Lower Eyelid Surgery — Under-Eye Bag Removal

Surgical correction of under-eye bags and excess lower eyelid skin by a board-certified plastic surgeon at Estetik Point — a procedure that eliminates the persistently tired or puffy appearance that under-eye filler cannot fully correct when the cause is herniated fat. The surgeon removes excess skin and the fat deposits that protrude through the lower eyelid fascia, restoring a smooth, rested contour. The procedure can be performed as a standalone treatment or combined with upper blepharoplasty in the same session at an accessible combined price. Local anaesthetic is typically used.

Lower eyelid bags are caused by the herniation of orbital fat through the weakened orbital septum — the thin fibrous tissue that normally holds the fat pads in the orbit behind the eye. As the septum weakens with age, fat pushes forward and creates the visible puffiness below the eye. In younger patients, genetics can cause this herniation earlier. Sleeping on the back, reducing salt intake or managing allergies may reduce swelling temporarily, but once the septum has weakened, the fat permanently bulges forward. Lower eyelid blepharoplasty addresses this surgically. The surgeon makes an incision along the lower lash line (or, for selected patients, inside the eyelid — transconjunctival approach, which leaves no external scar). Excess fat is removed or redistributed; excess skin is trimmed if present. The incision is closed with fine sutures. Combined with upper blepharoplasty, the procedure provides comprehensive eyelid rejuvenation that can reduce apparent age by up to ten years. At Estetik Point lower blepharoplasty is performed under local anaesthetic by MUDr. Martin Kubát, a plastic surgeon who specialises in eyelid procedures. The procedure takes approximately sixty to ninety minutes. Post-operatively, swelling and bruising around both eyes are expected and typically peak at day two or three before gradually resolving over two weeks. Cold compresses, head elevation and lubricating eye drops are used in the first week. Sutures are removed at five to seven days. Patients can return to office work at approximately one to two weeks and to normal activity at four to six weeks. The benefit of surgical lower blepharoplasty over injectable tear trough filler is that it addresses the root cause — the fat herniation itself — rather than masking the shadow. For patients with prominent fat pads, surgery produces a more definitive and longer-lasting result. The procedure price of 19,000 Kč places it among the more affordable options in the Czech private market. It can be combined with upper eyelid surgery in the same session at Estetik Point for total eyelid correction.