You know what the problem with bags under the eyes is, don’t you? Of course you do: they make you look old – or at least very, very tired.
Medically speaking, everyone has fat around the eyes. It helpfully acts as a cushion. As we age, though, the skin weakens and starts to sag. And, as it does, the fat behind the skin can bulge forward, creating a bag, or “pouch”, if you prefer. Unfortunately, this tends to happen far too early in life, in our late 30s. And the bulging is often accentuated by the loss of underlying bone and fatty tissue in the upper cheeks. Fatty tissue just below the skin is present throughout the face. As we age, it deflates in our cheeks, just below our eyes. With a deflated “support system”, our eyes are left with protruding bulges of fat beneath them.
The good news is that there’s a variety of treatments and products that can reduce under-eye bags, no matter what their cause.
In cases where baggy eyes result from cheek deflation, dermal fillers can add fullness to the cheeks, which lifts the skin to its original position, thereby softening or eliminating the appearance of bags under the eyes.
In some cases, the filler can be injected directly into the skin under the eyes to fill in the hollow area. Dermal fillers are gels composed of hyaluronic acid, a substance found naturally in our bodies that can restore lost volume or add volume to soft facial tissue. Hyaluronic acid also brings water to the surface of skin to keep it looking fresh and supple. Synthetic forms of hyaluronic acid are now manufactured for use in facial rejuvenation and there have been other advances in eye-bag treatment in the last two decades, so fillers are quite safe and diverse.
Techniques for injecting these fillers vary. Your dermatologist can decide whether it’s done deeply, to the bone, or superficially, into the dermis. Precise injection can produce satisfactory results, entirely safely. The durability of results is dependent on the product, but it’s normally six to 12 months.
I’ve seen many people arrive at the clinic depressed about their baggy eyes but leaving happily, feeling good about their eyes again.
However, before you opt for fillers, you must consult a dermatologist with extensive experience in this technique, because injections made to the eye area are not without risk. Side effects can include bruising, swelling and the so-called Tyndall effect, in which the skin under the eyes appears bluish. These negative effects and any risk can be minimised by a dermatologist with a high degree of expertise.
THANISORN THAMLIKITKUL MD is a member of the American Society of Cosmetic Dermatology and Aesthetic Surgery and certified in dermatological laser surgery. Send your questions |for her to firstname.lastname@example.org