• November 4, 2024
  • Mr Hyder Ridha

Last updated on October 28, 2024

Lower eyelid bags, also known as under-eye bags, can be a common cosmetic concern for many individuals. These bags develop as the skin under the eyes becomes more lax, often due to ageing, genetics, or lifestyle factors such as sun exposure.

They can also result from excess fat pads that settle in the lower eyelids, leading to puffiness and a tired appearance.

In this article, we will discuss various treatment options, from non-surgical methods to surgical procedures like lower eyelid surgery, to help eliminate these bags under the eyes.

What Causes 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.

Non-Surgical Treatment Options

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.

Lower Eyelid Bags
Surgical options for lower eyelid bags include fat removal (as demonstrated above) as well as fat repositioning, also known as transposition.

Surgical Options for Lower Eyelid Bags

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 Bags
Lower eyelid surgery is typically performed under local or general anaesthetic and can take between one to two hours.

What to Expect During Lower Eyelid Surgery

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.

Consultation with a Plastic Surgeon

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.

How to Schedule a Consultation

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.

One Hatfield Hospital – Hatfield Ave, Hatfield AL10 9UA
Pinehill Hospital – Benslow Ln, Hitchin SG4 9QZ

Spire Harpenden Hospital –
Ambrose Ln, Harpenden AL5 4BP

OSD Healthcare –
One Medical House, Boundary Way, Hemel Hempstead, Hertfordshire HP2 7YU

FAQs

Yes, lower eyelid surgery is an effective solution for removing excess skin and eliminating bags under the eyes. During the surgical procedure, the surgeon removes excess lower eyelid skin, which helps to reduce under-eye puffiness and create a smoother, more youthful appearance.

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.

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.

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.

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.

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.

This article is not intended to be used for diagnosis or treatment. It is aimed at presenting a perspective only and is not a substitute for a prescription. Anyone experiencing a medical condition should consult their doctor.

Mr Hyder Ridha
About The Author

Mr Hyder Ridha

Mr Hyder Ridha is a highly skilled plastic, reconstructive and aesthetic surgeon. He specialises in aesthetic surgical and non-surgical rejuvenation as well as microsurgical reconstruction. He believes that aesthetic surgery should revitalise and result in a natural fresh appearance.

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