Why do “bags” appear?
The fatty tissue of the orbit is normally retained by a thin septum. With age, the septum weakens and fat protrudes forward, forming characteristic bulges under the lower eyelids. It is impossible to remove them with creams or massage - this is an anatomical displacement of the tissue. The surgeon removes or redistributes excess fat through an incision, restoring an even transition from the eyelid to the cheek. This is the most common surgical procedure in patients over 45 years of age.
What does blepharoplasty solve?
With age, the skin of the eyelids loses its elasticity, the orbicularis muscle becomes stretched, and the orbital fat packs shift forward. The upper eyelid droops, the look becomes heavy, and “bags” appear under the lower eyelids. Cosmetics do not affect these changes - they are anatomical.
Blepharoplasty removes excess tissue and returns a clear contour to the eyelids. This is one of the most common plastic surgeries: it noticeably changes the facial expression, while the scar is hidden in a natural fold and after a few months becomes almost invisible.
The volume of intervention is selected individually
- only skin - with slight excess and good muscle tone
- skin and a strip of orbicularis muscle - with severe flabbiness
- skin, muscle and fatty hernias - with formed “bags”
- additional fixation of the fold - with pronounced age-related sagging
Not just aesthetics
If there is significant overhang of the upper eyelid, the skin may block the upper part of the field of view - then the operation also solves a functional problem. Before the intervention, consultation with an ophthalmologist is required: dry eyes, weakness of the eyelid ligaments and other conditions affect the choice of technique and volume.