Understanding and Eliminating Eye Bags, Tear Troughs, and Dark Circles: The Ultimate Guide by a Plastic Surgeon

2024-02-16 14:34:00

▲Picture/Provided by NOW Health

Text/Lin Yumin/NOW Health

Everyone’s eyes will have different changes, such as silkworms, tear troughs and bags under the eyes. Some are congenital, while others are traces of time. Not all of them are unwelcome. Dr. Weng Risheng, director of the Plastic Surgery Department of Fu Jen Catholic University Hospital, pointed out that the eyelids, tear troughs and eye bags have different characteristics, among which the eyelids are the most pleasing. As for the tear troughs and eyebags that appear older and lethargic, It can be improved with fillers or surgery.

How to distinguish between eye bags, eye bags and tear troughs?The doctor teaches you to be smart and understand

Dr. Weng Risheng said that the protruding part of the eyelid is located next to the lower edge of the eyelids and is caused by the contraction of the hypertrophic orbicularis oculi muscle. It is also called “peach blossom eyes” and makes people feel friendly; as for bags under the eyes, It is a bulging area of ​​fat located under the eyelids. The bags under the eyes are very obvious when you are not smiling. They become lighter when you smile. The bags under the eyes are particularly obvious when you smile. Bags under the eyes are mostly common in middle-aged and elderly people over the age of 40 or 50. But there are also congenital eye bags that become more and more obvious in your 20s and 30s. The tear trough is the ligament tissue below the orbit. The depression formed along the bone edge of the orbit will deepen the shadow of dark circles and often merge with dark circles.

People in the clinic often ask regarding how to eliminate eye bags. Dr. Weng Risheng explained that the judgment will be based on age and the severity of eye bags. For younger people under 40 years old or those with less serious eye bags, simple hyaluronic acid or fat filling can be used to improve the sunken areas. , but the maintenance period is also short-lived. The improvement through eye bag surgery can usually last for more than 5 to 10 years. The surgery can be divided into two types: internal opening or external opening.

Dr. Weng Risheng further explained that the wound of internal surgery is located in the conjunctiva or within the epidermis, and the wound cannot be seen from the outside. It is suitable for mild to moderate eye bags or young people, and can also fill fat into the apple muscle; while external surgery can The wound is located at the edge below the eyelashes. The surgical method is to separate the fascia first, use excess fat to fill the tear trough, then push the protruding fat back into the orbit, tighten the muscles and fascia, and remove excess skin to adjust eye bags. It is suitable for For those who are older or have severe eye bags.

Precautions for eliminating eye bags while improving tear troughs and dark circles 1 view

Eye bag surgery usually also has the effect of simultaneously improving tear troughs and dark circles. However, due to the diverse causes of dark circles, which may be caused by eye bags, blood vessel proliferation or pigmentation, the improvement effect is more significant for eye bag type dark circles, and other types of dark circles. The dark circles under the eyes can be eliminated to some extent, but cannot be completely eliminated. They can be treated with laser.

Dr. Weng Risheng reminds that eye bag surgery is usually suitable for most people. However, if you have special conditions such as heart disease, you need to be evaluated before surgery. If you are using anticoagulants, you need to stop taking them 3 to 5 days before surgery. sky.

In addition, you can choose to use local or sleeping anesthesia for surgery. The postoperative recovery period is regarding 1 to 2 weeks. Some people have a shorter recovery period, with only 3 days of swelling. During the recovery period, a fixed tape will be used on the eyes for regarding 3 to 5 days to speed up wound healing and reduce swelling. At the same time, it is necessary to avoid washing, massaging or rubbing the face, and pay attention to sun protection to avoid turning the wound black.

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