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Eye Bag Removal

Eye Bag Removal

Eye bag removal is also known as lower blepharoplasty is one of the commonest cosmetic surgery procedure. This may also be done non-surgically by our center doctor if the eye bag is not so severe by technique requiring filler, thread, PRP. This is one of the hottest selling list.

Eye lift is a surgery also called lower blepharoplasty is done to correct the imperfection due to the loose skin, sagging tissues and protruding bag of fat due to weakness of the wall that prevented its protrusion.

Often, the patient themselves or their friend commonly tell them why they looks tired or sleepy due to the puffy lower eye lids. Very often patient going for eye bag removal also need upper blepharoplasty as most of them also have droopy upper eye lid.

 

 

Eye Bag Operation Before After

Eye Bag Operation Before After

 

What is the cause of eye bag?

Prolapsing fat: The main cause is due to the weakness of the wall that support the orbital fat where the eye sits. Many believe that the bag is due to water retention or allergic reaction but is not. This compartment of fat prolapses causing globule-like swelling referred to as bag. To correct this we need to remove the prolapsing fat or re-positioned and sculpted and strengthen the wall.

 

Eye Bag Operation Before After

Eye Bag Operation Before After

 

Loose skin: Another cause is due to the loose skin. In the early stage, the skin is not much loose and fat can be removed without removing the skin through trans-conjunctiva surgery. However, as the skin laxity increases, then the skin can be removed and tightened usually together with the orbicularis occuli muscle for a rejuvenated look. The orbicularis muscle function like a belt with elasticity that can contract after the surgery.

Lower eyelid support

The lower eyelid support is slower getting weaker due to aging and gravitational pull. Adequately restoring the support by various techniques can help creating a more rejuvenated youthful look.

 

 

Eye Bag Supporting Structure

Eye Bag Supporting Structure

 

 

 

 

Eye Bag Supporting Structure

Eye Bag Supporting Structure

 

Lower eyelid & surrounding anatomy

The eyeball is located in the hollow of the skull called as the eye socket. Within this socket is filled with the fat which works as a cushion for the eyeball so that any impact force will not cause the shock to the eyeball. There is a thin sheet of tissue which extends from the orbital margin peripherally and extend centrally towards the lower eyelid, is called as the orbital septum. The orbital fat is lying behind this septum.

The eye bag is formed due to 4 factors:

  • Increase of orbital fat amount
  • Thinning and weakening or laxity of orbital septum
  • This type of eye bag bulging may also be due to inheritance & even start as early as the adolescence
  • Water retention as a cause

 

Eye Bag has 3 Globules of Orbital fat

Eye Bag has 3 Globules of Orbital fat

 

Many customer complaint that their eye bag is worst during the morning. The reason is that after a night of sleeping flat on the bed, the orbital fat does retain more water. However, after a day of upright standing, the gravity pull and the increased circulation due to the day activity do help to remove the collected fluid.

As the person age, the eye lid skin becomes lax, orbital fat protrude giving an aged and tired look.

Dr David Ling will assess the skin laxity by skin pinch test. If the skin is not too lax, then an internal approach of fat removal called trans-conjunctiva blepharoplasty, without the need for external approach is done to remove the eye bag. If the skin is too much, then external approach, called the trans-cutaneous approach will be used to remove both the fat and the skin and tighten the orbicularis muscle.

 

 

 

Eye Bag Operation Before After

Eye Bag Operation Before After

Ideal candidate for eye bag removal

Such candidate have these features:

  • You tend to always look tired despite adequate sleep
  • Your eye bag persist over the whole day despite all the exercise/activity
  • That you already have excess skin of the eye lid
  • You are realizing that the job of putting up makeup is becoming more time consuming and difficult
  • Your circle of close friend asking you if you are actually not getting enough sleep or that you are too tired

 

 

Eye Bag Remedy: Trans Cutaneous Blepharoplasty

Eye Bag Remedy: Trans Cutaneous Blepharoplasty

The orbicularis oculi muscle is a very delicate muscle that support the lower eye lid much like the hammock. Its integrity should be preserved at all time. Excess removal, especially by new inexperienced doctor can cause a “rounding” or “scleral show”, or a pulling down of the eye lid called eversion or retraction. With Dr David Ling 20 years of experience, he is most familiar on how to prevent this from occurring.

 

 

Eye Bag Remedy: Trans Conjunctiva Blepharoplasty

Eye Bag Remedy: Trans Conjunctiva Blepharoplasty

 

Trans- conjunctiva approach has few benefits:

  • No incision seen
  • Shape of eye is better preserved
  • No external scar over the skin

Many people who consider lower eyelid surgery also choose to have upper eyelid blepharoplasty – see our Upper eyelid surgery page here.

 

 

Eye Bag Remedy: Lower Blepharoplasty

Eye Bag Remedy: Lower Blepharoplasty

 

Recovery time

With Dr David Ling 20 years of experience, the eye lid surgery no longer cause swelling or even bruises. The down time is as short as 3 to 5 days in most cases.

Non-surgical eye bag correction

This is done by camouflaging the tear trough line by narrowing the gap between the two level of eye bag peak and the tear trough bottom. This is by way of visual illusion as a way of treatment. The underlying pathology of eye bag is not treated and we are buying time. This could be an option for people scar of surgery or do surgery when it is really bad. A frequent filler used is the hyaluronic acid family of substances such as the Restylane or Juvederm. Another option is to use one’s own fat as a most natural filler.