How Fluid Causes Temporary Puffy Eyes, and Why Constant Eye Bags are Caused by Fat

Author: Amiya Prasad, M.D.

What can be done to smooth out the bags under my eyes? I'm wondering what can be done to smooth out the bags under my eyes and what is the cost? I heard of a procedure where they use a little needle and just drain it. Thank you for your question! You submitted two photos and you’re asking about a procedure to help smooth out eye bags. And you also mentioned in your question about a procedure that involves a needle that drains the eye bags. So, I think you definitely to get some information to understand what these eye bags are. I’m a cosmetic oculofacial plastic surgeon, that means my background training is in eye surgery as well as cosmetic surgery and eyelid surgery and eye bags surgery, something I pretty do every day. And to help you understand what these bags are, because when you asked the question, you think this is fluid. So, when puffiness under the eyes is constant and it only fluctuates a little bit but it is always puffy, well this puffiness is actually fat instead of fluid. And fat is tissue and what we refer to this fat when it causes the eyes to look baggy is called lower eyelid fat prolapse.

That means the fat that is behind the eye that’s surrounds the eye, pushes forward and becomes a hernia and pushes forward and out. The reason why a lot of people do confuse this with fluid is certainly, allergies, sinus problems, eye rubbing can all cause the eyes to look puffy and be related to fluid. But when you have both the bags and allergies, your eyes can look very puffy. In your situation, in our practice, we would typically address your problem by physical examination and confirm the puffy bags as fat and perform a procedure such as a transconjunctival lower eyelid blepharoplasty. This is a procedure which is performed from the inside of the eyelid to actually address the fat pockets that means resection or removal as well as repositioning as is appropriate.

In addition, we use platelet-rich plasma which is derived from your own blood and helps improve the quality of your skin by generating collagen and blood supply and improving the healthiness of the skin because the eyelids skin is the thinnest skin and improving this quality is very beneficial. Sometimes we also do fractional CO2 laser to help the external skin structure and to reduce the fine lines and wrinkles. So at this point, I think that you should meet with qualified experienced surgeons and learn about the options. The thing we can’t do with a photo is a physical exam.

It’s very important to understand the function and the support structure of the eye before undergoing lower eyelid surgery. As a specialist, I deal with complications of lower eyelid surgery every week and people come to us from all over the world for resolution. And performing a physical exam such as a snap test and see how well the support is critically important.

How Fluid Causes Temporary Puffy Eyes, and Why Constant Eye Bags are Caused by Fat

I always say that lower eyelid surgery is deceptively oversimplified by many doctors and unfortunately it results in undesirable results such as the eyelid being pulled down or everted. So meet with qualified experienced cosmetic surgeons. Once you’re comfortable, move forward. It will make a significant difference for you.

So I hope that was helpful, I wish you the best of luck and thank you for your question!.

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