Tired of looking exhausted?

Eyebag Grade 3

Protrusion blepharochalasis,also known as eyebags, is usually one of the bane for many look conscious individuals, because eye bags not only make one look haggard, sad and unattractive, but also make one look constantly exhausted and lethargic, often creating a lousy impression and lack of vigor.

As early as in our early 20s, many of us will start to notice these unsightly undereye bags, making us look much older than what we actually are. When we approach our 30s, 40s or even older, eyebag worry worsen.

What causes eyebags?

There are many causes of eyebags, such as aging, hereditary, stress, allergies, hypertrophy of the orbicularis muscle – overgrowth of eyelid muscles, which results in protruding fat, and the like and they are graded according to how prominent they are.

Eyebags can generally be classified into 3 grades, namely Grade I, Grade II and Grade III and the most common causes of saggy and baggy eyes are age and “bad genes”. This also means that if you have eyebags when you are younger, it will almost certainly become more obvious as you age.

Do you have eyebags?
Click to ENLARGE

How are eyebags formed?

Our eyes are protected and cushioned by fats (NOTE: Being obese does not cause eye bags) and will sags downwards in reaction to gravity overtime. This gradual sagging of fats is not apparent when we are younger. But as we age, reduction of collagen will result in the thin and delicate skin around the eyes to lose its elasticity and stretch. The weight of the fats from this downward pull will cause a pouch to form in time.

What can be done?

eyebag removal Despite knowing how eyebags can have a negative effect on one’s appearance, many people are however, daunted at the thought of going under the knife due to potential scarring issues, downtime, complications, and the like.

Many men and women in their quest for a “knife-less” and risk-free solution to eyebags resort to expensive over-the-counter eye creams, eye-gels, eye-masks and/ or even gadgets, only to find that these (often) twice a day “ritual” does little or no help to improve eyebags.

Depending on the cause and extent of the eyebags there are both non surgical and surgical ways to remove those excess bulges.

Non-surgical eyebags treatment

Temporary fillers can be used to treat eyebags. Fillers are injected in the depression just beneath the eye bags. This treatment is suitable for people with mild eye bags and can be performed in the office. The main benefit of this is that there is generally no downtime, although some slight bruising can be expected. But on the flip side, this “removal” is only temporary.

For the more “serious” cases of eyebags, surgical removal of fats be the only way to effectively and efficiently improve the appearance of eye bags.

Surgical eyebag removal

There are basically 2 techniques to eyebag removal.

Trans-cutaneous (cutting) approach of eyebags removal involves making a cut along the lower eyelid. Thereafter, the eyelid skin is being pulled down exposing the fats. The surgeon will then have the fats and excess skin (if necessary) removed. The eyelid skin is then flipped back and stitched up.

This method has got fairly higher risks of risks and complications, such as over excising the skin, causing eyelid retraction (lower eyelid to turn outwards), injuring of the orbicularis muscle and the much dread scarring.

However, this method is excellent for individuals with excess under eye skin.

Another method of eyebag removal is the trans-conjunctival approach, also known as Scarless Eyebag Removal. As the name suggest, this method of eyebag removal leaves one with NO VISIBLE scar. This is because an incision is made from the inner side of the eyelid. The bulge of fat from the undereye is then removed and the incision is closed with dissolvable stitches.

Eyebag Diagram

Typical eyebag of a young adult

eyebag removal TCS’ Scarless Eyebag Removal approach is a minimally invasive approach, performed under local anesthesia. Downtime is shorter and recovery is speedier, as compared to the traditional trans-cutaneous approach.

In addition, the risk of scarring and eyelid retraction is very much reduced.

Healing process

During the recovery phase, slight bruising and swelling can be expected. Most people are able to resume work after about 2 – 3 days, with light make-up to conceal the bruise. As dissolvable stitches are used, NO stitch removal is required.

After 3 days of recovery

After 3 days of recovery:
Mild bruising (yellowing, circled in red) below the lower eyelids near the cheeks and slight swelling of the pretarsal muscle of the lower eyelids.

Is everyone a good candidate?

Unfortunately, not everyone is a good candidate for this procedure. Those who are older and have very lax skin around the eyes will not have a good cosmetic result after removal of eyebags using the scarless eyebags removal technique. It is therefore important that you consult an experienced doctor who can advise on whether or not you are suitable for this procedure.

At TCS Aesthetics Central, our doctor is experienced in eyebags removal and has done enough procedures to advise you on the options available for the best cosmetic result.

Clinical outcome results

We are committed to providing the highest standard of care to all our patients. All our surgical procedures and outcome are documented and constantly reviewed. This is part of the centre’s emphasis on quality patient care, safety record and good clinical outcomes.

At TCS Aesthetics Central, it is not just about removing eyebags, combination therapies such as chemical peels and lasers. We listen to you and provide personalized advice such that an informed decision is made together with you on what is the best possible outcome.

Don’t wait! Consult our doctor today to find out more about our options for eyebag removal. Call us at 6221-8221 for an appointment.