Causes of Eyebags and their Treatment
Causes of Eyebags
Many people express frustration at looking chronically tired despite
getting adequate rest. Eyebags, fine lines and hollowing under the
eyes (tear trough) are common signs of ageing. So if getting the
prescribed eight hours of sleep every night and religiously applying
the latest eye creams don’t solve these problems, is it time to
resort to surgery?
What is perceived as eyebags can be from a
variety of causes: Orbicularis
Hypertrophy
When seen in a young
person, particularly someone that squints from myopia, this could be
due to over-activity of the eye muscles (orbicularis
hypertrophy). Such eye bags are usually well defined and
more obvious when the person squints. The eye bag is also closest to
the eyelid. Such eye bags respond well to Botox, which has an added
effect of widening the eye aperture, resulting in larger eyes!
Classic bulge from orbicularis hypertrophy from
squinting is close to eyelid margin:

Fat Pads
Eye bags can also be
caused by excess fat tissue in
the area under the eyes. There are 3 distinct fat pads, lying in a
straight row below the eyes. These herniated out below the eye
muscles, causing a distinctive bulge slightly lower in the tear
trough area. There is a large genetic component to these fat pads,
which are also diet and exercise resistant (they don’t go if you go
on a diet). Traditionally, surgery was needed to remove the excess
fat. With greater experience with Mesotherapy, some doctors now
inject the fat-dissolving cocktail directly into the fat pads, thus
reducing the need for an operation. Up to 3 sessions may be needed
for optimal results.
Fluid Retention
As a person gets
older, the quality of facial circulation and lymphatic drainage
reduces. The stagnation of toxins and fluid produces puffy eye bags.
The size changes from day to day and also varies at different times
of the day. As the situation tends to worsen with time, the extra
fluid collection stretches the skin in the delicate eye area.
Outside of eyelid surgery to remove the excess skin, there have been
few effective treatments available till now. Our signature
Advanced Biomatrix Eye
Treatment can reduce the puffiness and
tighten up the loose skin.
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