Upper & Lower Eyelid Surgery in Bangkok

Blepharoplasty at The Moon Clinic

Upper and lower eyelid surgery, also known as blepharoplasty, is designed to address selected concerns around the eyes such as excess upper eyelid skin, eyelid heaviness, under-eye bags, puffiness, and age-related changes around the lower eyelids.

At The Moon Clinic Bangkok, eyelid surgery begins with an individualized consultation and physical assessment. The surgeon evaluates eyelid anatomy, skin quality, fat distribution, muscle tone, brow position, eye shape, previous procedures, and the patient’s concerns before recommending an appropriate surgical plan.

The goal is to create a more refreshed and balanced appearance while respecting each patient’s natural eye shape and facial characteristics.

What Is Upper Eyelid Surgery?

Upper eyelid surgery focuses on the upper eyelid and may be considered when excess skin, tissue heaviness, or selected fat deposits affect the appearance of the eyes.

Depending on individual anatomy, the procedure may involve:

• Removal of selected excess skin

• Adjustment of excess fatty tissue when appropriate

• Refinement of the eyelid crease

• Improvement of upper eyelid heaviness

• Correction of selected asymmetry

• Revision of previous upper eyelid surgery

The exact surgical technique varies according to eyelid structure and patient goals.

What Can Upper Eyelid Surgery Improve?

Upper blepharoplasty may help address concerns such as:

• Heavy upper eyelids

• Excess or folded upper eyelid skin

• Reduced visibility of the eyelid crease

• Age-related eyelid laxity

• Selected eyelid asymmetry

• A tired or heavy appearance around the eyes

In some patients, upper eyelid heaviness may also be influenced by brow position or eyelid muscle function.

For this reason, physical assessment is important before deciding that skin removal alone is the appropriate treatment.

What Is Lower Eyelid Surgery?

Lower eyelid surgery focuses on the area beneath the eyes.

It may be considered for patients concerned about:

• Under-eye bags

• Fat protrusion

• Puffiness

• Loose lower eyelid skin

• Selected under-eye contour irregularities

• Age-related changes around the lower eyelid

The procedure may involve adjustment or repositioning of fat, skin, or supporting tissues depending on the patient’s anatomy.

What Causes Under-Eye Bags?

Under-eye bags can develop for several reasons.

These may include:

• Fat protrusion

• Skin laxity

• Genetic anatomy

• Aging

• Changes in facial volume

• Weakening of supporting tissues

• Fluid retention

• Combination of structural factors

Not every under-eye concern is caused by excess fat.

For example, dark circles may also be related to pigmentation, thin skin, vascular visibility, or facial anatomy.

A consultation helps determine whether lower eyelid surgery is appropriate.

Upper Eyelid Surgery vs Lower Eyelid Surgery

Upper and lower blepharoplasty address different concerns.

Upper Eyelid Surgery

May focus on:

• Excess upper eyelid skin

• Upper eyelid heaviness

• Eyelid crease definition

• Selected fatty tissue

• Upper eyelid asymmetry

Lower Eyelid Surgery

May focus on:

• Under-eye bags

• Lower eyelid fat protrusion

• Puffiness

• Loose lower eyelid skin

• Under-eye contour

Some patients may benefit from treating both upper and lower eyelids during the same surgical plan.

Can Upper and Lower Eyelid Surgery Be Done Together?

Yes, in selected patients.

Combining upper and lower eyelid surgery may be appropriate when concerns are present in both areas.

The decision depends on:

• Eyelid anatomy

• Skin condition

• Amount of excess tissue

• Under-eye fat distribution

• Medical history

• Procedure duration

• Individual surgical goals

Combination surgery should be planned after medical assessment.

How Is Upper Eyelid Surgery Performed?

The upper eyelid incision is usually planned within or near the natural eyelid crease.

Depending on the treatment plan, the surgeon may:

1. Mark the amount of tissue to be adjusted

2. Administer appropriate anesthesia

3. Remove selected excess skin

4. Adjust fat or other tissue when indicated

5. Refine eyelid contour

6. Close the incision carefully

The surgical plan is individualized to avoid excessive skin removal and to maintain natural eyelid function.

How Is Lower Eyelid Surgery Performed?

Lower eyelid surgery can be performed using different approaches.

The technique depends on whether the primary concern is:

• Fat protrusion

• Excess skin

• Tissue laxity

• Lower eyelid support

• A combination of factors

Possible approaches include:

Transconjunctival Approach

The incision is made on the inside of the lower eyelid.

This approach may be considered in selected patients where fat protrusion is the main concern and significant external skin removal is not required.

External Lower Eyelid Approach

An incision may be placed just beneath the eyelashes when skin adjustment or broader tissue correction is required.

The appropriate technique is determined by the surgeon.

Is Lower Eyelid Surgery the Same as Eye Bag Removal?

Eye bag removal is often used as a general term for lower eyelid surgery.

However, modern lower eyelid treatment may involve more than simply removing fat.

In selected cases, the surgeon may:

• Remove selected fat

• Reposition fat

• Improve the transition between the lower eyelid and cheek

• Adjust excess skin

• Support lower eyelid tissues

The best approach depends on individual anatomy.

Fat Removal vs Fat Repositioning

Under-eye fat is not always simply removed.

In some patients, removing too much fat may create a hollow appearance.

Fat repositioning may be considered when under-eye bags are present together with a depression or groove beneath the eyelid.

The objective is to create a smoother transition rather than excessive hollowing.

Who May Be Suitable for Upper Eyelid Surgery?

Upper eyelid surgery may be considered for patients who have:

• Excess upper eyelid skin

• Eyelid heaviness

• Age-related upper eyelid changes

• Selected eyelid asymmetry

• Reduced eyelid crease definition

• Realistic expectations

Suitability should be based on physical assessment.

Who May Be Suitable for Lower Eyelid Surgery?

Lower blepharoplasty may be considered for patients who have:

• Under-eye bags

• Fat protrusion

• Lower eyelid puffiness

• Loose lower eyelid skin

• Selected under-eye contour concerns

• Realistic expectations

Not every patient with dark circles or under-eye hollows requires surgery.

Consultation Before Eyelid Surgery

During consultation, the surgeon may assess:

• Upper eyelid skin

• Eyelid crease

• Brow position

• Eye symmetry

• Fat distribution

• Lower eyelid skin

• Under-eye bags

• Lower eyelid tone

• Dry eye symptoms

• Previous eye surgery

• Previous eyelid surgery

• Previous fillers

• Medical history

• Current medications

• Patient expectations

The relationship between the eyelids, brows, cheeks, and overall facial anatomy is also considered.

Preparing for Eyelid Surgery

Preoperative preparation varies according to the planned procedure.

Patients may be asked to:

• Complete appropriate medical assessment

• Inform the clinic about all medications

• Inform the surgeon about blood-thinning medication

• Disclose allergies

• Discuss dry eye symptoms

• Discuss previous eye procedures

• Avoid smoking when advised

• Follow fasting instructions if required

• Arrange transportation after surgery

Patients should not stop prescribed medication without medical advice.

What Type of Anesthesia Is Used?

Upper and lower eyelid surgery may be performed under different types of anesthesia depending on:

• Extent of surgery

• Patient preference

• Medical history

• Whether upper and lower eyelids are treated together

• Surgeon assessment

Options may include:

• Local anesthesia

• Local anesthesia with sedation

• Other anesthesia approaches when appropriate

The treatment plan is discussed before surgery.

How Long Does Eyelid Surgery Take?

Procedure time depends on:

• Upper eyelids only

• Lower eyelids only

• Both upper and lower eyelids

• Complexity of tissue adjustment

• Previous surgery

• Additional procedures

A more accurate estimate can be provided after consultation.

Recovery After Upper Eyelid Surgery

During early recovery, patients may experience:

• Swelling

• Bruising

• Tightness

• Mild discomfort

• Temporary asymmetry due to swelling

• Sensitivity around the incision

• Temporary dryness or irritation

These changes usually improve progressively.

The incision line may initially appear pink or firm and generally matures over time.

Recovery After Lower Eyelid Surgery

Lower eyelid surgery may cause:

• Swelling

• Bruising

• Temporary tightness

• Eye irritation

• Temporary watering

• Mild sensitivity

• Temporary changes in lower eyelid contour

Recovery varies according to the surgical technique.

How Long Does Swelling Last?

Swelling is usually most noticeable during the early postoperative period and gradually decreases.

Some residual swelling may remain for several weeks.

Final tissue settling may take longer.

The recovery timeline varies between individuals and should not be judged only by the first few days after surgery.

When Can I Return to Work?

Many patients return to desk-based work after the initial swelling and bruising become more manageable.

The exact timing depends on:

• Type of surgery

• Amount of bruising

• Swelling

• Type of work

• Individual healing

Patients whose work involves heavy physical activity may need additional recovery time.

When Can I Wear Makeup Again?

Makeup should not be applied directly over healing incisions until the surgeon confirms that it is appropriate.

The timing depends on wound healing.

Patients should follow the postoperative instructions provided by the clinic.

When Can I Exercise After Eyelid Surgery?

Light walking may be resumed relatively early.

However, strenuous exercise, heavy lifting, bending, and activities that significantly increase blood pressure may need to be avoided during early recovery.

Patients should return to exercise only according to medical advice.

Will Eyelid Surgery Leave Scars?

Yes, surgical incisions create scars.

For upper eyelid surgery, the incision is generally positioned within the natural eyelid crease.

For lower eyelid surgery, scars may be hidden inside the eyelid or positioned close to the lower lash line depending on the technique.

Scar appearance usually improves progressively over time.

Individual scar formation varies.

When Will I See the Final Result?

The initial appearance after surgery is affected by swelling and bruising.

As these changes improve:

• Eyelid contour becomes clearer

• Incisions mature

• Tissue settles

• Symmetry becomes easier to assess

Final results may take several weeks to months to fully evaluate.

How Long Do Eyelid Surgery Results Last?

Upper and lower eyelid surgery can produce long-lasting structural changes.

However, surgery does not stop the natural aging process.

Results may change over time due to:

• Aging

• Skin quality

• Genetics

• Sun exposure

• Weight changes

• Brow descent

• Facial volume changes

The duration varies between individuals.

Upper Eyelid Surgery vs Brow Lift

Upper eyelid heaviness is not always caused by eyelid skin alone.

A low or descending brow can contribute to apparent upper eyelid excess.

Upper Eyelid Surgery

Primarily addresses eyelid skin and selected eyelid tissues.

Brow Lift

Addresses brow position and forehead-related tissue descent.

In some patients, upper eyelid surgery alone may not fully address brow-related heaviness.

Lower Eyelid Surgery vs Filler

Under-eye concerns may be treated differently depending on their cause.

Lower Eyelid Surgery

May be appropriate for:

• Significant eye bags

• Fat protrusion

• Excess skin

• Structural lower eyelid concerns

Dermal Filler

May be considered in selected patients with:

• Tear trough depression

• Volume deficiency

• Mild contour irregularity

Filler does not remove significant under-eye fat bags.

Lower Eyelid Surgery vs Fat Transfer

Fat transfer may be used to restore selected under-eye or midface volume.

Lower eyelid surgery addresses structural problems such as fat protrusion and loose skin.

Some patients may benefit from a combination of procedures, while others may need only one approach.

Can Eyelid Surgery Be Combined With Other Procedures?

Yes, in selected patients.

Upper and lower eyelid surgery may be combined with:

• Brow lift

• Facelift

• Fat transfer

• Selected facial rejuvenation procedures

• Other facial surgery

Combination procedures should be planned according to health status, anesthesia, and surgical complexity.

Possible Risks and Complications

All surgical procedures involve potential risks.

Possible complications of eyelid surgery may include:

• Bleeding

• Infection

• Swelling

• Bruising

• Dry eye symptoms

• Temporary eye irritation

• Temporary blurred vision

• Asymmetry

• Visible scarring

• Delayed wound healing

• Changes in eyelid position

• Difficulty closing the eyes completely

• Excessive skin removal

• Insufficient correction

• Lower eyelid retraction

• Persistent swelling

• Changes in sensation

• Need for revision surgery

• Anesthesia-related complications

Rare complications involving vision are possible and require urgent medical attention.

Individual risks should be discussed during consultation.

When Should I Contact the Clinic Urgently?

Patients should seek prompt medical assessment for symptoms such as:

• Sudden significant vision change

• Severe eye pain

• Rapidly increasing swelling

• Significant bleeding

• Severe headache with eye symptoms

• Fever with worsening redness

• Difficulty closing the eye

• Other rapidly worsening symptoms

Frequently Asked Questions About Eyelid Surgery

What is blepharoplasty?

Blepharoplasty is surgery of the upper or lower eyelids used to address selected excess skin, fat, puffiness, and age-related structural changes.

What is upper eyelid surgery?

Upper eyelid surgery focuses on excess skin, selected fat, and eyelid contour in the upper eyelid.

What is lower eyelid surgery?

Lower eyelid surgery focuses on under-eye bags, fat protrusion, skin laxity, and selected lower eyelid contour concerns.

How long does upper eyelid surgery last?

The structural improvement can last for many years, but natural aging continues.

How long does lower eyelid surgery last?

Results can be long-lasting, although aging, skin changes, and facial volume changes continue over time.

Is eyelid surgery painful?

Most patients experience swelling, tightness, tenderness, or mild discomfort rather than severe pain.

Individual experience varies.

How long is recovery after eyelid surgery?

Visible swelling and bruising generally improve progressively over the first weeks, while final healing continues for longer.

Can upper and lower eyelid surgery be done together?

Yes, in selected patients after medical and surgical assessment.

Does upper eyelid surgery make the eyes look bigger?

Removing selected excess tissue may make the eyes appear more open in some patients.

The goal should not be to change the natural eye shape unnecessarily.

Does lower eyelid surgery remove dark circles?

Not always.

Dark circles may be caused by pigmentation, thin skin, blood vessels, shadowing, volume loss, or a combination of factors.

Lower eyelid surgery mainly addresses structural concerns such as eye bags and tissue laxity.

Can under-eye bags come back?

The fat and tissue changes addressed during surgery can provide long-lasting improvement, but aging continues and future changes can occur.

Is lower eyelid surgery better than filler?

It depends on the cause of the concern.

Significant fat bags may be better addressed surgically, while selected tear trough hollows may be treated non-surgically.

Can I have eyelid surgery after previous filler?

Often yes, but previous filler treatment should be disclosed during consultation because it may affect assessment and surgical planning.

Can men have eyelid surgery?

Yes.

Upper and lower blepharoplasty may be performed in both women and men, with planning adapted to individual anatomy and aesthetic goals.

Upper & Lower Eyelid Surgery Price in Bangkok

The cost of blepharoplasty varies depending on the treatment plan.

Factors that may influence the price include:

• Upper eyelids only

• Lower eyelids only

• Upper and lower eyelids together

• Degree of skin excess

• Amount and position of fat

• Need for fat repositioning

• Previous eyelid surgery

• Revision surgery

• Type of anesthesia

• Surgical complexity

• Additional procedures

• Individual medical requirements

For current Upper & Lower Eyelid Surgery pricing:

Please contact The Moon Clinic directly for current prices, surgical packages, and an individualized quotation.

Our team can arrange a private consultation to determine which eyelid procedure may be appropriate.

LINE Official: @themoonclinic
Phone: 089-624-6387 / 096-950-7888

Why Choose The Moon Clinic for Eyelid Surgery?

At The Moon Clinic Bangkok, upper and lower eyelid surgery begins with individualized anatomical assessment.

Our approach focuses on:

Natural Eye Shape

Treatment planning aims to maintain the patient’s natural eye characteristics.

Conservative Tissue Adjustment

The objective is to adjust only the tissues necessary rather than removing excessive skin or fat.

Individualized Planning

Upper eyelid skin, brow position, under-eye fat, lower eyelid support, and facial proportions are assessed together.

Functional Considerations

Eyelid closure, lower eyelid support, dryness, and other functional factors are considered during treatment planning.

Follow-Up Care

Patients receive individualized wound care, recovery guidance, and postoperative follow-up.

Book an Eyelid Surgery Consultation in Bangkok

If you are considering surgery for heavy upper eyelids, excess eyelid skin, under-eye bags, lower eyelid puffiness, or age-related changes around the eyes, a private consultation can help determine the most appropriate approach.

THE MOON CLINIC
Bangkok, Thailand

Quiet • Luxury • Personal Touch

LINE Official: @themoonclinic
Phone: 089-624-6387 / 096-950-7888

Contact Us for Pricing & Private Consultation

Results, scar appearance, symmetry, and recovery vary between individuals. Surgical suitability and treatment technique are determined following medical consultation and physical assessment.

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