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Looking to get eye bag surgery in Hong Kong? Wondering about the cost, risks, and which method is best for you — internal or external incision? This all-in-one guide breaks down everything you need to know before going under the knife. If you struggle with eye bags, don’t miss this!
What You Should Know Before Eye Bag Surgery: The 3 Types of Eye Bags
1. Structural Eye Bags
These are inherited and related to your bone structure. If your orbital bone is set deeper, it creates a hollow space where fat can accumulate easily, leading to under-eye bulging. People with weaker orbital septa (the membrane holding back fat) are also more prone to visible eye bags. Additionally, some may have overdeveloped orbicularis oculi muscles under the eyes, which can result in what's known as "pseudo eye bags." If your eye bags are caused by facial structure, surgery might be the most effective solution.
2. Fat-Based Eye Bags
These eye bags are the result of actual fat accumulation. As we age, we lose collagen and skin elasticity, causing facial support structures to weaken. This leads to sagging muscles and fat, which collect under the eyes and create bulging, puffy eye bags — often accompanied by dark shadows. In this case, fat removal via eye bag surgery is often recommended.
3. Sagging (Aging-Related) Eye Bags
Even if you don’t currently have eye bags, don’t get too comfortable. Daily habits like excessive rubbing, poor sun protection, frequent makeup and removal, overuse of contact lenses, and eye strain can accelerate aging around the eyes. As the skin thins and sags, it can form folds (redundant skin) that trap or expose fat, leading to large, droopy under-eye bags. For this type, external incision surgery can help lift the skin and smooth out fine lines.
Know the Difference: Eye Bags vs Tear Troughs vs Eye Fat Pads
Confused about the difference between eye bags, tear troughs, and eye fat pads (卧蚕)? Here’s a quick breakdown:
| Feature | Description | Cause | Treatment |
|---|---|---|---|
| Eye Bags | Bulging, bag-like fat under the eyes, often dark due to pigmentation | In younger people: facial bone structure; In older people: fat herniation due to aging | RF, ultrasound, or surgery |
| Fat Pads | 3–5mm muscle bulge directly under the lash line, makes eyes look friendly | Usually genetic, common in people with large or prominent eyes | No treatment needed |
| Tear Troughs | Hollow groove running from inner corner of the eye downward | Genetic or age-related collagen loss and fat atrophy | Injectable fillers like hyaluronic acid |
From top to bottom, the order under the eye is: fat pad, eye bag, then tear trough. Of the three, only the fat pad is considered desirable, and many even use makeup to accentuate it!
免費體驗
R6 Miracle Eye Rescue Treatment
1 Minute Self-Registration
Date should not be before minimal date
Two Main Types of Eye Bag Removal Surgery (With Comparison Table)
| External Incision | Internal Incision | |
|---|---|---|
| How it works | Incision under the eye (lash line) to remove fat & trim excess skin | Incision inside lower eyelid to remove fat, optionally fill tear troughs |
| Targets | Fat-based & sagging eye bags; loose, wrinkled under-eye skin | Fat-based eye bags and tear trough hollowing |
| Best for | People with sagging skin, deep tear troughs, eyelid droopiness | People with firm skin but visible eye bags/tear troughs |
What to Expect: External Eye Bag Surgery
• Procedure time: ~90 minutes
• An incision is made just below the lash line, from the inner to outer corner of the eye.
• Fat is removed, and any loose skin is trimmed and lifted.
• The wound is stitched closed.
• This method is ideal for addressing both fat buildup and loose skin. It lifts and firms the entire under-eye area, making it suitable for older patients or those with skin laxity.
What to Expect: Internal Eye Bag Surgery
• Procedure time: ~60 minutes
• An incision is made on the inner surface of the lower eyelid (conjunctiva).
• Fat is removed from inside the eyelid — with the option to reposition it to fill hollow tear troughs.
• No stitches required, and no external scars.
• This technique is best for patients who only need fat removal and have good skin elasticity.
免費體驗
R6 Miracle Eye Rescue Treatment
1 Minute Self-Registration
Date should not be before minimal date
Which Surgery Is Right for You?
External Incision — Best for you if:
1. You have both eye bags and tear trough issues
2. Your under-eye skin is sagging or lacks elasticity
If your skin is already aging or sagging, removing fat alone may leave loose skin behind. External incision allows for both fat removal and skin tightening, offering more comprehensive results. However, it leaves a small incision mark (which fades over time), and recovery usually takes around 14 days.
Internal Incision — Best for you if:
1. You have eye bags and tear troughs
2. Your skin is still firm and elastic
This method effectively removes fat and can also fill in hollows (if needed), all without stitches or visible scars. It’s ideal for younger patients who don’t need skin tightening. Recovery is faster — about 7 days — and the results are discreet.
Price of Eye Bag Removal Surgery in Hong Kong
• Transconjunctival (internal) eye bag removal surgery: Approximately HKD $25,000–35,000
• Subciliary (external) eye bag removal surgery: Approximately HKD $40,000–60,000
Risks and Side Effects of Eye Bag Removal Surgery
1. Common Side Effects After Surgery
• Eyelid swelling
• Bruising around the eyes
• Pain or discomfort
• Wound inflammation
• Temporary asymmetry of the eyes
With proper post-operative care, most side effects subside within a few days to a few weeks.
2. Surgical Risks
• Hematoma or post-operative bleeding
• Infection and inflammation
• Poor wound healing, scarring, or tissue overgrowth/contracture
• Suture loosening
• Lower eyelid ectropion (outward turning)
• Eye asymmetry
• Blurred vision
• Retrobulbar hemorrhage (bleeding behind the eye)
• Vision loss
• Temporary or permanent double vision
免費體驗
R6 Miracle Eye Rescue Treatment
1 Minute Self-Registration
Date should not be before minimal date
Non-Surgical Alternatives to Eye Bag Removal
Option 1: Eye Thermage (Radiofrequency Tightening)
Thermage is a well-known RF (radiofrequency) treatment that uses thermal energy to stimulate collagen remodeling. It tightens sagging skin and helps reduce eye bags and fine lines. The heat causes existing collagen to contract while stimulating new collagen production over the following months. However, due to the high temperatures (65–70°C), patients must wear protective eye shields. Among non-invasive treatments, Thermage is the most expensive.
Option 2: Eye HIFU (Ultrasound Lifting)
Ultrasound-based treatments like HIFU (High-Intensity Focused Ultrasound) are popular non-surgical options. HIFU delivers concentrated energy deep into the eye area, encouraging fat metabolism and collagen regeneration. Unlike RF, HIFU energy targets deeper layers without affecting the skin surface, making it safer with minimal thermal damage. While RF is more effective at boosting collagen production, HIFU is known for better skin-lifting results.
Option 3: RF (Radiofrequency) Eye Treatment
RF is the most common non-surgical eye bag treatment. It uses gentler energy than Thermage, especially with monopolar RF devices, which deliver focused energy deep into the skin layers. The process is non-invasive and painless, with only a warm sensation. RF helps tighten the eye contour, melt and drain excess fat, promote circulation, and stimulate collagen—offering a comprehensive improvement. It’s also an excellent maintenance treatment to prevent aging, especially effective for puffiness or fluid retention under the eyes.
Non-Surgical Solution! Editor Tries R6 Miracle Eye Rescue Treatment – How Effective Is It?
For many women, eye bags are a long-term skincare headache. While surgery can permanently remove excess fat, the idea of going under the knife is daunting—fear of anesthesia, pain, infection, or even disfigurement is common. There are plenty of risks!
But should we just live with eye bags? Absolutely not! You don’t need surgery to get rid of them.
Enter the R6 Miracle Eye Rescue Treatment from Perfect Medical—nicknamed the “miracle eye bag gun.” No incisions, no needles—just effective, targeted treatments that visibly reduce under-eye puffiness.
Worried about the price? Don’t be! Perfect Medical offers a free trial of the R6 Miracle Eye Rescue Treatment. Just sign up online and you can try this advanced eye bag solution at no cost—excellent value for money!
Of course, as a beauty editor, I couldn’t pass this up. I had to experience the R6 Miracle Eye Rescue Treatment for myself.
The R6 Miracle Eye Rescue Treatment uses three levels of RF energy to target the superficial, middle, and deep layers of the eye area while enhancing microcirculation to drain excess fat. Most importantly, the service at Perfect Medical was outstanding—the therapists patiently answered all my questions.
The treatment was also extremely comfortable. The device provided a warm, soothing massage sensation around the eyes—far more effective than a warm towel at home. After the session, I noticed a visible reduction in eye wrinkles, dark circles, and most importantly, a 50% improvement in puffiness. I looked noticeably more refreshed. That night, even my eye cream absorbed faster than usual!
If you want an all-in-one solution for eye bags, dark circles, and fine lines—without surgery—this treatment is for you. Zero downtime, zero invasiveness, and visible results. Click the link below to learn more about Perfect Medical’s R6 Miracle Eye Rescue Treatment and don’t forget to claim your free trial!
Book Now: Perfect Medical R6 Miracle Eye Rescue Treatment免費體驗
R6 Miracle Eye Rescue Treatment
1 Minute Self-Registration
Date should not be before minimal date
FAQ
Will eye bag removal surgery eliminate my under-eye fat pads?
No. Eye bag surgery won’t affect your 卧蚕 (a natural muscle roll under the lash line that creates a youthful look when smiling). In fact, after removing eye bags or filling tear troughs, they may become more visible.
Are the results of eye bag surgery permanent?
The effects can last for many years, but as you age, fat may return and skin may sag again. Since up to eight fat pads exist under the eye, long-term maintenance through RF or ultrasound treatments can help preserve surgical results by promoting collagen and improving fat drainage.
How do I choose between internal and external eye bag surgery?
External incisions are better for mature or sagging skin with significant fat, as they allow for fat removal and skin tightening. Internal incisions are ideal for mild eye bags and fat removal only, with the option to reposition fat into the tear trough, but they don’t address sagging.
Is post-surgery care difficult?
Recovery takes 7–14 days. Follow your doctor’s instructions, take medication, and attend follow-ups. Alternate cold and warm compresses to reduce swelling. Avoid alcohol, spicy foods, seafood, makeup, and contact lenses during recovery. Don’t strain your eyes—limit screen time, crying, or bending over for long periods.
How does the R6 Miracle Eye Rescue Treatment work?
If you want effective results without surgery, anesthesia, or downtime, Perfect Medical’s R6 Miracle Eye Rescue Treatment is your answer. Using ultrasound and monopolar RF energy with a precision eye probe, the device delivers dual energy to the target layers. It dissolves excess fat, stimulates collagen, tightens skin, and improves circulation to reduce puffiness, eliminate dark circles, and prevent pigmentation buildup—a powerful non-invasive eye rejuvenation solution.
