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MESSAGES TO
Eye Bags And Dark Eye Circles

Eye Bags And Dark Eye Circles

A DxD Session with Dr Lee Mun Heng


Ended on Wed May 22 2019
Ended

Top Answers


Hi Janice. My honest advice will be for you to consult a doctor for a consultation and confirm that it is indeed an eye bag. Having been in medical aesthetic practice for over 10 years, I have had many instances when seemingly ‘eye bag appointments’ have turned out to be something else.

I have had a few patients with prominent lower eyelid muscles which were solved with just a simple shot of BOTOX ™. No surgery or other procedure was required. These patients are often pleasantly surprised.

In some other situations, there was significant volume deficiency of the mid-face just below the lower eyelid. The difference in forward projections and the angle of projections made the patient feel he or she had an ‘eye bag’. But in actual fact, correction of this volume deficiency with basic fillers or a referral to the Plastic surgeon for a fat transfer procedure solved the issue.

In some other cases, significant tissue/skin laxity in the under eye area, also gives the patient the presentation of eye bags. Non-surgical skin firming with devices like a simple RF/HIFU device or a surgical referral for a lower pinch blepharoplasty can solve the issue if there is very little enlargement or protrusion of the fat pad.

Now, coming to the ‘juicy’ part with no pun intended. If indeed, there is significant enlargement of the lower fat pads resulting in the presentation of eye bags without the above factors to complicate the situation, then a volume reduction of the offending fat pads in the area may be warranted. Traditional surgery is expedient. Surface contact-only aesthetic devices may be disappointing as energy delivery to the fat pads may be insufficient to contract or stimulate enough lysis of the fat pads.

But if all else fails, short of undergoing surgery, a technique that originated from a Japanese Dermatologist,  Dr Toshio Kobayashi and later brought to commercial use by his Korean collaborator, Dr Ahn Gun Young, founder of the Gowoonsaseng Dermatology chain of clinics in Changdam, Seoul is now available.

Dr Ahn has managed to create a microfilament so delicate, it is almost as fine as an acupuncture needle. This microfilament can be attached to his patented device that generates an energy pattern designed to melt the fat bulging out around the eyebag areas safely and at the same time firm the skin.

The microfilament is coated with an ultrafine layer of silicon, also specially patented by Dr Ahn, so there is no risk of heat injury to the skin. Previous techniques such as Laser Eyebag removal such as NILER can possibly induce skin burns according to Dr Ahn.

EYE REVO provides a safe and effective solution for mild to moderate eyebags for patients who prefer a non-surgical option.

I hope the information helps in your quest to solve your ‘Eye Bag’ issues.

18 Aug 2018

Hi Jun Yi, 

Thanks for your D2D. It is true that our looks are a result of our genetic makeup. Recently, there was a case where I had to treat 4 sibilings with similar eye bag conditions. 

However, such an example of familial inheritance in features is not always the case. The cause of eye bags is a confluence of factors, bone structure, fat volume, skin laxity, and so forth. You can imagine that a patient with a shallow orbit (eye socket) and a large fat pad under the eye area will tend to exhibit an eye bag.

I hope this helps!

24 Sep 2018

Thanks for your question. It is not uncommon for teenagers to have eye bags. I do see quite a number of young patients coming for consultations regarding their eye bags. I usually will examine the patient to ensure that an eye bag is the predominant problem before discussing the treatment options.

A general approach will be for me to help the patients understand the surgical and non-surgical options. If the patient decides against surgery, and some instances, t I will offer a non-surgical solution called Eye Revo which originated from Dr Kobayashi in Japan and commercialized by a dermatologist called Dr Ahn in South Korea.

All that is required is some topical and local anaesthesia followed by the application of a fine filament introduced under the skin to stimulate shrinkage of the eye bag fat pads and then tightening of the skin. I hope this helps with your question.

24 Sep 2018

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.

24 Sep 2018

Top Questions


How effective is fat repostioning for removing eye bags, and how does it work? How does it compare against other procedures for removing eye bags?