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Cucumbers Can't Fix Anatomy: The Real Science of Under-Eye Bag Removal
Blepharoplasty surgery for under-eye bags is a permanent surgical procedure that removes or repositions bulging fat and tightens lax skin. While temporary fillers only “mask” the issue for 6–12 months, lower blepharoplasty addresses the structural cause with a 93–95% patient satisfaction rate. At Sculpt Sublime Mumbai, we specialise in the “Scarless” Transconjunctival technique, often combined with CO2 laser resurfacing to minimise bruising and ensure a social recovery within just 7 days.
The "Mirror Test": Why 80% of Eye Creams Fail
“Dr Bhosale, I’ve tried every premium serum in Mumbai, but I still look exhausted.”
It’s a phrase we hear daily. In 2026, medical studies show orbital septum weakening commonly begins in the mid-30s due to age-related degeneration, leading to fat herniation in a majority of cases by the 40s. The orbital septum is the “retaining wall” that keeps fat tucked neatly under the eye. When this wall weakens, fat herniates, creating permanent “bags.”
The Test: In a well-lit room, look straight into the mirror, then tilt your chin down as you look up. If those bulges remain prominent, you aren’t dealing with a lack of sleep; you’re looking at an anatomical shift that only surgical precision can correct.
Scarless & Seamless: The Secret to Timeless Eyelids
The Sculpt Sublime Difference: Restoration, Not Just Removal
At Sculpt Sublime, I, Dr. Ranjit Bhosale, move beyond the “hollow” look of traditional 90s surgery. Our modern philosophy focuses on Fat Repositioning (also known as the “Trifecta Lift” in 2026 trends).
Instead of simply discarding your natural fat, we “re-drape” it into the hollow tear troughs. It creates a seamless, youthful plane from the eyelid to the cheek. To further accelerate recovery, we offer Laser-Assisted Blepharoplasty. The CO2 laser cauterises blood vessels as it works, significantly reducing the post-operative bruising common in traditional scalpel methods.
Techniques at a Glance:
- Transconjunctival (Scarless): Incision inside the lid. Zero external scars. Ideal for fat repositioning.
- Subciliary (Skin-Muscle): For mature patients needing skin tightening. A micro-incision is hidden perfectly under the lash line.
- Nano-Fat Transfer: Often paired with surgery to restore “liquid” volume and skin quality through regenerative stem cells.
A Realistic Recovery Timeline
- Day 1–3 (The Peak): Expect swelling. We provide a Sculpt Sublime Recovery Kit (cooling compresses and specialised lubricants) to manage this phase.
- Day 7 (The Social Return): Internal incisions are healing; we remove any external sutures. Most Mumbai patients return to social or professional life with a light concealer.
- The Risk Factor: Approximately 9.5% of cases may face minor, temporary complications. The most common is “dry eye” (affecting roughly 20-25% of patients initially), which typically resolves within 8 weeks using the preservative-free drops included in your kit.
Frequently Asked Questions
1.Does blepharoplasty get rid of dark circles?
If your dark circles are shadows caused by protruding fat, surgery will eliminate them. If the darkness is pigment-based, we pair your surgery with a laser peel for a complete brightening effect.
2. How much does blepharoplasty cost in Mumbai (2026)?
The investment typically ranges from ₹60,000 to ₹1,50,000. Our pricing is all-inclusive, covering the surgery, 2026-spec recovery kits, and all follow-up consultations for one year.
3. Is under-eye bag removal permanent?
Yes. The fat pads repositioned do not return. As you age naturally, the specific “baggy” look is corrected for 15+ years, and often for life.
4. Who is NOT a good candidate for this surgery?
Individuals with uncontrolled thyroid eye disease, severe chronic dry eye, or minimal bags are better suited for biostimulatory fillers. Dr Bhosale assesses your medical history during your initial consultation.
5. Scarless vs Traditional: What is the difference?
Transconjunctival (Scarless) is done inside the eyelid, and is best for fat-heavy bags. Subciliary (Traditional) involves a lash-line incision to remove excess sagging skin in older patients.
6. Will I be awake during the procedure?
We typically use “Twilight “Anaesthesia (local anaesthesia + deep sedation). You remain pain-free and relaxed, avoiding the “heavy” grogginess of general anaesthesia.
7. Does the surgery fix "Crow's Feet"?
While Blepharoplasty focuses on the bags and lower lid skin primarily, it occasionally can fix this too. For wrinkles at the outer corners (Crow’s Feet), not amenable to correction, we often recommend a combination of Botox or laser skin resurfacing for a total upper-face refresh.