Pockets are the result of a decrease in collagen in the skin, often linked to age. In the orbit, the eye is surrounded by a fatty cushion that protects it from the bone walls, and is held in place by a very thin tissue called the septum, which tends to distend with age. The fat then slides downwards, forming pockets, or fat hernias.Pocket size can vary according to diet, sedentary lifestyle and hormonal cycle.Fat pockets should not be confused with malar pockets, located lower down, which require a specific procedure.

Bags can be a source of complexes, as they prematurely age the eyes. There’s no age limit to surgery to get rid of them. Laser pocket removal is a minimally invasive procedure that leaves no visible scars and has only a few contraindications.The risk of side effects is minimal. The transconjunctival route also prevents any deformation of the eye.As a precautionary measure, however, surgery is not recommended for pregnant or breast-feeding women.

An initial consultation enables Dr. Hayot to examine the bags under your eyes, to determine the indications and to establish a personalized treatment protocol based on your needs. At this time, he will inform you of the precautions to be taken before surgery, such as :

• Do not take anti-coagulant or anti-inflammatory drugs. If possible, stop taking these medications one to two weeks before the operation.
• Make an appointment with the anaesthetist at least 48 hours before the operation. Blood tests will be requested.
• Obtain prescribed medication (such as dry eye drops) in advance.
• Fasting 8 hours before surgery.

The procedure takes place on an outpatient basis and lasts less than an hour. A local anesthetic is usually applied to prevent any discomfort.Dr. Hayot performs transconjunctival laser eye bag removal. The bags are removed without removing any skin, and with a precise assessment of what needs to be removed to avoid altering or hollowing the eyes.The use of the CO2 laser guarantees an extremely fine incision, simultaneous cauterization of the tissues to avoid bleeding and, above all, excellent operative visibility, enabling the right volume of fat to be removed.This surgical technique requires a thorough knowledge of eyelid surgery, years of experience in assessing the volumes to be removed without excess, and mastery of the CO2 laser scalpel. It is therefore advisable to call on an oculoplastic plastic surgeon who has been operating with a CO2 laser for many years.

The results are immediately noticeable and definitive. Puffiness disappears and the eyes are instantly lighter. No scars are visible and no stitches are required. Nor does the skin swell or bruise. Social avoidance may be necessary for only 2 to 3 days.The post-procedure period is light. However, it is advisable to wear sunglasses and apply ice packs to the treated area to prevent eyelid edema. Regular application of eye drops is necessary to soothe dry eyes.

They are all the more rare when you call on a practitioner who specializes in eye surgery and has mastered the CO2 laser scalpel. The transconjunctival approach avoids any risk of eye deformation.