Eyebag Surgery

           REFRESH | REJUVENATE 

Eyebag Surgery

REFRESH | REJUVENATE 

Why do we have

Dark Eye

Circles?

THERE ARE MANY CAUSES OF DARK EYE CIRCLES

Common causes of dark eye circles include:

Insufficient sleep

Allergies

Skin pigmentation

Thin skin

Prominent veins

Eyebags

Not all causes of dark eye circles are caused by eyebags and certainly not all causes of dark eye circles should be treated with eyebag surgery. Treatment of the underlying conditions will help.

Certain cases of dark eye circles can be treated with HA (hyaluronic acid) fillers. However, this is temporary and this is a challenging areas for fillers

For patients who have very thin skin or have too much fat removed creating a sunken look, structural fat grafting to the area can improve the thickness of the skin reducing the dark eye circles

Why do we have             Dark Eye Circles?

THERE ARE MANY CAUSES OF DARK EYE CIRCLES

Common causes of dark eye circles include:

Insufficient sleep

Allergies

Skin pigmentation

Thin skin

Prominent veins

Eyebags

Not all causes of dark eye circles are caused by eyebags and certainly not all causes of dark eye circles should be treated with eyebag surgery. Treatment of the underlying conditions will help.

Certain cases of dark eye circles can be treated with HA (hyaluronic acid) fillers. However, this is temporary and this is a challenging areas for fillers

For patients who have very thin skin or have too much fat removed creating a sunken look, structural fat grafting to the area can improve the thickness of the skin reducing the dark eye circles

  • Eye bag, Tear Trough, Anatomy

    Write your caption here
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  • Tear Trough Anatomy

    Write your caption here

What causes eyebags?

Understanding the mechanism behind eyebags

01

  • Tear Trough (TT) Ligament

    The tear-trough ligament is a key anatomical structure that marks the lid-cheek junction. This ligament causes the fat above to bulge and acts as a restraint creating bulgy and puffy eyes

02

  • And what about the (fat) eyebag ?

    In truth, the fat around the eyes does not increase with aging. In fact as you get older, the fat may reduce (atrophy). Hence we try to avoid removing this precious fat and the newer techniques strive to preserve as much of this fat as possible by repositioning it in the cheek.

03

  • Laxity of skin and muscle

    With aging, the laxity of the overlying tissues that you can see or feel, such as the skin and muscle and tissues that you are unable to see, such as the orbital septum allows the eye fat around the eye to bulge creating puffy eyebags, giving rise to a tired or aged appearance

  • Eye bag, Tear Trough, Anatomy

    Write your caption here
    Button
  • Tear Trough Anatomy

    Write your caption here

What causes eyebags?

Understanding the mechanism behind eyebags

  • 01 Tear Trough Ligament

    The tear-trough (TT) ligament is a key anatomical structure that marks the lid-cheek junction. This ligament causes the fat above to bulge and acts as a restraint creating bulgy and puffy eyes

  • 02 And what about the (fat) eyebag ?

    In truth, the fat around the eyes does not increase with aging. In fact as you get older, the fat may reduce (atrophy). Hence we try to avoid removing this precious fat and the newer techniques strive to preserve as much of this fat as possible by repositioning it in the cheek.

  • 03 Laxity of skin and muscle

    With aging, the laxity of the overlying tissues that you can see or feel, such as the skin and muscle and tissues that you are unable to see, such as the orbital septum allows the eye fat around the eye to bulge creating puffy eyebags, giving rise to a tired or aged appearance

What can eye bag surgery do for me ?
New concepts for eyebag surgery creates natural and fuller eyelids that blend with overall face shape, avoiding the long-term "hollowed" appearance

01

  • Release of tear trough (TT) ligament

    Understanding of the TT ligament is a key concept that has revoluntionised eye bag surgery. Release of this ligament allows the fat to flow to the cheeks helping to prevent recurrence of the eyebags.

02

  • Contouring of eyebag fat

    New techniques shift towards eyelid "shaping" and periorbial contouring blending the lid-cheek junction. Old techniques which emphasize on fat removal are no longer practiced.

03

  • Tighten excess skin and bulging muscle

    New concept of muscle preservation and re-suspension reduces risk of complications compared to older techniques of maximal muscle resection.

- 01

  Pre-operative assessment 
determines the surgery that you need

Surgery tailored to each individual

Each individual is different and the severity of the eyebags can be graded into Type I,II or III in increasing severity.


Type I is an isolated tear-trough deformity.


Type II combines a tear-trough with excess eyebag fat causing a lid-cheek deformity


Type III is a Type II deformity with loose skin and muscle and skin wrinkles


Based on the patient’s presenting deformity, we take a highly tailored approach to each operation.

Isolated Tear-trough (TT) deformity

Type I Eyebag. Patients with a Type I eyebag tend to be young patients who have a genetic predisposition to prominent eyebags. They may only require release of the tear trough ligament through a hidden incision without the need or minimal manipulation of the eyebags and certainly no need for any skin excision.


Some patients who had previous eyebag surgery but no release of the TT ligament may notice a "recurrence" or suboptimal result after eyebag surgery. Release of the ligaments will help this group of patients.

Tear trough deformity with prominent eyebag

Type II Eyebag. Patients with a Type II eyebag have a TT deformity as well as significant eyebag fat causing a bulge and a lid-cheek segmentation. These patients tend to be in the 30-40s and have good skin elasticity. There is minimal wrinkling of the skin.  For these patients, a release of the TT ligament and recontouring of the fat will be sufficient to create a flat lower eyelid contour.

Type II eyebag with excess skin and muscle

Type III Eyebag. Patients with a Type III eyebag tend to be older (above 45) and they would have wrinkles suggesting increased skin laxity and excess skin and eye muscle. Alongside with the TT deformity and the excess fat in the eyebags, there will be significant segmentation of the lid-cheek junction giving a tired or aged-looking appearance.


These patients are usually a good candidate for skin and muscle excision and re-positioning of the lower eyelid fat.

- 02

  Scarless Eyebag Surgery 

Release of the tear trough ligament and recontouring of the lower eyebag fat

The advantage of the scarless eyebag technique is that the incision is hidden without external scars.
 
The recovery is faster and patients can be back to work in 5-7 days.

Skin is not removed and the risks of complications is also lower.

- 03 

  Incision Eyebag Surgery 

Employing new understanding of anatomy to ensure more natural and consistent results

The incision eyebag surgery is done with the incision placed in one of the existing lower eyelid creases.

The skin and muscle is removed very sparingly to minimise complications. 
The skin and muscle is re-suspended to create a lift of the mid-cheek.

The incision technique allows a more versatile contouring of the lower eyelid.

Hospitalisation

 Day Surgery

Anaesthesia

 Local Anaesthesia or
IV Sedation

Operation Time

60-90 minutes

Removal of Sutures

5 Days

Downtime

Resume normal routine after 5 days
(Swelling may last 14-21 days)

Follow-Up

Day 5 and Day 21
(No Extra Fees)
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