Under Eye Bags, Baggy Eyelids, and Blepharoplasty Eyelid Surgery (eyelid tightening, eyelid lift)

Explore the problems of eye bag removal by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Baggy Eyelids and Blepharoplasty Eye Bag Removal The tissues under the eyes has a flat gently tense tone in youth. Age and other factors can let the muscles sag and fat bulge. Some call this protrusion blepharochalasis and more commonly called under eye bag or baggy eyelid. It is a very common condition seen with:

normal aging fatigue or being tired allergies	swelling obesity certain medical problems
	The eyes are surrounded by protecting fat. The facial eyelid muscles and skin hold this retro-orbital fat in place resulting in a youthful line starting from the eyelashes to the cheek. Gravity and the wear of time can make all facial tissues sag (see the aging male face of President Adams and Paul Revere.

Under eye bags form from the fat gentle pressure on this lax muscle, ligament, and skin wall. In some cases there is extra fat behind the support wall creating the baggy eyelids. Sometimes there is relaxed extra skin (dermochalasis) causing the eye bags. At other times the lid muscles are just thickened. Upper eyelid bags can be the result of drooping eyebrows.

Conditions associated with eye bags:

• blepharochalasis - uncommon combination of protruding skin folds of eyelids, severe thinning of lid skin, recurrent episodes of lid swelling and inflammation
• dermochalasis - extra skin
• hypertrophy of the orbicularis muscle - eyelid muscle overgrowth
• protrusion of intraorbital fat
• brow ptosis - baggy upper eyelids from drooping brows
• combination of the above problems

Eye bags can be aggravated or improved with room lighting. Point source harsh illumination from above tends to cast shadows accentuating under eye bags. Diffuse lighting softens shadows. That is why Dr. Bermant uses consistent lighting before and after surgery for the images seen here on this web site.

Blepharoplasty for eye bag removal depends on the individual problem(s). Blepharoplasty sculpture is often a blend of individual elements to address each component of what has caused the baggy eyelids.

The best way to determine what plastic surgery may have to offer is during an office consultation after an evaluation. That way Dr. Bermant can design your eyelid sculpture for your needs and help you explore your options.

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This page last updated on: July 12, 2008

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