Eye Bag Removal Surgery London

Summary

Procedure time
60-90 min

Anaesthesia
Twilight

Hospital stay
Optional

Support garment
2 weeks

Exercise
From 2 weeks

Recovery
6 weeks

Final results
3 months

What is Eye Bag Removal?

Eye bag removal targets excess skin, fat, or fluid beneath the lower eyelids, which often appears as puffiness or sagging due to aging, genetics, or lifestyle factors. During the procedure, redundant fat may be removed or repositioned, loose skin trimmed or repositioned, and the lower eyelid contour refined to create a smoother and more rested appearance. In many cases, conservative fat repositioning is preferred over aggressive removal to avoid hollowing under the eyes and to maintain a natural look.

Dr cotrufo’s favourite approach to eye bag is “transposition of the excess of fat. Rather than a surgical excision of the prominent/exceeding fat, Dr cotrufo tends to use this volume to restore fulness of the mid part of the cheek – where the subcutaneous fat has naturally shrank or sometimes never existed.

For this reason Dr Cotrufo is a pioneer in midface lifting, which he performs in the form of an “extended lower blepharoplasty” combining 1. the repositioning of the eye bag fat with 2. the deep-plane lift of the central portion of the face (hence the term “midface lift”), extended vertically down to the corner of the mouth.

The extended lower blepharoplasty will address not only the eye bag, but also:

1. The sunken area just below the eye bags
2. The dept of the nasolabial fold – which is the fold running from the side of the nose down to the corner of the mouth – or to the chin in mid aged or older people.
3. Address more severe lower eyelid deformities called “festoons”.

@Tim: images : Wendy turvey before and after – half before and half after on the left side – where she had severe festoons.

Why Choose Eye Bag Removal with Dr Stefano Cotrufo

Choosing Dr Stefano Cotrufo for your eye bag removal ensures that you are in the hands of a highly experienced facial plastic surgeon who prioritises natural-looking results and patient safety. Dr Cotrufo has extensive expertise in lower‑eyelid blepharoplasty and takes a meticulous approach to every procedure, carefully assessing the anatomy of the eyelids, mid‑face volume, and overall facial balance to create a bespoke surgical plan tailored to each patient.

He is particularly skilled in advanced techniques such as fat repositioning and conservative skin trimming, allowing him to rejuvenate the under-eye area while preserving a youthful, natural appearance. Where appropriate, Dr Cotrufo can also combine eye bag removal with complementary treatments, such as tear‑trough or cheek volume restoration, to achieve harmonious mid‑face rejuvenation.

Patients consistently choose Dr Cotrufo not only for his surgical expertise but also for his dedication to patient care. From the initial consultation through to post-operative recovery, he provides clear guidance, personalised support, and attentive follow-up to ensure every stage of the eye bag removal journey is as comfortable and reassuring as possible. The ultimate goal is to deliver refreshed, bright eyes that enhance your natural features without ever appearing overdone.

The Procedure

During a private consultation, Dr Cotrufo will assess your lower eyelid anatomy, skin quality, fat distribution, mid-face volume, and overall facial balance to plan a bespoke lower-eyelid blepharoplasty that complements your natural features. The surgery typically involves incisions placed just beneath the lash line, or if only fat repositioning is required, a transconjunctival route may be used to avoid visible scars. Fat may be repositioned rather than removed to prevent a hollow under-eye appearance, while any excess skin is trimmed conservatively to preserve eyelid function, avoid laxity, and maintain natural eye shape. The procedure generally lasts between one and two hours. When appropriate, eyelid surgery may be combined with treatments to restore facial volume, such as tear-trough or cheek fillers, to optimise mid-face harmony and deliver balanced rejuvenation.

Recovery and Aftercare

After surgery, many patients return to work within about one week, although swelling and bruising can persist for one to two weeks. Dissolvable stitches are typically used, and it is important to keep the eyes dry during the first 48 hours while following gentle care instructions. Patients are advised to avoid strenuous activity, heavy lifting, or bending for at least two weeks and to refrain from activities that increase blood pressure for around three weeks. Bruising usually peaks during the first week, with most patients feeling comfortable resuming normal public life within seven to ten days. Makeup can help conceal any residual bruising at that stage. Final results gradually emerge as swelling subsides, with scars becoming barely perceptible over time.

Is Eye Bag Removal Right for You?

Ideal candidates are generally in good health, non-smokers, and free from serious eye conditions. Suitable patients have persistent under-eye bags or puffiness caused by fat prolapse, loose skin, or fluid retention that do not respond to non-surgical treatments. Lower-lid surgery requires consideration of the mid-face as a whole, with volume, tissue laxity, and fat repositioning all influencing the final outcome. Candidates should have realistic expectations, understanding that while upper-lid surgery outcomes are predictable, lower-lid blepharoplasty is more complex and results can vary.

Considering Eye Bag Removal in London

In London, eye bag removal surgery typically ranges from around £3,000 to upwards of £4,000–£5,000, depending on clinic, surgeon expertise, and procedure complexity. Dr Cotrufo provides a fully personalised treatment plan and transparent cost estimate at consultation, including any recommended eyebrow, tear-trough, or cheek volume restoration to ensure optimal aesthetic balance.