Remove bags under the eyes /
Removal of bags under the eyes
The removal of bags under the eyes, also known as blepharoplasty, is a surgical procedure that aims to reduce or remove the bags under the eyes. These bags under the eyes are caused by age-related changes in the skin, muscles and fatty tissue and are often congenital. They can make the face appear tired and older. Blepharoplasty is one of the most common aesthetic operations and is performed for both cosmetic and medical reasons.
What are bags under the eyes?
Bags under the eyes are swellings or accumulations of fat and fluid tissue under the eyes. They are caused by age-related changes in the skin, muscles and fatty tissue. Over time, the skin loses its elasticity and firmness, allowing the underlying fatty tissue to shift and accumulate. These changes make the face appear tired and older. Bags under the eyes can be treated for both cosmetic and medical reasons.
What are the causes of bags under the eyes?
There are several causes for the development of bags under the eyes. The most common include
- Ageing process and skin ageing: With increasing age, the skin loses elasticity and firmness, which can cause the underlying fatty tissue to shift and accumulate.
- Genetic predisposition: Some people are more prone to developing bags under the eyes due to their genetic predisposition.
- Lifestyle factors: Lack of sleep, stress, smoking and excessive alcohol consumption can contribute to the development of bags under the eyes.
- Allergies: Allergic reactions can cause swelling and fluid accumulation under the eyes.
- Diet: An unbalanced diet, especially one with a high salt content, can favour water retention.
- Other diseases
What methods of treatment are available?
Surgical method
The surgical method is most commonly used. An incision is made on the lower eyelid margin (outside or inside), with subsequent removal or redistribution of fat and possibly skin tightening. The result is permanent.
Laser treatment
Laser treatment (often referred to as eyelid correction without surgery) sounds very favourable at first. However, there are also disadvantages:
- Risk of pigment changes in the treatment area
- Repeat treatments may be necessary
- If fat cells are responsible for the optical effect, laser treatment is not enough
- Side effects such as burns, etc. possible
- In more pronounced cases, the expected results are not satisfactory in our view
Treatment with fillers
Fillers do not achieve a lasting result and can even favour puffiness in the lower eyelid area.
Brief overview
Lacrimal sac surgery:
Duration of treatment:
2-3 hours
Anaesthesia:
Local anaesthesia, if necessary with twilight sleep, general anaesthesia
Follow-up treatment:
Cooling, upper body elevation, steristrips, eye ointment
Load restrictions:
1-2 weeks
Surgical removal of bags under the eyes
Objectives of the operation
The main aims of removing bags under the eyes are
- Improvement of the aesthetic appearance
- Reduction of puffiness and shadows under the eyes
- Improvement of facial expression and symmetry
- Increased self-confidence and satisfaction with your own appearance
Preparation for the operation
A thorough consultation and examination are required before the operation. During this consultation, we will discuss your previous medical history, allergies, current medication and your expectations of the operation.
Before and after pictures will give you an idea of possible results. It is important to have realistic expectations and understand the potential risks and complications.
Preliminary medical examinations
We will carry out various medical examinations to ensure that you are suitable for the operation. These include blood tests, an eye examination and possibly a referral to an ophthalmologist for further assessment.
Planning the operation
As part of our individual consultation, we will explain your individual surgical plan, including the anaesthesia, the procedure and aftercare.
You will be given specific instructions on how to prepare for the operation, such as taking or stopping certain medication, fasting before the operation and organising someone to accompany you home after the procedure.
The surgical procedure itself
Blepharoplasty is usually performed under local anaesthesia and sedation or under general anaesthesia. The choice of anaesthesia depends on the complexity of the procedure and your personal preferences.
How is the incision made?
We place the incisions along the natural skin folds or the inner side of the lower eyelid so that we minimise visible scars. Through these incisions, excess fatty tissue, skin and sometimes muscle tissue are removed or repositioned.
Once the incisions have been made, we remove the excess fatty tissue that causes the bags under the eyes. If necessary, excess skin is also removed to achieve a firmer and smoother appearance. The wounds are closed with fine sutures.
After the operation
Recovery and aftercare
After the operation, careful aftercare is crucial for healing and the final result. You will be given detailed instructions on wound care, avoiding physical exertion and applying cold compresses to reduce swelling.
Pain and swelling
It is normal to experience pain, swelling and bruising after the operation. We will prescribe painkillers and anti-inflammatory medication to alleviate this discomfort. The swelling and bruising should subside within one to two weeks.
Long-term results
The final results of blepharoplasty will only be visible after a few months, when healing is complete and the tissue has fully adapted. Most patients report a significant improvement in their appearance and self-confidence.
Risks and complications
As with any surgical procedure, there are risks and possible complications associated with the removal of bags under the eyes. These can include
- Infections
- Bleeding
- Scarring
- Asymmetry of the face
- Problems with healing
- Allergic reactions to anaesthesia
It is important to discuss all risks and follow all post-operative instructions carefully to avoid complications.
Conclusion
The removal of bags under the eyes can be an effective method of improving the aesthetic appearance and increasing self-confidence. Thorough preparation, careful execution and conscientious aftercare are crucial to the success of the operation. We will therefore advise you in detail to ensure that you are well informed and prepared.
Can wrinkles or dark circles under the eyes also be treated?
Yes, wrinkles or dark circles under the eyes can also be integrated into the treatment concept when removing bags under the eyes. Complementary procedures such as Needling, RF mesoneedling or the introduction of Hyaluronic acid to further improve the appearance of the skin around the eyes.
These treatments can help to tighten the skin, reduce pigmentation and optimise the overall aesthetic result. During your consultation, we will discuss all the possibilities and the most suitable options for you to achieve the desired results.
What should you look out for when choosing a doctor / clinic?
When choosing a specialist, make sure that you use the term Specialist in Plastic and Aesthetic Surgery. Other designations such as beauty doctor, cosmetic surgeon, etc. are unprotected and not a sign of qualification (more on "What should you consider when choosing a specialist?„.
Make sure that you receive a comprehensive preliminary examination and information about the course of treatment, possible risks and the healing process.
Why should you come to us?
Extensive experience, maximum hygiene and infection protection, continuous further training and and maximum care are the basis of our practice. This is also reflected in the large number of positive patient reviews, our seals and awards.
Benefit from our many years of experience. Dr Michaela Montanari has been a member of the board of the German Society for Aesthetic Plastic Surgery (DGÄPC) since 2021.
Do you have questions about your planned cheek correction or cheek injections?
Dr Michaela Montanari and Dr Anna Maria Bugariu will be happy to answer all your questions about your planned correction. Arrange your personal consultation. We will advise you individually about your options.
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