How effective is scarless eye bag removal, and how is it performed?

Doctor's Answers 1

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Dr Jonathan Lee

Aesthetic, Hand Surgeon

If the eyebags are of a certain size and not too big, scarless eyebag removal is appropriate. The problem with larger eyebags is that after removal, you end up with a lot of loose skin. So the problem is how to address this loose skin. We also address this in this Q&A here, which discusses skin tightening.

If it's not too large an eyebag, we use noninvasive skin tightening with energy-based devices. But on the other hand if its big enough, like the large eyebags with very loose skin, skin excision is often required.

The transconjunctival approach to removing the eye bags is often described as a scarless procedure because the scar is hidden in the mucosa, not in the skin exposed areas of the lower lid. Another scarless approach to shrinking the eye bag now available is through the use of the AGNES device - employing radio-frequency (RF) needles to shrink the eye bag, rather than excising them.

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How to decide between fillers or eye bag removal to get rid of eye bags and dark eye circles? (photo)

From the picture, it does seem like you do have some moderate eyebag herniation which i'm assuming has been there since your younger days? Typically a more complete form of management of your congenital eyebags would be surgical, but I do note a slight loss of volume along your cheek just under the eyebags (hard to tell from the limited view of the cropped frontal photo). This could be pre-existing and worsen as we age, making the eyebags look more prominent. This makes you a potential candidate for fillers although the results typically last between 1 to 2 years. Basically: 1.

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Human

What is the difference between surgical and non-surgical permanent eye bag removal? (photo)

Looking at the picture, there are a few issues in the lower eyelids that need to be addressed in order to completely rejuvenate the lower eyelid: the bulging eyebag the deep tear troughs and lid-cheek junction lines mid face flattening and skin excess. The extent of correction desired would impact on a few things: recovery time, scarless vs non-scarless approach and the "permanence" of the procedure.

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