Can pouch removal and double eyelid surgery removal be done at the same time? Can be done simultaneously. A customer has heavy bags under his eyes. When she went to do it, the doctor suggested that she put her double eyelids (she has inner double eyelids) together, so she made a double eyelid incision, opened her eyes and made bags under her eyes. No sequelae. Now eye cosmetic surgery has been relatively perfect. After so many years of practice, it is good to choose a big hospital; Have a good communication with the doctor, there will be no problem.