This surgery is usually carried out under local anesthesia or with short general anesthesia. Blepharoplasty or eye bag removal may take approximately two hours for the whole procedure when both upper and lower eyelids are being operated upon. Dr. Mohan Thomas usually treats lower eyelid bags through a scarless and stitchless procedure. For treating the upper lid incisions are made on the eyelids and the surplus skin, fat and muscle are trimmed. It is then closed using very fine sutures.