Does eyelid surgery also involve removing bags from under the eyes? And after bags are removed, how do you keep them from coming back?
Lower eyelid blepharoplasty in many cases involves addressing the bags of the lower lids. The bags are actually fat that has herniated from beneath the eye which usually occurs over time due to weakening of the normal retaining tissue of the fat of the lower lids. In the past the herniated fat of the lower lids was simply removed during blepharoplasty in order to smooth out the lower eyelids. More recently, surgeons have learned that the lids tend to appear hollow over time if too much fat is removed from the lower lids during blepharoplasty. Fat repositioning, or the replacement of the fat into a more normal position to help decrease the hollowness of other parts of the lower eyelid rather than only removing the bulging of the lower eyelid, is practiced much more frequently at this time. Like any other parts of the body, you will continue to age and your blepharoplasty may need to be revised in a 7 -10 years if you notice bulging has reoccurred.
Posted by Dr. Philip Schoenfeld