Bags below the eyes can give a tired look to the face and can be very hard to hide with make up. They can be hereditary or acquired and the best way to treat them with through specific surgical procedures, sometimes using laser or chemical peel.
Bags – which are often more noticeable in the morning – gradually develop under the eyes and the skin becomes thin and creased. The breakdown of structures under these bags leads to increasingly pronounced rings. At the same time, the top of the cheekbones flattens accentuating the impression of downward movement.
Lower blepharoplasty works best on relatively younger faces with bags that can be treated without subsequent scars or skin and muscle sagging due to aging.
Rejuvenation of the lower eyelids involves an incision along the eyelashes which quickly becomes invisible. The pockets of fat are removed, and any excess skin is elininated by redraping. The skin is not pulled tight : it is redistributed so that it falls more advantageously.
For simple bags, it is nearly always possible to remove the pockets of fat from inside the eyelid, through the conjunctiva, which leaves no scarring.
Fat grafting may be carried out at the same time to re-establish the curves under the eye and restore their continuity with the cheek-bones, thus eliminating rings.
The procedure is done either under local or general anesthesia, depending on what technique will be used. A light dressing is applied for several hours, and you will be able to return home the same evening or the next day, depending on what type of operation and anaesthetic you have had.
You will need to limit all social and professional activities for at least 10 days. You may have bruises going down onto your cheeks but you won’t feel any pain and will be able to conduct daily activities normally.
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