Lower blepharoplasty cost in Vietnam starts at around 10,000,000 VND (about 380 USD) for a basic procedure and rises to roughly 15,000,000 VND (about 570 USD) when fat and excess skin are treated together. The final price depends on the technique, the surgeon’s experience, and how complex the case is.
This guide breaks down the cost, methods, explains each method in depth with its pros and cons, and includes a side-by-side comparison table so you can match the right approach to your eyes and your budget.

What Is Lower Blepharoplasty?
Lower blepharoplasty, also called under eye bag surgery, is a cosmetic procedure that removes excess fat and loose skin from the area beneath the eyes. The goal is to rejuvenate the face, erase puffy bags, smooth fine lines, and restore balance to the eye area so the face looks fresher and brighter.
The procedure typically involves a fine incision below the lash line or inside the lower lid, through which excess fat is removed and sagging skin is trimmed. The incision is then closed precisely to avoid any visible scar. Depending on the severity of the bags, the surgeon works through either an internal (inside the lid) or external (below the lashes) approach.

Should You Get Lower Eyelid Surgery?
Lower eyelid surgery suits anyone bothered by under eye bags, loose skin, or a tired, aged appearance that no longer responds to skincare or rest. The right version of the procedure is determined during a consultation with a qualified surgeon, since lower blepharoplasty can combine several steps based on the condition of your eyes.
Below are 3 core techniques that are used, alone or together.
1. Lower Eyelid Skin Removal
This technique removes the excess, sagging skin on the lower lid to leave the area smoother and tighter, without disturbing the fat or muscle layer underneath. It is the right choice when:
- Loose skin is the main issue: The lower lid shows a clear sagging fold.
- Excess skin affects vision or appearance: Drooping tissue obscures the eye or unbalances the face.
2. Lower Eyelid Fat Removal
This technique targets the pocket of fat that pushes the lower lid outward, easing the puffy, bulging look. The surgeon makes a small incision to reach the fat pad and removes the surplus. Under eye fat removal cost sits at the lower end of the range because no skin work is involved. It is suited to clients when:
- Fat is present but skin is still firm: There are bags but no loose or sagging skin.
- Puffiness causes a tired look: The fat pockets make the face appear drained and lifeless.
3. Combined Under Eye Bag Removal
This technique treats both excess fat and loose skin in one procedure to fully correct pronounced bags. Fat is removed while sagging skin and fine lines are addressed, sometimes alongside a lid-tightening step for the best aesthetic result. It is appropriate when:
- Bags are caused by both fat and skin laxity: The under eye area is heavy from multiple causes.
- The lid has lost elasticity: Dark circles or significant swelling accompany the bags.
Pros & Cons Of Lower Blepharoplasty Methods
Several lower blepharoplasty methods are common today, and each carries its own advantages and trade-offs. The method chosen affects both the aesthetic outcome and the lower eyelid surgery cost.
1. Transconjunctival Lower Blepharoplasty (Internal Incision)
The incision is made inside the lower lid, so no scar is visible on the outside. This is the preferred approach for younger clients who have excess fat but firm skin.
- Pros: The scar is completely hidden inside the lid, and the result looks natural and harmonious with the eye structure. There is no external wound, which lowers the risk of visible scarring.
- Cons: The technique demands a highly skilled surgeon because the area is narrow and delicate, and recovery can take slightly longer than other methods. Transconjunctival blepharoplasty cost is often higher because of the precision required.
2. Transcutaneous Lower Blepharoplasty (External Incision)
The incision runs just below the lash line, giving the surgeon direct access to both skin and fat. This is the standard approach when loose skin must be removed.
- Pros: The procedure is straightforward and lets the surgeon control the result with precision, making it ideal for cases that combine fat and excess skin.
- Cons: It can leave a visible scar beneath the eye, though a skilled surgeon keeps it discreet, and the recovery period tends to be longer.
3. Laser and Combined Techniques
- Laser-assisted surgery: Laser energy removes fat and tightens the skin around the eye, offering shorter recovery and less discomfort. Results may fall short for clients with a large volume of excess fat.
- Combined lid surgery: Lower blepharoplasty is often paired with bag removal or a tightening step to balance and refine the whole eye area in a single session.
Comparison Table of Lower Blepharoplasty Methods
| Method | Best for | Key advantage | Main drawback |
| Transconjunctival (internal) | Younger clients, fat only, firm skin | Hidden scar, very natural look | Needs a top surgeon, costlier |
| Transcutaneous (external) | Fat plus loose skin | Treats skin and fat, precise control | Possible visible scar |
| Laser-assisted | Mild fat, light skin tightening | Faster downtime, gentler | Limited for heavy fat |
| Combined bag removal | Heavy bags, fat and skin laxity | Most complete correction | Longest, most complex |

Lower Blepharoplasty Cost In Vietnam, 2026
Lower blepharoplasty cost currently starts at around 10,000,000 VND (about 380 USD), but the figure shifts with several factors:
- Surgeon skill: A top lower blepharoplasty surgeon with deep experience charges more, because greater skill means a more effective procedure, lower risk, and a more reliable, attractive result.
- The clinic itself: A reputable eye bag removal clinic with modern equipment and specialist surgeons usually costs more, which is a sound investment in safety and quality.
- Method and technology: High-tech approaches such as laser or complex techniques carry a higher price than traditional methods.
- Case complexity: Each case is unique, and procedures that require more time, effort, or advanced technique cost more.
Some clinics publish a clear, itemized price list. The most recent 2026 under eye bag surgery cost is listed as below:
- Basic lower blepharoplasty: 10,000,000 VND (about 380 USD).
- Lower blepharoplasty with laser: 12,000,000 VND (about 456 USD).
- Combined lower lid and under eye bag removal: 15,000,000 VND (about 570 USD).
This price list is for reference only, since the real cost of each case varies with the factors above. Clinics may also run their own pricing or seasonal promotions. The most accurate way to learn your lower eyelid surgery cost is an in-person assessment, which keeps pricing transparent and helps you choose the method best matched to your needs and budget.

Lower Blepharoplasty Recovery Time
Lower blepharoplasty recovery time is generally one to two weeks for the visible swelling and bruising to settle, with most clients returning to normal activity within that window. Knowing the timeline upfront helps you plan work and social commitments around the procedure.
Below is the recovery timeline and what to expect:
- Days 1 to 3: Swelling and bruising peak, and cold compresses plus rest are the priority.
- Days 4 to 7: Bruising fades noticeably, and external sutures (if used) are typically removed around this point.
- Weeks 1 to 2: Most clients feel comfortable in public, with residual swelling easing steadily.
- Weeks 3 to 12: The final, refined result settles as the tissues fully heal.
Following aftercare instructions closely, avoiding strenuous activity, and protecting the eyes from sun will help shorten recovery and protect the result.
Top Lower Blepharoplasty Clinic in Vietnam
1. Top Lower Blepharoplasty Clinic in Hanoi
Viet My Aesthetic Hospital: Located in Tay Ho District and recognized for senior surgeons who have performed thousands of blepharoplasty cases, covering upper and lower lids, fat removal, and revision surgery, priced around 7,000,000 to 18,000,000 VND (about 270 to 685 USD).
Thu Cuc Aesthetic: A long-established system with more than 25 years of operation, offering Korean-standard and revision blepharoplasty with thousands of positive reviews, priced around 8,000,000 to 19,000,000 VND (about 305 to 720 USD).
2. Top Lower Blepharoplasty Clinic in Ho Chi Minh City
Keangnam Korea (Ho Chi Minh City): The same Korean-standard protocol, Perfect Eyes method, and AI result simulation available in the southern hub, with transparent quoting and a multi-year warranty policy depending on the service.

Gangwhoo Cosmetic Hospital: Led by a first-level plastic surgery specialist (the highest surgical grade in Vietnam) and well known for high-volume eyelid work and modern, sterile facilities.
When comparing any top lower blepharoplasty surgeon or eye bag removal clinic, weigh credentials, real before-and-after cases, sterilization standards, and aftercare rather than price alone. The best lower lid clinic for you is the one whose assessment matches the right technique to your eyes.
Schedule your visit now and let our qualified surgeon guide you to the safest, most natural result.
Is lower blepharoplasty worth the cost?
For clients with persistent under eye bags or loose skin that skincare cannot fix, lower blepharoplasty delivers a lasting, structural improvement that makeup and creams only mask. The value depends on how much the bags affect your appearance and confidence.
Does insurance cover lower eyelid surgery cost?
Lower blepharoplasty performed for cosmetic reasons is generally not covered, since it is an elective procedure. Coverage may differ only when the surgery is medically necessary, such as when excess skin impairs vision.
What is the cheapest type of under eye bag surgery?
Under eye fat removal cost is usually the lowest, because the procedure addresses only the fat pad without trimming skin. Transconjunctival and combined techniques cost more due to their complexity.
How long do lower blepharoplasty results last?
Results are long lasting and often considered semi-permanent, since removed fat and skin do not typically return. Natural aging continues over the years, so the eye area still changes gradually with time.
Is lower blepharoplasty painful?
The procedure is performed under local anesthesia, so discomfort during surgery is minimal, and any soreness afterward is usually mild and managed with prescribed care.
When can you wear makeup after lower eyelid surgery?
Most clients can return to eye makeup once the incisions have healed and sutures are removed, generally around one to two weeks, following the surgeon’s specific guidance.
Will lower blepharoplasty leave a scar?
The transconjunctival method leaves no external scar because the incision sits inside the lid. The transcutaneous method places a fine incision below the lash line that fades and stays discreet when performed by a skilled surgeon.