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Sandra Tong from Singapore asked a question

What is the most effective treatment for puffy eye bags?

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DxD

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Dr Kellyn Shiau
(9 Reviews)
12 answers on DxD


Aesthetic Medicine

I have bad eye bags and I'm only 30. My eye bags are the puffy, swollen type. It could be surgical/non-surgical options, I'm open to any type of treatments.

DOCTOR’S ANSWER (3)

Dear Sandra,

That's a great question that I get asked quite frequently and from young patients like yourself too. Here are some reversible factors that can lead to puffy, swollen eye bags. 

1. One of the common causes include an excessive accumulation of fluids, called edema, in surrounding skin tissue which can be due to overconsumption of salt, which causes fluid retention. A simple change in your diet can reduce that swelling. 

2. A bad night’s sleep can also lead to puffy eyes in the morning as your body will release cortisol from your adrenal glands, and that changes the salt balance in the body leading to water retention.

3. Allergies can also cause inflammation and swelling. If you are prone to allergic rhinitis or allergic conjunctivitis, getting this treated may help with those puffy eye bags. 

Those are some common causes of puffy eyes that may be reversible with simple change in diet or lifestyle or treatment with medication. Some patient mistake eye bags for dark eye circles. You can read more about dark eye circles here : "What is the most effective treatment for dark eye circles?"

Some of my patients have tried all of the above and still have stubborn puffy eye bags. If that is so, then those puffy bags are the appearance of the lower eyelid fat pads. As we age and lose facial volume, the bags are revealed. In the past, the treatment of these eyebags was removal via trans-conjunctival lower eyelid surgery (from the inside of the eyelid) hence leaving no scar on the outside. 

In the last decade, the philosophy of lower eyelids has evolved and we now try to preserve the fat of the lower eyelid. The use of dermal fillers or fat graft can help to camouflage the presence of the eye bag by blending it with the upper cheek, restoring a youthful appearance. The injection of fillers is relatively painless and takes about 15 minutes. However, the injection around the eyes is very delicate and requires advance training. In the proper hands, this treatment is very safe and effective. 

Structural fat grafting (using Coleman technique), is another treatment modality that is rapidly gaining popularity as fat is a permanent and natural filler from your own body. However, it is permanent once the fat engrafts so you want to be sure you are seeking treatment with an experienced doctor. 

Some patients have very prominent and large eyebags and these will often have to be removed with the use of surgery as mentioned above. The fat is rarely removed but rather we shift the fat to the cheek after releasing the tear trough ligament, killing 2 birds with one stone - disrupting the appearance of the eye bag whilst still preserving the precious fat in the periorbital region. 

If you desire surgery, speak to a board-certified and experience plastic surgeon in your area before you commit to any further surgery. Make no compromises! I hope I answered your questions and all the best!

Dr. Terence Goh

Plastic Surgeon

0 211 views 0 Doctors agree Tue Sep 25 2018 17:15:10 GMT+0000 (UTC)

Dear Sandra,

Thanks for the D2D. If your eye bags are indeed very larger and swollen, you should explore a surgical option. Moderate and milder eye bags can be effectively dealt with non-surgical options.

In my practice, I adopt the technique used by a Korean dermatologist called Dr Ahn that requires only some numb cream followed by a little local anaesthesia.

The Eye Revo technique uses a patented micro filament that is introduced under the skin to shrink the pad pads and at the same time, the under eye is area is firmed up and rejuvenated. Some other non-surgical techniques are available. Hope this helps.

0 236 views 0 Doctors agree Mon Sep 24 2018 09:19:26 GMT+0000 (UTC)

Hi Sandra,

This is a common problem that many people are facing!

In my clinic, I will first assess the severity of the eyebags. If the eyebags are large, I would suggest surgery and refer them to my plastic surgery colleagues.

For small and puffy eyebags, I would offer the non-surgical solutions in my clinic below. They may be used alone or in combination:

1. Thermage,Exilis Ultra 360 , Ultherapy are options for small eyebags.

Thermage and exilis ultra uses radiofrequency to tighten and lift the skin around the eyebags. They will also reduce the fat and fluid accumulation in the eyebags. Ultherapy uses ultrasound to lift the cheeks, supporting the eyebags and reducing its appearance.

Overal results are eyebags which are less obvious.

2. Lasers to the eye bags

I use a combination of lasers to increase collagen and tighten the skin around the eyebags. This firms up the skin and reduce the appearance of eyebags and dark circles.

3. Korean thread lift to the eyebags

These are super fine PDO threads inserted into the eyebags area to firm up the skin and reduce the fats in the eyebags. They will also help to lighten the skin over the eyebags.

4. Fillers

Fillers can be used to reduce the appearance of the eyebags. Fillers may be injected into the cheeks or the tear trough to support and reduce the appearance of the eyebags.

I will advise you consult a doctor to assess your condition and discuss the best option for yourself.

Warm regards

Dr Soh Lea Sar

0 82 views 0 Doctors agree Tue Oct 09 2018 01:54:32 GMT+0000 (UTC)
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