How to Treat Lower Eyelid Bags

Several factors contribute to the development of lower eyelid bags:

• Ageing: As we age, the skin loses its elasticity, and fat pads can shift, creating puffiness under the eyes.
• Genetics: Some people are more prone to developing eyelid bags due to their genetic makeup.
• Lifestyle Factors: Lack of sleep, excessive sun exposure, and poor diet can exacerbate the appearance of bags under the eyes.
• Medical Conditions: Conditions like allergies and fluid retention, or blurred vision due to other eye issues can worsen the appearance of eye bags.

Before considering surgical options, non-surgical treatments may help reduce the appearance of lower eyelid bags. These treatments are less invasive and can be effective for mild cases:

• Topical Creams: Using creams that contain retinol or hyaluronic acid can help firm the skin and reduce puffiness.
• Cold Compresses: Applying cold compresses or chilled tea bags to the lower eyelids can temporarily reduce swelling.
• Lifestyle Changes: Improving sleep habits, staying hydrated, and reducing salt intake can help manage the severity of under-eye bags.
• Polynucleotide injections: Can stimulate collagen production that results in thickening and tightening of the lower eyelid skin.
• While these options can be beneficial, for more pronounced bags, surgical treatments are often the most effective solution.

While these options can be beneficial, for more pronounced bags, surgical treatments are often the most effective solution.

For those seeking a more permanent solution, Mr. Hyder Ridha at HR Plastic Surgery offers a range of surgical options for lower eyelid bags tailored to your needs.

Lower Eyelid Blepharoplasty: This often involves skin, muscle and fat excision or fat repositioning to permanently remove or redistribute the fat that causes under-eye bags. This surgical solution offers immediate and long-lasting results with a short recovery time.

To achieve optimal results, each patient’s treatment plan is tailored and Mr. Ridha will assess your needs and recommend the most appropriate surgical approach during your consultation.

Lower eyelid surgery is typically performed under local or general anaesthetic and can take between one and two hours depending on the complexity of the case. Here’s a step-by-step look at what happens during the procedure:

Preparation and Anesthesia: After ensuring you are comfortable, local anaesthesia will be administered to numb the area and keep you relaxed throughout the procedure. Alternatively, a general anaesthetic is administered throughout the procedure.

Incision Placement: The surgeon will make small, discreet incisions. These are typically either along the natural crease of the lower eyelid or inside the eyelid (known as a transconjunctival incision), ensuring minimal visible scarring.

Fat Grafting (if applicable): If fat grafting is part of your treatment plan, fat will be harvested from another part of your body, typically from the abdomen or thighs.

This fat is then purified and injected into the lower eyelid area to restore volume and reduce hollows under the eyes, creating a smoother, more youthful appearance.

Lower Eyelid Blepharoplasty: This can involve:

• Skin with or without muscle excision: Any excess skin and muscle that has become lax and contributing to an aged appearance is removed to produce a smooth skin contour. Any weakness in the ligaments that support the lower eyelid is also addressed by tightening the areas of laxity.
• Fat Excision: The surgeon carefully removes excess fat through the incision to reduce puffiness caused by under-eye bags. This is particularly effective for individuals with significant fat deposits contributing to a bulging appearance.
• Fat Repositioning: For those experiencing hollowing or unevenness, the surgeon will reposition the fat within the lower eyelid to create a smoother contour and address both puffiness and volume loss.

Closing the Incisions: Once the desired changes are made, the incisions are meticulously closed with fine sutures. When incisions are placed inside the eyelid, no external scars will be visible.

Following the procedure, patients can expect some bruising and swelling, which usually subsides within a few weeks. Most individuals can return to normal activities within 7 days, with full recovery taking around six to eight weeks.

HR Plastic Surgery offers lower eyelid surgery to help patients address lower eyelid bags concerns along with other services.

Our team is dedicated to providing tailored advice and guidance for each patient’s unique recovery process. For more information or to book a consultation with Mr Hyder Ridha, please contact us directly.

To book a consultation with Mr Ridha at our Hertfordshire clinic, please call us on 020 3907 6830, email us at info@hrplasticusrgery.com, or book online via our website.

Will lower eyelid surgery remove excess skin and eliminate bags under my eyes?

Can I combine upper and lower eyelid surgery to address both areas?

-Yes, many patients opt to combine upper eyelid surgery with lower eyelid surgery for optimal results. This combination can address excess skin in the upper eyelids as well as under-eye puffiness, providing a more balanced, refreshed look by treating both upper and lower eyelid skin.

How long does it take to recover from lower eyelid surgery?

-Most patients can expect to return to their regular activities within 1 week. Swelling and bruising are common but typically resolve within a few weeks. To achieve optimal results, it’s important to follow your surgeon’s recovery guidelines closely, which will help ensure the best outcome from the procedure.

What are the risks of lower eyelid surgery?

-As with any surgery, lower eyelid surgery carries some risks, such as infection, scarring, or temporary blurred vision. However, when performed by an experienced surgeon, the risks are minimal, and most patients achieve optimal results with a smooth recovery.

Is cosmetic eyelid surgery the best option for treating lower eyelid bags?

-For those looking to permanently reduce lower eyelid bags, cosmetic eyelid surgery is the most effective option. It is commonly referred to as blepharoplasty and targets the excess fat and skin that cause under-eye puffiness. While non-surgical treatments may partly reduce bags, this is often temporary and the vast majority of patients seeking long-term results.should opt for a blepharoplasty.

Can lower eyelid surgery cause watery eyes?
-Some patients may experience temporary watery eyes following any eyelid surgery due to swelling or changes in the tear ducts. However, this side effect Is usually temporary and subsides during the healing process.