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Lower Blepharoplasty with Fat Redistribution / Hamra Lower Blepharoplasty

Eyebag Removal

This technique, originally developed by renowned U.S. plastic surgeon Dr Sam Hamra, is suitable for patients who have a groove below the eyebag in addition to the eyebag itself, and skin laxity of the lower eyelid. An incision is made along the lower eyelid just below the eyelash margin. The fat from the eyebag is not removed but is instead redistributed into the groove below. This flattens the eyebag and fills the groove as the same time. Thus, the bulge of the eyebag and the depression of the groove are corrected simultaneously. Excess skin is then removed and the lower eyelid is tightened to create a smooth natural contour.

This is 3 hour operation usually completed under local anesthesia, and the downtime is 10 to 14 days due to bruising and swelling. However, excellent results can be achieved, and the scars usually fade to become almost invisible.

Who can perform lower blepharoplasty?

According to the Singapore Medical Council (SMC), only plastic surgeons and oculoplastic surgeons (a subspecialty of ophthalmology) are allowed by regulations to perform lower blepharoplasty. This regulation is found the SMC’s Guidelines for Aesthetic Practices for Doctors, which can be accessed in the link below:

Download PDF

But some general practitioners (GPs) are offering and performing eyebag surgery (lower blepharoplasty)…

Yes, that is true. Therefore, patients need to be aware that this practice violates the SMC’s guidelines.

Why are these GPs able to continue to offer and perform this procedure if they are not allowed to?

Because of inadequate enforcement of regulations to ensure compliance of these regulations by doctors.

How do I tell if the doctor offering lower blepharoplasty is a GP or a plastic or oculoplastic surgeon?

The safest way is for you to verify this yourself by checking if the doctor in question is on the list of recognized specialists on the Ministry of Health’s website (see link below):

http://mservices.moh.gov.sg/eservices/doctorSearch.do

You can perform this search according the doctor’ name or search by specialty. Either way, you will be able to determine if the doctor is a GP or specialist.

If your search reveals that the doctor is a plastic surgeon or ophthalmologist, you can be assured that your doctor is a bona fide specialist. Otherwise, he or she is not, no matter what appearances may otherwise suggest.

The Cosmetic Surgery Clinic’s International recognition

The quality of Dr Huang’s work in cosmetic surgery of the lower eyelid has received international recognition, and he is a sought after speaker on these subjects. He has been regularly invited to present his work at international plastic surgery meetings in Japan, Korea, and China, as well as in South East Asia.

You can therefore be assured that you will be in the hands of an internationally recognized expert as his patient.

Cosmetic Surgery Clinic