Droopy Eyelid Treatment Singapore: Non-Surgical to Surgery

AGNES and Secret RF for upper eyelids price Singapore

Two needle-radiofrequency devices used together. AGNES delivers heat through an insulated needle to the deeper tissue and small fat pockets of the lid, and Secret RF uses an array of fine microneedles to heat the dermis and contract and thicken the skin. Local anaesthetic cream and injections are used.

• Who it suits. Mild hooding in patients who want a modest, natural tightening with little downtime, and younger patients with early laxity.
• Evidence Grade C. Small case series report measurable tightening of upper-lid skin and patient satisfaction at 3-6 months, with no controlled trials against surgery or against other devices for the upper lid.
• 2026 Singapore price. S$800-2,000 per session for the eye area.
• Sessions. 1-3, four to six weeks apart, then maintenance yearly.
• Downtime. Swelling 2-4 days, needle marks and pinpoint scabs up to a week, bruising in some.
• Risks. Bruising, temporary dents, small burns, pigment change in darker skin.

Thermage Eyes price Singapore (Thermage FLX eye tip)

Thermage FLX is the original mono-polar radiofrequency device. The 0.25 cm² eye tip delivers around 450 pulses over the upper and lower lids with the eye protected by a plastic shield. Collagen contracts immediately and new collagen forms over 3-6 months.

• Who it suits. Mild to moderate hooding and lid crepiness in patients who want a single-session treatment with a track record.
• Evidence Grade B. Controlled and cohort studies, including photographic measurement of brow and lid position, show modest lifting of the upper lid (about 1-2 mm) and improved skin texture at 6 months in most patients, with results fading over 1-2 years.
• 2026 Singapore price. S$1,500-2,800 for the eye tip alone, S$2,800-4,500 when combined with face.
• Sessions. 1, repeated every 1-2 years.
• Downtime. Redness and mild swelling for a day or two.
• Risks. Pain during treatment, rare dents or burns, temporary numbness.

Botox brow lift price Singapore

Small doses of botulinum toxin are injected into the muscles that pull the brow down (the outer orbicularis and the glabellar complex) so the forehead muscle lifts the brow unopposed. The outer brow rises 1-3 mm and the lid skin follows.

• Who it suits. Mild brow ptosis and mild hooding of the outer lid in younger patients, and as a trial before deciding on surgery.
• Evidence Grade B. Controlled studies document a measurable brow elevation of 1-3 mm lasting 3-4 months.
• 2026 Singapore price. S$200-600 per treatment, depending on brand and units.
• Sessions. Every 3-4 months.
• Downtime. None, with pinpoint bruising possible.
• Risks. An over-arched “Spock” brow, and eyelid droop if the toxin spreads to the levator, which wears off in weeks.

Drooping eyelids surgery, upper blepharoplasty cost Singapore

The excess skin, and where needed a strip of muscle and some fat, is removed through an incision hidden in the eyelid crease. A crease can be created or raised at the same time (the “double eyelid” variant). It is done under local anaesthesia with or without sedation and takes about an hour.

• Who it suits. Moderate to severe dermatochalasis at any age, and anyone whose hooding is reducing their field of vision. It does not correct ptosis, which must be repaired at the same time if present.
• Evidence Grade A. Systematic reviews and many controlled studies show reliable, long-lasting removal of excess skin, improvement in visual field where it was reduced, and high satisfaction, with a complication rate of a few per cent.
• 2026 Singapore price. S$3,000-6,000 for both eyes at private clinics and hospitals. The MOH fee benchmark for the surgeon’s fee alone (both eyes, private sector) is S$3,400-5,900, so hospital-based or complex cases exceed the clinic range.
• Sessions. 1, with results lasting 10 years or more.
• Downtime. Stitches out at 5-7 days, bruising and swelling 1-2 weeks, final result at 3-6 months.
• Risks. Asymmetry, visible scar, over-correction leaving the eye unable to close fully, dry eye, and rarely bleeding behind the eye.

Droopy eyelid exercises, creams and eyelid lifters, do they work?

These are the most searched droopy eyelid remedies in Singapore and the least effective. Droopy eyelid exercises (holding the brow down while raising the lid, rapid blinking, resistance against a finger) cannot shorten excess skin or tighten a stretched levator tendon, because the muscle that lifts the lid is already working at full stretch. Evidence Grade D. No published study shows a measurable change in lid height from exercises.

Droopy eyelid creams sold as “eyelid lifters” or firming serums hydrate the thin lid skin and can make it look slightly smoother for a few hours. They do not remove a skin fold or raise the lid margin. Evidence Grade D. The exception is prescription oxymetazoline 0.1% eye drops, approved overseas for mild acquired ptosis. They stimulate Müller’s muscle and lift the lid by about 1 mm for several hours (Grade A for that specific use), a daily, temporary effect, and they are not available over the counter in Singapore.

Adhesive eyelid lifter strips and tapes work the same way as double eyelid tape, folding the skin for the day and removed at night. They suit occasions, not treatment. These products cost S$20-80 and produce no lasting change, and the options above are what change the lid.

How to fix a droopy eyelid, choosing a treatment

1. Check the lid edge first. If the upper lid covers more than the top 2 mm of the iris with the brow held still, the diagnosis is ptosis and only surgery will raise it. Radiofrequency or HIFU bought first is wasted on a ptotic lid.
2. Lift the brow with a finger. If the hooding goes, a Botox brow lift or brow-directed HIFU or RF is the logical first step, and infrabrow excision or a brow lift the surgical route.
3. For a skin fold alone, grade it against the sagging eyelids causes page. Skin that is slightly loose but not resting on the lashes can be tightened by Thermage Eyes, XERF, needle RF or HIFU, with 1-2 mm of improvement expected for 1-2 years. Skin resting on the lashes needs blepharoplasty or infrabrow excision.
4. Choose between blepharoplasty and infrabrow excision by skin thickness, brow height and whether the existing crease is to be kept. Thick-skinned outer hooding with a low brow favours infrabrow excision, while thin skin or a wish for a higher crease favours blepharoplasty.
5. If vision is affected, a visual field test before surgery supports any insurance or MediSave claim.
6. Lower-lid problems are separate, see sagging skin under the eyes and eye bags.