How Fluid Causes Temporary Puffy Eyes, and Why Constant Eye Bags are Caused by Fat

Описание: A woman is wondering what can be done to smooth out the bags under her eyes. She wonders they can be drained using a needle.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, has a background training in eye and cosmetic surgery. Eyelid and eye bags surgery are things he does every day. When puffiness under the eyes is constant and is always puffy, that puffiness is actually fat and not fluid in a condition called lower eyelid fat prolapse. This means that the fat that is behind the eye or surrounds the eye pushes forward like a hernia. The reason why a lot of people confuse this with fluid is because allergies, sinus problems and eye rubbing can all cause the eyes to look temporarily puffy due to fluid. When bags are always there, then it's not likely due to fluid but caused by fat.

In Dr. Prasad’s practice, he typically addresses the problem first with a physical examination to confirm the puffy bags are due to fat. He performs a procedure such as a transconjunctival lower eyelid blepharoplasty. This is a procedure which is performed from the inside of the eyelid to address the fat pockets. This means resection or removal and repositioning as is appropriate. In addition, he uses platelet-rich plasma (PRP)which is derived from the patient’s own blood and helps improve the quality of the skin by generating collagen and blood supply. It also improves the health of the skin because the eyelid skin is the thinnest skin in the body, and improving this quality is very beneficial. Sometimes he also does fractional CO2 laser to help the external skin structure and to reduce the fine lines and wrinkles.

At this point, Dr. Prasad thinks that she should meet with qualified experienced surgeons and learn about the options. The thing he can’t do with a photo is a physical exam. He explains that it’s very important to understand the function and the support structure of the eye before undergoing lower eyelid surgery. As a specialist, he deals with complications of lower eyelid surgery every week and people come to him from all over the world for resolution. Performing a physical exam such as a snap test to determine the integrity of the eyelid support is critically important. He always says that lower eyelid surgery is deceptively oversimplified by many doctors, which unfortunately often results in the eyelid being pulled down or everted.

For more information on transconjunctival blepharoplasty, go to:

http://prasadcosmeticsurgery.com/pras...