Why do I have bags under my eyes?

Bags under the eyes are a consequence of skin aging: collagen synthesis in the skin gradually diminishes. As a result, the skin becomes thinner. In the orbit, the eye is surrounded by a small cushion of fat that prevents it from coming into contact with the bone walls. Over the years, this cushion loses its support and the fat slides downwards. These fat pockets are often a combination of other factors that contribute to their appearance:

• Genetics and heredity play an important role in the formation of under-eye bags.
• Water retention, often linked to excessive salt consumption, can lead to swelling under the eyes.
• Fatigue and lack of sleep widen the blood vessels under the eyes
• Allergic reactions may cause swelling under the eyes.
• Sun exposure can damage the skin’s collagen.

What are the everyday effects of bags under the eyes?

Bags under the eyes can have significant effects on a person’s appearance and overall health. Aesthetically, they can alter the perception of youth and vitality, while medically, they can lead to uncomfortable symptoms and, in some cases, obstructed vision:

• From an aesthetic point of view, bags under the eyes can give a tired, aged appearance. They impact self-confidence and can make it difficult to apply make-up evenly.
• From a medical point of view, large bags under the eyes can lead to obstructed or restricted vision. They may also be associated with a feeling of discomfort, itching or stinging. When they are the result of allergies, other symptoms such as sneezing, itching or a runny nose may also be present.

What treatments are available for under-eye bags?

Under-eye bags can be treated surgically or non-invasively.

Non-surgical treatments

Treatments using plasma (PlexR, Jett Plasma) can reduce excess skin in under-eye bags. Some anti-puffiness creams improve blood circulation and help treat under-eye bags. Lymphatic drainage of the eyelids is a massage designed to improve lymph circulation in the face and reduce the puffy appearance of under-eye bags. Finally, a change in beauty routine and lifestyle can be effective in combating under-eye puffiness. It’s advisable to eat a healthy diet, take part in sporting activities and remember to remove make-up carefully every evening.

Surgical treatments

Cosmetic eyelid surgery (blepharoplasty) is generally indicated. The procedure involves flattening the eyelid bag to the same level as the bone margin. Pockets are removed using a laser. The procedure is minimally invasive. If bags are associated with dark circles, nano-lipostructure can be used to mask their color.

The choice of treatment will depend on the underlying cause of the bags and the severity of the situation. A consultation with a qualified health care professional or plastic surgeon is recommended to determine the best approach to reduce under-eye bags and restore an energetic appearance to the eyes. Dr. Hayot, a specialist in blepharoplasty, warmly welcomes you to his office to answer your questions.