How to Remove Under-Eye Bags with Laser Treatment

Under-eye bags are a relatively common ocular concern. When present, they can make an individual appear fatigued or unwell—prompting many people to seek their removal. In contemporary clinical practice, several methods exist for eliminating under-eye bags, one of which is laser-assisted removal. Below, we outline the surgical procedure for laser under-eye bag removal, its suitable candidates, and contraindications. Next, we address the question: “How is laser under-eye bag removal performed?”

How Laser Under-Eye Bag Removal Is Performed

Laser under-eye bag removal primarily involves making a small incision on the inner conjunctival surface of the eyelid (transconjunctival approach). Through this incision, three discrete, orderly fat pads are carefully excised. Subsequently, laser energy is applied to vaporize and contract the dermal tissue, thereby reducing the appearance of under-eye bags. This technique inflicts minimal trauma to the body while remaining highly effective—and it typically requires less operative time. Generally, after three to five treatment sessions, under-eye bags visibly diminish and may even disappear entirely. However, patient selection is critical: this method is most appropriate for younger individuals with isolated orbital fat herniation and no periorbital skin laxity. It may also be considered for those with mild skin laxity but good skin elasticity. Conversely, in women aged 40 years and older exhibiting significant periorbital skin laxity, laser treatment yields suboptimal results and carries a higher risk of recurrence.

Knowledge Extension: Post-Laser Under-Eye Bag Removal Care Instructions

1. Dietary and Ocular Hygiene Adjustments

Following laser treatment, patients should maintain a light, bland diet and strictly avoid seafood and spicy or irritating foods. Increased intake of fresh fruits and vegetables is encouraged. Although vision remains unaffected postoperatively, transient dryness and discomfort may occur. Excessive visual strain hinders edema resolution; therefore, patients should practice rational eye use, avoid overexertion, maintain emotional well-being, ensure adequate sleep, and rest in a quiet, comfortable environment.

2. Avoid Vigorous Physical Activity

Although laser under-eye bag removal causes minimal systemic trauma, minor incisions remain, and physical activity may adversely affect wound healing. Exercise accelerates metabolism and induces profuse sweating, increasing the risk of wound contamination. Accidental impact during exercise may provoke bleeding, exacerbate pain, and—in severe cases—lead to infection and delayed recovery. Therefore, patients should refrain from strenuous activity immediately following surgery.

3. Maintain Wound Cleanliness

Keep the incision site dry and avoid contact with water. Do not press or rub the eyes. When cleansing the face, gently dab the area around the incision using a clean facial towel—avoid applying skincare products near the wound to prevent infection. Apply cold compresses continuously for the first 48 hours postoperatively; thereafter, switch to warm compresses for the subsequent 72 hours. Use only clean, sterile towels for warm compresses. This regimen significantly aids in reducing postoperative swelling.

The above outlines how laser under-eye bag removal is performed. We hope this information proves helpful to you.