Under-eye bags often convey a look of tiredness or exhaustion, but puffiness in the lower eyelids can form regardless of how much sleep is achieved. The main causes of lower eyelid bags are aging and genetics, meaning even the most well-rested patients may still be susceptible to puffy eyes. Some patients with genetic predisposition may exhibit prominent lower lid bags, even at a very young age. While eye masks and creams can temporarily improve dark circles and drooping eyelids, these over-the-counter solutions cannot address the herniated fat that causes eye bags. In many cases, a specialized blepharoplasty procedure called transconjunctival eyelid surgery is considered a very effective technique to smooth the lower eyelid contour for long-lasting results.
Eye bags develop as a result of intraorbital fat pads protruding outward, creating a noticeable bulging effect. Candidates for this particular procedure exhibit prominent eye bags without a lot of excess skin or lower eyelid laxity. During surgery, bulging fat in the lower eyelid is removed and/or repositioned via an incision made on the inside of the lower eyelid. This can effectively smooth a puffy appearance without leaving any visible scarring. Dr. David Bottger performs the transconjunctival technique, as well as traditional upper and lower eyelid surgery, at his Philadelphia practice. He can develop a custom treatment plan with your needs and goals in mind to help you attain the bright, energetic look you desire.
Questions? Don’t hesitate to contact our skilled plastic surgeon if you would like to learn more, or if you are ready to schedule a consultation.