19 Oct Under eye bags, when aesthetic medicine is enough and when surgery is needed
Under eye bags, when aesthetic medicine is enough and when surgery is needed You look tired all the time, including on days when you have slept well. The gaze feels heavier, make up no longer covers much, and the photo taken at the end of the day is irritating. The request often arrives already worded, make these under eye bags disappear. My answer almost always begins with a question, what exactly is this bag made of. Not everything that swells under the eye has the same cause or the same treatment. Two very different mechanisms hide behind the same word. One involves the skin, the other the fat. That distinction is what decides between a medical treatment and an operation. Recognising what actually swells under your eyes In front of a mirror, a bag looks like a bag. On examination, two clearly distinct situations emerge, and they do not call for the same approach. The fat bag, a herniation of orbital fat Each eye rests on a cushion of fat held back by a thin membrane, the orbital septum. When that membrane stretches, the fat moves forward and forms a bulge under the lower eyelid. This bulge is there from the morning, it barely varies during...