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Baggy eyes are a common problem faced by many people, often making us look tired and older than our actual age. While good sleep and healthy lifestyle habits can help, some eye bag issues require further treatment, which is where eye bag surgery comes in.
The structure that forms eye bags is fat. This is typically due to the loosening of the tissues around the eyes and the drooping of the eye muscles, causing fat to accumulate and protrude. The development of eye bags is related to aging, genetics, sleep quality, and lifestyle factors. Eye bags give an appearance of fatigue and aging, and as we approach 30-40 years old, the skin around the eyes loses more elasticity and collagen, leading to increased sagging and the appearance of fine lines, making the eye bags more pronounced. The eye area is one of the first places to reveal our age, and those with eye bags often look significantly older than they are.
For mild cases with just minor puffiness of the lower eyelids and slightly loose skin, non-surgical options like local filler injections or treatments to stimulate collagen and tighten the skin can help reduce the appearance of eye bags, smoothing the undereye area and restoring skin elasticity. However, for more pronounced fat protrusion and significant skin laxity, eye bag removal surgery may be the best solution.
The main benefits of minimally invasive eye bag removal surgery:
While lower eye bag removal surgery offers remarkable and long-lasting rejuvenating effects on its own, it can also be performed with other advanced enhancement procedures for more comprehensive cosmetic results. This comprehensive approach helps reduce the risk of eye bag recurrence, improve tear trough and eye wrinkle issues, and achieve more overall eye rejuvenation outcomes.
A Septal Reset is a surgical procedure to help rejuvenate the lower eyelid and cheek region. Septal reset creates a firmer undersurface and smooth appearance for the lower eyelid after surgery. It also can avoid post-surgical hollowness and prevent eye bag recurrence. The inferior edge of the orbital septum is pulled down and secured with sutures to the overlying periosteum for septal repositioning.
A supporting procedure called a lateral canthal tendon canthopexy or eyelid tightening to hold up the lower eyelid is often necessary in individuals with lid laxity.
Sometimes just a small bit of skin needs to be removed from the lower lids, which can be performed with a “Pinch Blepharoplasty” technique using a well concealed incision just below the lash line. This type of technique can be done in conjunction with the internal transconjunctival approach when excess fat needs to be removed from the lower lids as well.
Eye bag removal with fat transfer is a surgical cosmetic procedure that helps rejuvenate the appearance of a patient’s eyes by adding volume to areas around the eyes with fatty tissue. We have seen people who have had their eyebags removed and still look old because of their tear-trough deformity. The tear trough deformity is the visible bony socket of the eye. This sagging is commonly referred to as the tear trough.
Correcting tear trough deformities is challenging in lower eyelid rejuvenation, as eye bag removal alone cannot fully address the anatomical volume loss. A modern surgical technique has evolved to preserve orbital fat and using autologous micro free fat grafts from the eyebags as a dermal filler to plump sunken area below your eyelids. A small fat transfer to the tear trough can take years off your age and leave you looking refreshed. Nano and micro fat transfer to this area can help rejuvenate the region by restoring volume without creating a lumpy appearance. This technique also improves skin texture and discoloration through a stem cell effect. Autologous fat transplantation can also effectively treat infraorbital dark circles caused by thin, translucent lower eyelid skin overlying the muscle. The use of micro free orbital fat grafts is an effective and safe technique to treat the tear trough deformity without increased complication rates and good patient satisfaction.
Minimally invasive eye bag removal surgery typically takes 1 to 2 hours to complete. It is usually performed as a day surgery, with no visible external incisions and no need for stitches, resulting in a very natural appearance. The recovery period is short, with minimal swelling and pain after the procedure. Some bruising may occur, but it usually subsides within a week. Most individuals can quickly resume their normal daily activities and typically return to work within 3 to 5 days. To allow for adequate recovery time, strenuous exercise and other intense activities should be avoided for at least 2 weeks after surgery.
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