Under-eye bags are usually fat pushing through a weakened membrane of the lid. Cream won’t remove it. Surgery takes 30–45 minutes under local anaesthesia, and you go home the same day.
What you see in the mirror
Will helpIt’s a fat pad: fat has pushed through the membraneThis is exactly what lower blepharoplasty addresses. Such a bag stays in the morning and after rest.
Will helpExcess skin under the lashesThe skin is removed together with the fat pads, in one operation.
Won’t helpFluid retention, not fatWorse in the morning, better by evening. Find the cause first — see a general practitioner.
Won’t helpPigment, thin skin, blood vesselsIf there is no bulge, surgery isn’t needed.
Helps lessA malar bag — below the lid, on the cheekboneA separate condition. The surgeon will tell you honestly at the exam what can be done.
from 400,000 ₸ for two eyelids
400,000 ₸ for two eyelids with Dr Darbuzov or Dr Nasipov, 600,000 ₸ for two eyelids with Dr Kerimzade.
Two photos on WhatsApp — the surgeon will tell you if it’s bags or puffiness
1 in 3eyelid surgeries are revisions after another clinic
Lower blepharoplasty in brief
At RB CLINIC (12 Orynbor St, Astana — a large clinic on four floors), lower blepharoplasty is performed by Dr Ruslan Darbuzov and Dr Kirman Nasipov — 400,000 ₸ for two eyelids — and by Dr Daniz Kerimzade, 600,000 ₸ for two eyelids. Surgery on the lower lids takes 30–45 minutes under local anaesthesia, and you go home the same day. Back to work in 2–3 days, stitches are removed on day 12, and the final result is assessed after 12–18 months. The clinic does not offer thread or laser blepharoplasty. One in three eyelid operations at RB CLINIC is a revision of surgery done elsewhere. Booking: +7 771 848 00 00 (WhatsApp), Mon–Sat 9:00–19:00.
For international patients
Coming from abroad?
Patients from other countries come to Astana for lower blepharoplasty at RB CLINIC. Send your records on WhatsApp — we reply in English and arrange an online consultation with a surgeon.
from 400,000 ₸for two eyelids≈ $880
US dollars at the National Bank of Kazakhstan rate on 04.11.2026: 453.26 ₸ per $1
Under-eye bags: when surgery helps and when it doesn’t
Surgery removes what has pushed forward: fat and excess skin. It won’t treat puffiness from salt, poor sleep or kidney problems. The fat under the lower lid isn’t “extra”: it’s a cushion that holds the eye in its socket. With age, the membrane that holds it back weakens and the fat bulges forward. These are the “fat pads” — bags that stay in the morning and after rest.
Fat — the eye’s cushionMembrane (septum)Skin and muscleOrbital boneEye
The lid in cross-section: where a fat pad comes from
Young lidYears later
The membrane is taut and keeps the fat in place. The under-eye area is smooth, the same morning and evening.
The membrane weakens and the fat pushes forward — that’s a fat pad. A shadow forms below it. Like a pillow bulging through a worn cover: no cream or concealer will put it back.
Lower blepharoplasty removes or repositions the bulging fat and, if needed, trims excess skin.
What you seeWhat it usually isWill lower blepharoplasty help
Bags present all day, since youth or growing with agefat pads — fat has pushed through the membraneyes this is the operation’s main job
Wrinkled, loose skin under the lashesexcess skinyes removed together with the fat pads
Puffy in the morning, better by eveningfluid retentionno find the cause first: see a GP
Dark circles without bulgingpigment, thin skin, vesselsno surgery isn’t needed
A bag lower down, on the cheekbone, not under the lidmalar bag (festoon)less the surgeon will say so honestly at the exam
If the cause isn’t in the lid, the surgeon will tell you at the consultation. Send two photos on WhatsApp — we’ll tell you whether it looks like a fat pad before you even come.
Surgery
How lower blepharoplasty is done
The surgeon removes or repositions the fat and, if needed, trims excess skin. The incision is either just under the lashes or on the inside of the lid, chosen for your case.
Through the skin under the lashes
The incision runs 1–2 mm below the lash line and hides in a natural crease. Both fat pads and excess skin can be addressed.
From inside the lid (transconjunctival)
The incision is on the inner side of the lid, with no visible stitch outside. Suits cases with bags but little excess skin.
The surgeon will tell you at the consultation which approach suits you.
Surgery day: about two and a half hours at the clinic
You arrive and check inThe administrator shows you to the ward. No hospital stay.
Exam and markingThe lines are drawn by the surgeon who will operate.
Surgery — 30–45 minutesLocal anaesthesia: you’re awake and feel touch, not pain.
Stitch and dressingA fine stitch, a sterile dressing — and you’re taken back to the ward.
Home the same dayDon’t drive — ask someone to collect you.
Before surgery — eight checks and the eye itself
The operation is two millimetres from the eye, so not only your blood but the eye itself is checked first. No aspirin-containing drugs for a week before; no make-up or contact lenses on the day.
These patients came with under-eye bags — here is what RB CLINIC surgeons did. Photos are published with patients’ consent. Tap a case to see it up close.
Surgery in an eye microsurgery clinic, not a beauty salon. Three surgeons — choose by their results, by price, or by who you feel most at ease with.
Darbuzov Ruslan Nurlybekovich
Student of Academician Bigeldiev
Eye surgeon · operating since 2018
Orenburg State Medical University, residency there too. Besides blepharoplasty he corrects entropion and ectropion and performs eyelid reconstruction — exactly what people fear after a failed lower blepharoplasty.
400,000 ₸for two eyelids · revision 700,000 ₸ for two eyelids
Surgeon · 7 years of experience · over 5,000 operations
Kyrgyz State Medical Academy named after I. K. Akhunbaev (2019); specialist certificate in plastic surgery valid until 2030. A patient on Yandex Maps: “Dr Nasipov has hands like butterflies.”
400,000 ₸for two eyelids · revision 700,000 ₸ for two eyelids
9 years of experience, Kyrgyz State Medical Academy named after I. K. Akhunbaev (2017); plastic surgery certificate valid until 2030. Patients often come to him for revisions after other clinics.
600,000 ₸for two eyelids · revision 800,000 ₸ for two eyelids
The price is for two eyelids (both eyes), on the chosen surgeon’s price list. The clinic’s price list doesn’t separate upper and lower lids. Dr Darbuzov and Dr Nasipov — 400,000 ₸ for two eyelids; Dr Kerimzade — 600,000 ₸ for two eyelids.
Blepharoplasty on RB CLINIC surgeons’ price lists: upper and lower lids cost the same, price for two eyelids
Kaspi instalments with no overpayment for 12 months, up to 24 months with Kaspi Zhuma.
Upper and lower lids in one operation are four eyelids: the price is twice the price for two eyelids. A consultation with Dr Kerimzade is 10,000 ₸ per visit. The price list is not a public offer.
Back to work in 2–3 days, stitches out on day 12, final result assessed after 12–18 months.
Swelling, light bruising and a feeling of tightness are normal.
You can return to work.
Stitches are removed.
Some restrictions: the administrators give you a care leaflet.
Tissues fully settle and the result is assessed.
Call straight away — +7 771 848 00 00 — if the lid suddenly swells and hurts, your vision gets worse, or a stitch opens. These are rare, but they can’t be waited out at home.
About the risks, honestly. Lower blepharoplasty has known risks: temporary swelling of the conjunctiva, asymmetry, pulling down or turning out of the lower lid if it was lax before surgery. Discuss this with the surgeon at the consultation: he will assess how firm your lower lid is.
People left these reviews themselves, on Yandex and Google Maps — where we can’t delete or change a single word. First about eyelids and eyelid surgeons, newest first, then about the clinic as a whole. Quoted as written.
S
Sara A.★★★★★2 November 2026
Сделала верхнюю и нижнюю блефаропластику у Ришата Калилуллаевича. Прошло уже 6 месяцев, и результатом я очень довольна! Всё выглядит настолько естественно, как будто так и было всегда. Глаза стали выглядеть свежее, а главное сохранилась моя естественная внешность. Спасибо вам за такую аккуратную работу!
T
Talshyn A.★★★★★4 November 2026
После блефаропластики прошло уже несколько месяцев. Мне нравится, что взгляд стал более открытым, при этом лицо сохранило свои привычные черты. Именно естественность результата была для меня особенно важна.
D
Dildora T.★★★★★3 November 2026
Осталась очень довольна результатом блефаропластики! Огромная благодарность доктору Насипову за профессионализм, внимательность и аккуратную работу. Операция прошла хорошо, врач подробно всё объяснил и поддерживал на каждом этапе. Также спасибо всей команде RB Clinic за заботу, доброжелательность и прекрасное отношение!❤️
S
Saule M.★★★★★3 November 2026
Хочу поблагодарить доктора Керимзаде Даниса Джафаровича за проделанную работу! Первичным результатом довольна, теперь ждём окончательный результат ) приду на блефаропластику верхних век теперь!
A
Aygul Zh.★★★★★2 November 2026
Делала круговую блефаропластику в данной клинике, результатом довольна, професионалтный подход к каждому клиенту, внимательный персонал, все четко и грамотно!
A
Assem S.★★★★★2 November 2026
Ришат Калиллулаевич провел операцию блефаропластику по устранению асимметрии век, работой довольна, сервисом в клинике тоже.
E
Elmira T.★★★★★2 November 2026
Год назад сделала блефаропластику у Ришата Калилуллаевича. Очень довольна результатом! Все сделано настолько аккуратно, что даже синяков не было, только небольшой отёк. Всем, кто у меня спрашивает, всегда рекомендую именно вас. Очень рада видеть, как ваша клиника растет и развивается. Побольше бы таких врачей, как вы! Спасибо вам за ваши золотые руки и профессионализм!
A
Ayzhan Sh.★★★★★2 November 2026
Делала верхнюю блефаропластику у Ришата Калилуллаевича Бигельдиева. Результатом очень довольна! Всё получилось аккуратно и естественно, именно так, как я и хотела. Взгляд стал более открытым. Сейчас планирую сделать у него ещё и нижнюю блефаропластику. Спасибо вам огромное за такой прекрасный результат! Желаю вам крепкого здоровья, успехов и процветания вашей клинике!
A
Akerke N.★★★★★2 November 2026
Сделала блефаропластику у Ришата Калилуллаевича и очень довольна результатом! Ришат Калилуллаевич, спасибо вам огромное за ваши золотые руки! Желаю вам крепкого здоровья и побольше благодарных пациентов!
A
Akbope A.★★★★★1 November 2026
Сделала блефаропластику у Ришата Калилуллаевича. Результат мне очень нравится, рада, что решилась на операцию и выбрала именно этого врача! Ришат Калилуллаевич, спасибо вам большое за ваши золотые руки и внимательное отношение. Желаю вам крепкого здоровья, успехов в работе и побольше благодарных пациентов!
S
Saueast M.★★★★★1 November 2026
Перед блефаропластикой меня направили на диагностику и консультацию офтальмолога. Сначала даже не думала, что перед такой операцией нужно настолько внимательно проверять глаза. Мне понравилось, что здесь к таким вещам относятся серьёзно и в первую очередь думают о здоровье пациента, а не просто о самой операции. После посещения осталось очень хорошее впечатление.
B
Bota K.★★★★★31 October 2026
Доктор Насипов Кирман,спасибо за профессионализм и уверенность. Сегодня мне сделали блефаропластику,делал доктор Насипов.Хочу сказать огромное спасибо доктору и всей команде клиники! С самого первого приема и до сегодняшней выписки было полное ощущение,что я в надежных руках.Доктор подробно все объяснил,поддержал,развеял все страхи,а сама операция прошла легко и комфортно. Очень ценю такое чуткое отношение и высокий профессионализм.Впереди реабилитация,но уже сейчас на душе спокойно.Спасибо за ваш труд и золотые руки!Рекомендую от всей души!
A
Anna Sh.★★★★★30 October 2026
Всё понравилось , делала блефаропластику верхних век,у доктора Керимзаде, не больно , не страшно. Спасибо доктору!
G
G K.★★★★★2026
Здравствуйте уважаемые сотрудники RB Clinik. 17.04.2026 года я был вынужден обратиться в RB clinic с головной болью от постоянного напряжения глазных мышц в связи с выраженный нависанием верхние век и с большим сужение кругового обзора. Операция была проведена врачом Русланом Дарбузовым. По истечению двух месяцев я чувствую себя прекрасно. Все выше перечисленные проблемы были устраненны. Хочу выразить огромную благодарность врачу Руслану Дарбузову у которого призвание врача и золотые руки. Также большое спасибо прекрасному отзывчивому и вежливому персоналу клиники. Рекомендую RB clinic у кого схожие проблемы. В клинике также проводятся операции по замене хрусталиков и ещё ряд других операций по улучшению зрения.
P
Polzovatel G.★★★★★2026
I sincerely thank ophthalmologist Ruslan Nurlybekovich for his high professionalism, attentive care and the successful operations, Femto LASIK and blepharoplasty😍. Thanks to your skill and care, everything went calmly and confidently. Thank you for the chance to see the world more clearly and to feel better🙏.
I also want to thank the whole clinic team for the warm welcome, kindness, support and comfortable atmosphere. My special, deepest thanks go to Gulime Serikovna❤️🤗🙏. From the very first minutes I felt her attention, care and a genuine wish to help patients. I wish you good health, well-being and continued success in your noble work🙌!
D
Decolar A.★★★★★2026
… В особенности благодарю врача Керемзаде Д. Д у него делала блефаропластику. Всем рекомендую у него руки золотые!!!
A
Aynur Zh.★★★★★2026
… Потом уже сделали маме блефаропластику у доктора Керимзаде Даниза, результат шикарный😍😍😍 …
V
Vladimir S.★★★★★4 December 2024
A well-known private eye clinic in the country, with outstanding doctors in blepharoplasty. I was a patient here myself. I’ll say straight away: it isn’t cheap, but it’s high quality. The staff, which matters a lot, are professional. You can trust them with your eyes, but follow all the clinic’s instructions. Good health to everyone, and if you can, only go to medical facilities when you really need to — well, and for ageing facial skin))))))
N
Nargiza T.★★★★★21 May 2026
I want to leave a review of the clinic and thank Dr. Ruslan Nurlybekovich Darbuzov for a professionally performed blepharoplasty. The clinic is modern and well equipped, very clean and comfortable. The staff are polite, attentive and always ready to help. I especially want to mention the caring attitude and support at every stage — from the consultation to the surgery itself and recovery. I’m very happy with the result and with my choice of clinic. Thank you so much!
A
Ayzhan S.★★★★★4 June 2026
I sincerely thank ophthalmologist Ruslan Nurlybekovich for his high professionalism, attentive care and the successful operations, Femto LASIK and blepharoplasty😍. Thanks to your skill and care, everything went calmly and confidently. Thank you for the chance to see the world more clearly and to feel better🙏.
I also want to thank the whole clinic team for the warm welcome, kindness, support and comfortable atmosphere. My special, deepest thanks go to Gulime Serikovna❤️🤗🙏. From the very first minutes I felt her attention, care and a genuine wish to help patients. I wish you good health, well-being and continued success in your noble work🙌!
V
Vladimir S.★★★★★4 December 2024
A well-known private eye clinic in the country, with outstanding doctors in blepharoplasty. I was a patient here myself. I’ll say straight away: it isn’t cheap, but it’s high quality. The staff, which matters a lot, are professional. You can trust them with your eyes, but follow all the clinic’s instructions. Good health to everyone, and if you can, only go to medical facilities when you really need to — well, and for ageing facial skin))))))
M
Mayra A.★★★★★30 September 2023
An impressive clinic. Dr. Nasipov has hands as light as a butterfly. I recommend it. I’ve been coming here for years
A
Aselya I.★★★★★15 September 2022
A truly superb clinic. Doctors who know their job. Excellent service, starting with the girls at reception. I’m very grateful to you, especially to Dr. Danis Jafarogly — you’re the best
B
Bauyrzhan★★★★★23 May 2026
I recommend this clinic for surgery, and I especially want to mention Moldir, Assel and Khirimzade Danis. The best of the best, the best service in the city.
L
Laura S.★★★★★18 July 2025
An excellent clinic, very friendly and professional doctors: Kerimzade D. D., Bigeldiyev R. K., Dr. Zhukeyev; the girls at reception are always very polite, and the equipment is state of the art
M
Moldir★★★★★21 May 2026
RB Clinic is the very best clinic for vision and eye aesthetics! Choose this clinic and you’ll definitely forget about vision problems! The best🔥🔥🔥
M
Murat B.★★★★★6 December 2021
This is one of the best clinics in the capital of Kazakhstan. They give many people their sight and beauty back. Of course it isn’t free, but what wouldn’t you do for yourself. The staff here are good. Attentive doctors and modern equipment. Most importantly, they explain everything very well, which matters for older patients.
Patients come to us for lower blepharoplasty from all over Kazakhstan. Send two photos of your eyelids on WhatsApp and the surgeon will tell you in advance whether the operation suits you and what it will cost. How many days to plan in Astana, where to stay and how follow-up works at home — on a separate page.
The price is for two eyelids on the surgeon’s price list: 400,000 ₸ for two eyelids with Dr Darbuzov and Dr Nasipov, 600,000 ₸ for two eyelids with Dr Kerimzade. A revision after another clinic is 700,000 ₸ for two eyelids with Dr Darbuzov and Dr Nasipov, 800,000 ₸ for two eyelids with Dr Kerimzade.
Can bags be removed without surgery?
If the bag is a fat pad that has pushed forward, no: no cream, massage or threads will remove it. Morning puffiness and dark circles are treated differently and don’t need surgery. The surgeon will tell you what you have from photos or at an exam.
Will the scars show?
The stitch hides just below the lash line, and with the inside approach there is none outside at all. For the first weeks the line is pink, then it fades. Tissues fully settle over 12–18 months.
When can I go back to work?
After 2–3 days. Swelling and light bruising in the first days are common; stitches come out on day 12.
Can upper and lower lids be done at the same time?
Yes, that’s four-lid blepharoplasty: all four eyelids in one operation. The price is twice the price for two eyelids on the surgeon’s price list: 800,000 ₸ for four eyelids with Dr Darbuzov and Dr Nasipov, 1,200,000 ₸ for four eyelids with Dr Kerimzade. More about upper blepharoplasty on a separate page.
From what age is lower blepharoplasty done?
From 16–17 for medical reasons, with permission from a parent or guardian. Whether you can be operated on is decided by your tests and the surgeon’s examination.
Do you offer thread or laser blepharoplasty?
No. Threads and lasers remove neither fat pads nor excess skin: threads only lift, and “laser blepharoplasty” is skin resurfacing, not surgery. We perform surgical blepharoplasty.
Booking
Show your eyelids to a surgeon
Two photos on WhatsApp: eyes open and closed, no make-up, by a window. The surgeon will tell you whether these are bags or puffiness, whether surgery will help and what it will cost.