Condition: Eyebags 2017-06-01T14:43:50+00:00

Eyebags

Talk to us about your current condition on:
020 7935 7990

The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

Learn more about treatment options

Eyebags

What are eyebags?

Eye bags refer to an excess of eyelid tissue which can affect the upper and lower eyelids with age.  Not only can eye bags look unsightly but they can also impair vision. Eye bags are treated by reducing the amount of eyelid tissue present, with a surgical procedure called a blepharoplasty.

s45lowerbleph
An Asian blepharoplasty is a specialised eyelid reduction that can be combined with “Westernisation” by giving a higher, more marked lid crease.

Some patients may also have drooping eyebrows (known as brow ptosis), or drooping eyelids (eyelid ptosis) which may also require surgery.

Dermatochalasis is an excess of eyelid skin. It can cause skin folds on the upper lids with additional fat protrusion making the eyelids look bulky and heavy. This can also affect vision.

Video: What can you do about lower eyelid bags?

Examination

Prior to blepharoplasty surgery, a full ophthalmic examination is necessary. This includes checking visual function as well as undertaking tests to exclude eyelid and eye surface conditions such as blepharitis, dry eye, eyelid laxity or any other conditions that could be exacerbated by a blepharoplasty. The patient’s entire face and eyelids are examined during the consultation.

A visual field test may be required to determine the extent of visual impairment from eyebags or other conditions.

It is common for photographs to be taken both before and after the blepharoplasty procedure.

The patient will be asked how the eyebags affect them, determining whether the problem is cosmetic or also affects vision. It is also useful for the patient to provide photographs taken prior to the eyebags becoming noticeable, for instance from two to five years younger, to aid in understanding the individual cases and to plan their blepharoplasty.

Treatment

A blepharoplasty can be done for cosmetic purposes or to improve vision. The purpose of a blepharoplasty is to correct excess folds of skin (dermatochalasis) and drooping eyelids (eyelid ptosis), or to reduce baggy lower eyelids. Fine wrinkles can be treated with laser resurfacing or a gentle chemical peel if desired. A periocular and facial trichloracetic acid peel can be performed at the same time as blepharoplasty surgery. Regular tretinoin treatment can greatly improve the quality of the skin.

Upper eyelid blepharoplasty

Upper eyelid blepharoplasty incisions are typically made in the upper eyelid skin crease, where they heal best and scarring remains well hidden.

The blepharoplasty incision is made along the natural eyelid skin crease a few millimetres above the eyelashes. The height of the blepharoplasty incision varies in men and women and is commonly placed lower in Asian blepharoplasty patients who have a naturally low skin crease unless ‘Westernisation’ is requested.

The blepharoplasty consists of an elliptical piece of skin and muscle being removed using a blade and a Colorado needle, which greatly reduces bleeding and helps keep tissue damage to a minimum. The blepharoplasty skin incision is then closed using delicate sutures.

A drooping brow ptosis or eyelid ptosis may be operated on during the same procedure. It is also possible that underlying fatty tissue may be removed during the blepharoplasty surgery to get rid of upper bulges, particularly at the inner corner of the upper eyelid.

s44upperbleph

Lower eyelid blepharoplasty

Patients with only mild eye bags or mild lower lid skin laxity, fine lines or discolouration may not require a blepharoplasty. Instead, they may be able to get a noticeable improvement from revised skin care, laser resurfacing or a chemical peel with trichloracetic acid (TCA peel).

If there are deep tear troughs, an injection of a hyaluronic acid gel filler (eg. Restylane® or Juvéderm®) may be used in the periocular region in order to increase the soft tissue volume. Once the hyaluronic acid gel has reabsorbed after several months, a further injection can be offered. Some patients can proceed with an autologous fat transfer (also known as a Coleman fat transfer).

If a blepharoplasty is required, the incision is often done from the inside of the lower eyelid, which causes minimal swelling and leaves no visible scarring from the outside. This is known as a transconjunctival blepharoplasty. The transconjunctival route is used if a small amount of fat needs to be removed or repositioned into the tear trough.

If skin is going to be removed from the lower eyelids themselves during blepharoplasty, a fine incision is made close to the eyelashes, known as an infra-lash incision. At the same time, the eyelid can be tightened and stabilised using an orbicularis muscle flap and canthopexy. Discreet absorbable sutures are used to close the skin incision, which heals well usually leaving no visible scar.

s45lowerbleph

A pinch blepharoplasty consists of an excision of a small pinch of skin from either immediately below the eyelashes or a little lower down the eyelid, without removing the orbicularis muscle.

Blepharoplasty patients with dry eye may have punctal plugs inserted to reduce dry eye symptoms after surgery.

N.B. Aspirin should be stopped two weeks prior to your blepharoplasty surgery date to reduce the risk of pre- and postoperative bleeding which could affect the vision.
Similarly, warfarin is usually stopped two days beforehand. We aim to reduce the INR to around 2, however, if you have for instance a prosthetic heart valve, this may not be possible and you should check with your cadiologist or your GP first.

What our patients say

“Dr Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”
TONI C. - REALSELF REVIEWS
“Dearest Brian, Merry Christmas and a Happy New Year! Competent, sensitive doctors like you are the prize of the medical profession! I am so grateful that my experience wo so positive. Love you Olga from Estonia”
Olga

Hi Jenny,

I would just like to thank you and the team, particularly Jane and Estrella, for the treatment I had last Friday. It was a pleasure to be there, the premises are excellent (I’m a builder and appreciate property) and the professionalism and care that was extended to me was equally excellent. I can’t fault any part of the process whatsoever and am pleased that the procedure seems to have been successful and my eyelid has settled down to its normal state..

Thank you again

Rob Swallow, Your Content Goes Here

The Highest Quality

We are accredited with the major private health and professional specialty bodies who have bestowed upon us the qualifications to carry out aesthetic and medical treatments at the highest levels of quality.