Under-eye bags or bags under the eyes are one of the most common facial ageing concerns reported by patients. Although people may feel tired occasionally, what often troubles patients is when they get told they look tired, even though they feel great and full of energy. This can be a significant source of frustration for many patients, leading to a loss of self-confidence.
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The natural ageing process is not always the underlying cause of under-eye bags. Bags under the eyes can develop in people as young as their early 20s and those in their 50s and beyond. For younger patients, genetic factors play a role in their development, while the natural ageing process is a common cause of eye bags in those in their 40s and beyond.
The optimal approach to effectively treating under-eye bags is to try to elucidate what patients mean when they say they look tired. For some, it may be the presence of sunken eyes or bulging fat, resulting in puffy eyes. Some people may complain of dark circles beneath the eyes, while those in their 50s and above may be concerned about forming festoons or malar bags under the eyes. Whatever the concern, it is essential for the surgeon to accurately understand a patient’s concerns to select the most suitable cosmetic treatment.
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Here at Centre for Surgery, we offer a comprehensive range of treatments for bags under the eyes, helping you achieve a rejuvenated and refreshed look.
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Under Eye Filler
Under-eye filler, also known as tear trough filler, is an excellent non-invasive treatment for addressing dark circles under the eyes. The key to successful treatment is to choose appropriate patients, as they are most effective for treating certain types of dark eye circles commonly found in younger people. Some people may have a hollowed-out appearance in the tear trough area, which can appear sunken or depressed. This is most widely described as dark circles rather than eye bags and is related to a deficiency of soft tissue volume in the area beneath the eyes. Tear trough filler is ideal for this type of aesthetic concern.
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Many people have a natural depression in the under-eye area, which can accentuate the appearance of skin located higher up, resulting in the formation of dark shadows in the tear trough. The injection of dermal filler in this hollowed-out area restores soft tissue volume, which evens out the appearance of this area, helping to reduce dark circles.
The most common types of tear trough filler contain hyaluronic acid, including Redensity 2, Restylane and Juvederm. These are premium dermal fillers specifically designed for use in the delicate area beneath the eye. Fillers come in different levels of consistency, and the ideal type of filler for the tear trough has a soft feel, which can be more precisely shaped once injected into the tear trough area.
Under-eye filler is not suitable for every patient. Patients who have actual bags under the eyes as part of the natural ageing process will have a combination of loose skin with herniated pockets of excess fat. Injecting filler in these patients can worsen the appearance of the tear troughs. We recommend AccuTite radio-frequency skin tightening for patients with mild to moderate skin laxity affecting the lower eyelids.
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Morpheus8 for the Tear Trough Area
Many patients have mild to moderate under-eye bags. Suitable treatment is designed to address the commonly found dull skin complexion with darker skin and mild degrees of hollowing. Morpheus8 is an excellent treatment in these cases. The treatment involves a combination of microneedling combined with radiofrequency energy to improve overall definition and clarity in the area, and does not involve the injection of artificial substances as with tear trough filler.
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Morpheus8 stimulates the production of collagen and elastin in the eye bag region, promoting the healthy renewal of new skin cells. This promotes a regenerative effect with positive effects on skin healing in the under-eye region, leading to a refreshed and youthful appearance. For those seeking to enhance overall skin quality, Morpheus8 is an excellent treatment that offers the benefits of traditional surgery without its invasiveness.
AccuTite for lower eyelid tightening
AccuTite is a minimally invasive treatment which is highly effective for targeting under-eye bags. Patients with mild to moderate signs of ageing affecting the area beneath the eyes can get excellent results with AccuTite treatment. Lower eyebags are most commonly composed of loose skin and bulging fat. AccuTite utilises radiofrequency energy applied beneath the skin’s surface to contract the skin and stimulate collagen and elastin production. The AccuTite handpiece is a miniaturised version of the popular FaceTite handpiece used for the lower face and neck. It is possible to achieve up to 60% skin contraction, resulting in tighter and firmer skin, by eliminating under-eye bags.
AccuTite is suitable for patients who may not yet have significant signs of ageing affecting the under-eye area or may not be keen on an invasive surgical procedure, such as a blepharoplasty, with its potential for scarring and slightly higher risk of complications.
Eyelid Lift Surgery – Blepharoplasty
Blepharoplasty, also known as an eyelid lift, is suitable for patients who have more extensive signs of saggy eyelids and desire longer-lasting results. Eyelid surgery is designed to remove excess skin and bulging fat by tightening the underlying muscles of the eyelids. The procedure can be performed on the upper eyelids, lower eyelids, or both. Ideal patients have drooping upper eyelids or may have puffiness affecting the lower eyelids. Droopy eyelids can sometimes affect vision, and surgery can effectively correct this issue while also producing a refreshed appearance.
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Individuals who primarily experience hollowness in the under-eye area are not suitable candidates for eyelid surgery. Blepharoplasty is designed to address droopy eyelids or eyelid puffiness caused by the natural ageing process. Deficient soft tissue volume leading to sunken eyes is better treated with other methods, including tear trough filler.
Why choose Centre for Surgery for Eye Lift Surgery?
Centre for Surgery is recognised as one of the leading plastic surgery clinics in the UK and is home to some of the most renowned cosmetic surgeons in London. Our treatment philosophy is centred on delivering the highest standards of medical care before, during, and after your procedure to ensure you achieve the best possible results. We are committed to delivering a proactive after-care service which helps our patients feel well-supported throughout their patient journey with us at the Centre for Surgery. Scheduling a consultation at our Baker Street clinic in Marylebone is easy. Call us on 020 7993 4849 or complete the contact form below, and one of our friendly and knowledgeable patient coordinators will be ready to assist you with your enquiry.