Tear Trough and Protrusion of under eyelids fatty tissues

With advancing age, the eyelids and the skin beneath the eye become very thin, the fat which cushions our eyeballs start to protrude outwards; giving rise to fat-containing eye-bags. Clinically we can define eye bags that are caused by tear trough deformity or fatty tissue protrusion. When we age, the suppleness of the skin decreases, a loss of volume in the area below the eyes make the grooves of the tear trough – the demarcating circular line that outlines the under eye area – can become deeper and more prominent. Over time, as the fat under the eye begins to protrude with age , this can also exacerbate the tear troughs, as the groove is made relatively deeper by the protrusion of fat above it. The transition from the eyes to the cheeks becomes interrupted by the formation of eye bags and tear troughs. In certain people, due to excess laxity of skin and fat around the eyes, the fatty deposits can further escape from the membrane that normally contain them, the fat slips out and occupies new spaces under the skin, resulting in a big pouch of fatty tissues under the eyelids, which makes one look constantly tired.

Aside from aging, other behaviors that appear to affect puffiness are obesity, fatigue, salty food diet and rubbing the eyes because of allergies. Bags under eyes are usually a cosmetic concern and rarely a sign of a serious underlying medical condition.