Eye bags are formed when excess fat collect in lower eyelid skin. This usually appears as mild swelling/puffiness under the eyes. Eye bags often worsen with age as the more fat tend to collect under the eyes the older and individual is, and the skin under the eyes also tend to loosen and sag with age.
Other causes of eye bags may include:
- Genes and hereditary effects
- Water retention
- Pseudo Eye Bags from prominent orbicularis oculi muscles (muscles around the eyes)
The procedure will be carried out under local or general anaesthesia. Firstly, the surgeon will make an incision within lower eyelid. The surgeon will remove or reposition fat and tissue via this incision before closing it with a suture. The procedure lasts for about 20 minutes.
Effects of the procedure are visible immediately after the swelling and bruising from the surgery have subsided in several days.
As with all surgical procedures, there are some risks involved. Depending on the success of the surgery, the following complications may arise:
- The surgical wounds may become inflamed or infected.
- Nerves around the eyes may be disturbed, resulting in blurry and/or double vision.
- If the lacrimal apparatus (tear glands and associated structures) are disturbed, the patient may experience excessive tearing or dry eyes post-surgery.
A follow-up surgery may be required to treat any complications that arise.
Before the surgery, the doctor/surgeon will usually request for the patient’s medical history or conduct a simple health check. He/she will also discuss in detail what are the possible complications depending on the patient’s condition. A mutual understanding between doctor and patient regarding the risks involved is important in maximising the success of the procedure.
Eye bags and aging skin
Eye bags are undesirable because it gives a “tired” look, which is often associated with old age. Usually, when patients request an eye bag removal procedure, they are looking to get rid of this “tired” look for a more youthful appearance. However, rectifying this is often more complex than just removing eye bags as it is only one of the many tell-tale signs of aging skin.
In addition to eye bags, the appearance of the cheeks, which are directly below the eyes, can contribute to an aging look as well. The midcheek area is often full and rounded in youths, whereas the same area can look hollow and saggy in older adults. The latter, together with eye bags, forms the typical “tear troughs” under the eyes associated with aging. If eye bags are simply removed without treating the rest, the hollow and saggy look remains, and may even become enhanced, worsening the “tired” look.
Eye bag removal is indeed effective in improving the lethargic look in individuals who only exhibit limited signs of aging in midcheek area of the face, and genuinely have excess fat in the eyelid cheeks. However, in other cases, fat may need to be redistributed instead of removed to fill out some of the “hollows” below the eyes. A cheek or face lift is also recommended to reduce sagging and tighten the skin. Skin fillers can also help replace the lost volume in the face. Overall, a combination of these treatments is much more effective at achieving the refreshed look compared to just removing eye bags alone.
At Clifford Clinic, our doctors are highly experienced in aesthetic procedures. Visit us for a consultation and they will assess your situation, before recommending the most suitable course of treatment catered for you.