What Causes Under-Eye Bags, How Are They Treated?

Sagging eyelids and under-eye bags occur due to genetic factors that become more pronounced over time. Contrary to popular belief, environmental factors have limited influence. Rarely, allergic conditions can lead to upper eyelid sagging, and thyroid issues can cause under-eye bags.

The most common complaint is looking older and more tired than one actually is. Additionally, upper eyelid sagging can sometimes obstruct vision in severe cases. It can also create a significant feeling of weight and may obscure the area where makeup is applied, especially in women. Men with lower eyelid bags often express concerns that people perceive them as constantly tired or using harmful substances.

Individuals with eyelid sagging and lower eyelid bags are candidates for this intervention regardless of age. Whether someone is 20 or 70 years old, the same rule applies. Once sagging and bags begin, they tend to worsen over time. The only solution is to remove excess tissue and reshape the eyelids as desired. Otherwise, existing complaints will persist and worsen.

As long as the correct amount of tissue is removed from the eyelids, there is usually no need for repeat procedures in subsequent years. Therefore, even young individuals can safely undergo this surgery. The notion that early intervention requires frequent repetition is not accurate.

With the influence of advertisements and various factors in daily life, many people who do not actually have an eyelid issue may consider undergoing this procedure. It is essential to identify these individuals beforehand and provide them with necessary explanations. Otherwise, serious disappointments and organic eyelid complications can occur.

High blood pressure, diabetes, thyroid disorders, and heart conditions are not obstacles for eyelid aesthetic surgery. However, a thorough evaluation of the individual’s overall health status is necessary before the intervention.

The fundamental principle of eyelid aesthetics is the removal of excess skin and fat tissues, as well as correcting issues in surrounding tissues.

The upper eyelid has the thinnest and most mobile skin in the body, and in genetically predisposed individuals, it can lead to skin sagging. In upper eyelid procedures, excess skin is marked and removed. Proper marking (at the eyelid crease) and accurate determination of the amount of skin removal are crucial. Removing too little skin results in inadequate correction and may require repeat procedures. Removing too much skin disrupts eyelid function, making it difficult for the eye to close properly and resulting in an unnatural appearance.

In upper eyelid procedures, it is often necessary to remove fat tissues that cause swelling and puffiness beneath the skin. Some individuals may also have sagging of the lacrimal gland or relaxation of the muscle that lifts the eyelid. Addressing these issues is essential for achieving satisfactory results.

After these interventions, the skin needs to be closed using fine, absorbable sutures. Since the procedure is performed at the eyelid crease, the sutures are not easily visible from the outside.

The lower eyelid is much less mobile than the upper eyelid and usually does not have skin sagging. The most common issue with the lower eyelid is the protrusion of fat tissues, causing them to become visible by bulging forward. The basis of lower eyelid procedures is the removal of displaced or herniated fat tissues. There are three main fat regions in the lower eyelid: inner, middle, and outer. All or some parts of these fat regions may be displaced to varying degrees, requiring careful surgical planning. Removing too little fat leads to inadequate correction, while excessive removal results in hollowing and an unfavorable appearance.

Another critical detail in lower eyelid surgery is the incision location. Contrary to popular belief, most individuals seeking treatment for under-eye bags do not have sagging skin. Therefore, there is no need to touch the skin, and the fat tissues are accessed through an incision made on the inner side of the eyelid. The reason for making the incision from the inside is not solely to reduce the likelihood of visible scarring. Internal interventions allow access to fat tissue without cutting important structures of the eyelid, resulting in a more natural lower eyelid appearance. Even in cases where skin removal is necessary, accessing fat tissue from the inner side is the correct approach.

Eyelid procedures are interventions that should be performed in fully equipped operating rooms under sterile conditions. Attempting to perform these procedures in a clinic setting can lead to unexpected issues.

Eyelid procedures are carried out under local anesthesia while the individual is awake. Mild sedation to help relax the person can also be administered. General anesthesia is not necessary. However, in some lengthy cases or based on the individual’s preference, general anesthesia may be chosen.

Pain is not an expected symptom during the procedure or the recovery period.

Notice that we use the term ‘intervention’ instead of ‘surgery.’ These interventions are typically performed under local anesthesia, taking approximately 10-15 minutes per eyelid. Hospitalization and eye closure are not required afterward.

Defining the first month after the intervention as the recovery period and acknowledging that the primary appearance settles within that time frame is essential. However, immediately after the procedure, the individual is usually capable of meeting their needs, and as previously mentioned, no significant pain is expected. Eye closure is unnecessary, and hospitalization is not required.

On average, work can be resumed within one week. However, wearing light-colored sunglasses and continuing work 2-3 days after the procedure does not pose any harm.

The goal of eyelid aesthetic surgery is to achieve natural results while enhancing the individual’s overall health and vitality.

Depending on the structure of the eyelids and surrounding tissues, the degree of benefit from eyelid aesthetics can vary for each person. While some individuals may experience significant improvement, others may see more subtle changes. The primary focus of eyelid aesthetics is to remove excess tissue and address issues in the surrounding structures. Everyone’s eyelid and eye area have unique characteristics. Attempting to fundamentally alter these structures or applying a one-size-fits-all model (such as achieving an almond-shaped eye) can lead to serious deformities.

If you are interested in any of these procedures, contact us for a free consultation.

Contact us if you want to experience this with us. Your experience of eye aesthetic will be professional and  quality from start to end by Este With Care.

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