Updated on March 22, 2021

Eyebags: Periorbital Puffiness

Eyebags or periorbital puffiness is the swollen appearance around the eyes.  It is can be due to excess fluid or fat giving an unattractive appearance.


As we age, the muscles and ligaments supporting our eyelids weaken resulting in sagging skin and fat protruding into the peri-orbital space causing a puffy and swollen appearance. These factors make the eyebags look worse

  • Lack of sleep
  • Fluid retention
  • Smoking
  • Family history
  • Thyroid disorder


Treatment involves surgical correction (known as blepharoplasty) which can be be performed by a ophthalmologist or cosmetic surgeon specialising in the field of oculo-plastic surgery and eyelid reconstruction.  The surgery may involve the following procedures and can be combined with ptosis surgery or double eyelid reconstruction.

Click to view AAO video on Blepharoplasty

A blepharoplasty procedure usually is performed through external surgical incisions made along the natural skin lines (creases) of the upper and the lower eyelids.  The surgery can also be done from the interior surface of the lower eyelid (known as transconjunctival blepharoplasty).

Credit: Mayo Clinic

Post Operative Care

  • Immediately after the surgery, there may be some swelling, redness or bruising which should resolve with time. 
  • Avoid contact with dirty water such as swimming or make up for the first 3-6 weeks after surgery.
  • Avoid shellfish or nuts (if you have allergy to them)
  • You may wash your face and shower 24 hours after your surgery
  • You may need to apply eye ointment or medication (if prescribed by your doctor) during the healing period. 
  • You may need stitches removal 5-7 days after your surgery at your next follow-up consultation
  • See your doctor asap if there is sudden pain or intense swelling around the eyelids

Discuss with your cosmetic & aesthetic doctor or eye doctor your treatment options

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If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.