why are creams not working for my eyebags
the presence of eye bags is a common problem that affects people regardless
of age gender or ethnicity eye bags are typically caused by genetics has often
seen in younger people or age-related where fat around the eyes prolapse is
forward the initial response of many people is to buy a bunch of under eye
creams that claim to get rid of eye bags I'll explain why I creams do not
actually work for under-eye bags I'm Dr. Amiya Prasad I'm a
Board-certified cosmetic surgeon and a Fellowship-trained oculofacial or
oculoplastic surgeon I've been practicing in Manhattan and Long Island
for over 20 years my training was first in eye surgery after which I pursued
advanced training in cosmetic and reconstructive surgery of the eyelids I
treat eye bags every day in my practice I also specialize in managing
complications of eye bag related procedures performed by other doctors as
mentioned earlier eye bags can be seen at any age I've treated three
generations of the same family for eye bags the youngest patient I retreated
was 14 years old and many people who come to me are in their 20s and 30s and
have been aware of puffiness under their eyes since their teens this under-eye
puffiness is always present and makes one look tired and older is caused by a
condition referred to as lower eyelid fat prolapse this means that the fat
normally around your eyes has pushed forward creating a bulge this is why
it's called lower eyelid fat prolapse or herniated fat this differs from
temporary causes of bags such as fluid associated with
allergies sinus problems soft intakes and hormonal fluctuations while these
can all cause puffiness they are usually intermittent these temporary causes can
also make the under eye puffiness due to fat appear much worse creams which claim
to eliminate under-eye bags don't work because they cannot physically reach the
deep fat pockets and have any effect the best way to fully correct eye bags is
through surgery to sculpt and remove the displaced fat pockets cosmetic I creams
however can improve quality texture and color of the skin under and around the
eyes I developed some skin care products which are designed for this purpose
there are basically two strategies to help improve the appearance of under-eye
bags if someone has slight fat prolapse pushing forward and has a certain
anatomy of the bone structure under the eyes we're in a space called the tear
trough fillers such as Restylane or Juvederm can be used to blend the
transition between the elevation of the fat pocket and the hollow of the tear
trough this approach to camouflaging lower eyelid fat with filler has been
very useful in our practice to help patients with minimal fat prolapse or
under eye puffiness if someone has more severe eye bags the more definitive
treatment is a surgery procedure called lower eyelid blepharoplasty most general
plastic surgeons perform this procedure with an incision in the lower eyelids
right beneath the eyelashes and sometimes remove lower eyelid skin in
attempt to improve wrinkles this approach is called a transcutaneous
blepharoplasty I see a lot of patients who have had this procedure they come in
complaining of losing the shape of their eyes
the lower eyelid is pulled downward I also see a number of patients who have
had complications from this procedure like lower eyelid retraction and lower
eyelid ectropion these conditions result from skin shortage under the eyes and
compromising of lower eyelid support my procedure of choice is called
transconjunctival blepharoplasty I feel this approach is a minimally invasive
procedure that allows me to address under-eye fat pockets surgically from
the inside of the eyelid there is no external incision or any effect on the
supporting structures of the lower eyelid I essentially reduce and reshape
the fat to address the puffiness so you no longer have bags under your eyes
while maintaining the natural shape of your eyes the goal is to appear as if
you never had I bags this is very highly successful procedure with faster
recovery that allows my patients to return to work in about a week we
routinely perform this procedure under local anesthesia with light sedation in
our certified facilities in both our offices for many patients who come to us
from all over the world for this procedure they like that they don't have
to go to a hospital surgery center and can be comfortable having the procedure
done in our office and they go home soon after surgery not employing general
anesthesia makes patients more comfortable and makes their recovery
much faster since they're not recuperating from the effects of general
anesthesia if I bags are your concern don't waste money on creams when you
understand how the underlying lower eyelid anatomy of the fat pockets which
have prolapsed forwards are responsible for these under-eye bags
buying creams as a treatment doesn't make sense
I recommend you meet with qualified and experienced cosmetic surgeons to learn
about your options which are filler placement to camouflage or surgery which
is more definitive I hope you found this information helpful thank you for your
question
you