Reduces shadows caused by protruding under-eye fat, helping improve the appearance of dark circles.
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Creates a more youthful and rejuvenated facial appearance.
Who is Lower Blepharoplasty Suitable for?
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People with prominent under-eye bags without significant sagging or loose skin.
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Younger individuals with good skin elasticity.
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People who prefer minimal swelling and bruising with no visible external scars.
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People who limited downtime after surgery, so they will be able to return to their daily activities as soon as possible.
Why Undergoing Lower Blepharoplasty At Lovely Eye & Skin Clinic
This procedure is performed by an experienced ophthalmologist. At Lovely Eye & Skin Clinic, Dr. Roungkaw Technique uses New Lovely Microlaser technology for all surgical procedures. It helps control bleeding during surgery. This allows for smaller incisions, minimal swelling and bruising, and a shorter downtime after surgery.
In addition, the clinic offers a lower eyelid tightening procedure that can be performed together with Eye Bag Removal. This technique helps tighten and support the lower eyelid while strengthening the supporting tissues around the eye, reducing the risk of lower eyelid retraction or ectropion after excess skin removal. It is particularly suitable for older patients or those with significant lower eyelid laxity, helping achieve a firmer, more natural-looking, and long-lasting result.

Comparison Between Dr. Roungkaw Technique and Other General Technique
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Comparison |
General technique |
Dr. Roungkaw Technique |
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Incision |
May have a more noticeable scar, which is not placed along the lash line. |
Small incision along the lower lash line, which is not an external or internal wound. |
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Brusing |
May cause more bleeding and prolonged swelling, resulting in a longer recovery period. |
Uses the New Lovely Microlaser will help reduce blood loss and bruising. |
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Smoothness |
Uneven fat removal may result in hollow and uneven under-eye. |
Precisely assesses and removes appropriate amount of fat, resulting in a smooth under-eye skin. |
|
Risk of ectropion |
Excessive skin removal without lower eyelid pulling may increase the risk of ectropion. |
Usually performed together with the Lower Eyelid Pulling procedure to strengthen lower eyelid tendon. |
Source: https://www.lovelyeyeclinic.com/th/eye-surgery/lower-eyelid-pulling-up
Results After Eye Bag Removal
- Day 1-3: Mild swelling and redness may occur. Apply a cold compress, keep your head elevated while sleeping, and avoid getting the incision wet.
- Day 7-10: Swelling and bruising noticeably subside, while the incision begins to dry and heal. The doctor will schedule a follow-up appointment for stitch removal during this period.
- Week 2-4: The scar becomes less noticeable. The under-eye area appears smoother and firmer, resulting in a refreshed look.
- 3-6 months: The incision gradually blends with the surrounding skin as the lower eyelid contour settles into its natural shape. However, under-eye bags are less likely to reoccur.
Benefits of Eye-Bag Removal At Lovely Eye & Skin Clinic
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Personalized Eye Assessment and Treatment Plan
The Lovely Specialist medical team carefully assesses each patient’s under-eye bags and eye structure. A personalized treatment plan is designed to address each patient’s individual concerns using the Dr. Roungkaw Technique. The clinic follows hospital-standard safety protocols and has a dedicated Lovely Surgical Instrument Sterile Unit. Surgical instruments are sterilized using an AUTOCLAVE certified to ISO 13485:2016 standards to support safety and hygiene throughout the procedure. -
Dedicated and Personalized Care: The Lovely Special Care team provides personalized support throughout your treatment journey. The team is available to provide guidance both before and after the procedure. Patient feedback is also used to continuously improve the quality of care and services.
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Over 10 Years of Experience: Lovely Eye & Skin Clinic has been providing services since 2014. The clinic has extensive experience in eye procedures, supported by a wide range of reviews and results from actual patients with different concerns and desired styles.
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Daily Consultation Support: Online consultation channels are available every day for those who have questions or would like more information before deciding on a procedure. You can contact Lovely Eye & Skin Clinic directly via LINE Official Account for further consultation.
Lower Blepharoplasty with Dr. Roungkaw Technique
It is a surgical technique to remove excess under eye fat and skin, resulting in a smooth under areas without creating hollow appearance. The New Lovely Microlaser, an exclusive technology available only at Lovely Eye & Skin Clinic, provides precision without damaging surrounding tissues. Therefore, it helps minimize the pain and bleeding during the procedure. After the surgery, there may be a slight bruising around the eyes. With Dr. Roungkaw Technique, the incision is placed along the lower lash line.
Suitable for individuals with:
- Under-eye bags and excess skin
- Age-related sagging of the under-eye skin
- Mild to prominent under-eye bags
Summary
At Lovely Eye & Skin Clinic, Dr. Roungkaw’s technique uses New Lovely Microlaser technology during the procedure. This technique allows for smaller incisions and helps minimize swelling and bruising. It also supports a shorter recovery period. The procedure is particularly suitable for patients with prominent under-eye bags and good skin elasticity.
For patients with significant skin laxity, the ophthalmologist may combine Eye Bag Removal with a lower eyelid tightening procedure. This provides additional support and helps keep the lower eyelid firm and well-positioned. It also helps reduce the risk of lower eyelid retraction or ectropion.
After surgery, swelling typically begins to subside within 7–10 days. The under-eye area gradually becomes smoother and firmer. The final contour usually settles naturally within 3–6 months.
For those considering Eye Bag Removal, you can schedule a consultation with Lovely Eye & Skin Clinic. The Lovely Specialist team will assess your under-eye concerns and recommend a suitable treatment approach. The goal is to achieve natural-looking results that complement your individual features.
Frequently-Asked Questions (FAQ) About Eye Bag Removal
Is eye bag removal painful?
You may experience a mild stinging sensation during anesthesia injection. During the surgery, you will not feel the pain. However, you may experience a slight tightness and soreness once the anesthesia wears off. These symptoms are normal and can be relieved by taking pain reliever medicine and applying a cold compress.
How many days after surgery can stitches be removed?
Typically, the doctor will schedule a follow-up appointment for stitch removal 7-10 days after surgery. However, the timing may vary depending on healing process of each individual.
Can I resume my daily activities immediately after surgery?
ํYou can continue with normal daily routine. During the first two weeks, you should avoid doing strenuous activities, bending down, lifting heavy stuff. This helps reduce risk bruising and bleeding on the incisions. Moreover, you should take precation to keep your incisions completely dry until three days after the stitches are removed.
Do the results last permanently after under-eye bag surgery?
Once the under-eye fat has been removed, it is unlikely to reoccur easily. The results can last for many years. However, the skin, muscles, and supporting tissues around the eyes naturally weaken and lose elasticity as we age. This may cause folds, sagging, or puffiness to gradually reappear in the under-eye area. You should get enough rest and apply eye-area skincare to keep the skin looking firm and healthy for longer. Results may vary from person to person.

Information provided by Dr. Roungkaw Lovely Eye - Nutthamanee Siripakkaphant, M.D. Medical License No.35780
who pioneered Dr. Roungkaw Technique since 2010 and serves as co-founder of Lovely Eye & Skin Clinic

