TEAR TROUGH, DARK EYE CIRCLES, EYEBAGS, PUFFY EYES WHAT ARE THEY? ARE THEY THE SAME?
“You didn’t have a good sleep last night?”
“What happened! Why do you look so tired?”
“Are you working yourself too hard? Take it easy!”
These are common comments from outsiders, due to visible eyebags. Sometimes, even a good night’s sleep is unable to flatten those bags under eyes, making you seem more tired and older than you are.
Why do eye bags form?
Our eye socket are enclosed by fat tissue, which results in a puffy area under the eye. When water is retained, the fatty tissue can be filled with water, allowing it to be more noticeable and protruding. In addition, when collagen and elastin fibres break down due to age, the fat pads have less support and starts to bulge, sagging down. At the same time, as the face lose volume due to age, especially near the cheeks and around the tear trough area, the appearance of eye bags are more prominent.
The factors that play a part in the formation of eye bags includes age- due to the loss of collagen fibres, genetics- whereby some people are more prone to water retention, eating too much salt due result in higher incidence of water retention, poor sleeping habits and monthly hormonal changes.
What are the components of eye bags?
There are 3 components of eye bags:
1) Orbicularis Muscle
2) Oribital Fat
3) Sunken Tear Trough
Let’s go into each component individually, and provide treatments for them, giving you a well-rounded treatment in targetting these eyebags!
1) Orbicularis Muscle
Due to the hyperactive orbicularis muscle under the eyes, whenever the muscles are exercised, such as when you smile or open your eyes, the body transports more blood to the area, which promotes in growth of the muscle.
In order to treat this, botox could be injected into the area, relaxing and freezing the muscle. Upon prevention of movement, the orbicularis muscle could shrink and be smaller, reducing the size of the under “eyebags”, as well as wrinkles and fine lines. Botox could also be injected into the crows feet’s area, reducing the appearance of wrinkles around there, which thus allow you to look younger and fresher.
2) Orbital Fat
As mentioned, these are the fatty tissues in the eye socket, which acts as a base for your eyes to roll around. They serve as a cushion for your eyes, giving the lubricant your eyes need. However, due to water retention, these tissues can expand and protrude, giving you the appearance of eyebags.
This can be treated through cosmetic surgery, also known as lower transconjunctival or transcutaneous blepharoplasty. This removes the bulging and excess fat under eye, as well as the excess skin under the eyes, through the knife. As this is an invasive method, a longer downtime is expected.
3) Sunken Tear Trough
The sunken tear trough area or lost volume of the cheeks can result in a more prominent eye bags. In addition, the deep tear trough can create a shadow which is perceived as a dark circle below the eye, giving the appearance of dark eye circles as well.
As such, fillers are able to provide volume to the sunken area, masking the appearance of eyebags. These tear trough fillers are typically hyaluronic acid, and is often the usage of fillers with a lighter texture, such as Revanesse pure or Juvederm volbella, due to the sensitive area around there, coupled with thin skin, which makes it prone to show “lumping”. Another type of tear trough filler which is very popular is Teosyal Redensity II, which contains Glutathione and antioxidants for brightening. This targets dark eye circles in conjunction with sunken tear trough, providing a more refreshed look with hidden eyebags and brighter under eyes, without the use of concealer.
It is important to pick experience over price promotions for such eye area injections, as precise medical knowledge of eye area anatomy is very important, to provide the safest and most effective treatment.
4) Sagging Skin and Fine Lines Around the Undereye Area
As explained earlier, the loss of collagen around the undereye area can result in droopy skin and fine lines, giving the appearance of under eye bags. This is due to the loss of support for the skin, which causes the under eye skin to sag, allowing the eye bags to be more prominent, giving the appearance of aging and tiredness.
For such treatment, there are three ways we can go about it. Firstly, skin boosters are able to replenish the moisture under the eyes, while providing micro-injections of hyaluronic acid around the area. This boost of hydration can reduce fine lines around the area while providing a plumber look, allowing the skin to appear more youthful. Secondly, HIFU, as mentioned, is able to target the SMAS layer, to promote collagen growth and skin tightening around the area. This lifts the sagging skin, reducing wrinkles and skin laxity around the area. As such, eyebags are reduced in size, while the skin around the area is tightened. Thirdly, cosmetic surgery is able to remove excess skin around the area. This is note as pinch blepharoplasty, which removes excess skin by pinching it together with a pair of tiny forceps. Once again, as this is the most invasive method among the three, a longer downtime is expected.
So which method works the best for eye bags reduction?
Well, the answer would be tailored individually, due to the varied components and reasons for the appearance of eye bags. As a rule of thumb, it is generally advised to start with the least invasive and most natural options in treating the eye bags, and progress only as needed to more advanced options. In addition, due to the sensitive area around the eyes, do seek a certified and experienced medical professional to perform such treatments, giving you the safest and most effective treatment.