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Options for Eye Bag Surgery

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Causes and Solutions for Eye Bags

Eye bag surgery, also known as blepharoplasty, is a popular cosmetic procedure that aims to rejuvenate the area around the eyes. It’s a solution sought by many to address issues such as under-eye bags, drooping eyelids, and even wrinkles that can make one appear tired or older.

Chester Consultant Plastic Surgeon Anca Breahna can help you explore the various options available for eye bag surgery, focusing on the techniques, benefits, risks, and recovery process.

What Are Eye Bags?

Eye bags are a common occurrence that many people face as they age. They appear as puffy or swollen areas under the eyes and can give a tired or aged appearance. Knowing what eye bags are, why they occur, and how they can be addressed is important for anyone considering eye bag surgery.

Eye bags primarily occur due to changes in the skin and underlying tissues around the eyes. As we age, the skin loses its elasticity, and the muscles supporting the eyelids weaken. This can lead to the accumulation of fluid or fat in the lower eyelid area, creating a bulging or baggy appearance.

Contributing Factors

Different factors contribute to the development of eye bags, including:

  1. Ageing: The most common cause is natural ageing. As we grow older, the tissues around the eyes, including some of the muscles supporting the eyelids, weaken. The normal fat that helps support the eyes can then move into the lower eyelids, causing them to appear puffy
  2. Genetics: In some cases, eye bags can be a hereditary trait passed down from one generation to another
  3. Lifestyle Factors: Lack of sleep, high salt intake, and smoking can exacerbate the appearance of eye bags. Fluid retention due to these factors can lead to swelling in the lower eyelids
  4. Allergies and Sinus Problems: Allergies and sinus infections can cause inflammation and swelling around the eyes, contributing to the appearance of eye bags
  5. Stress and Fatigue: Chronic stress and fatigue can lead to changes in the skin and fluid retention, worsening the appearance of eye bags

Non-Surgical Treatments for Eye Bags

Before considering surgery, some may explore non-surgical treatments such as:

  • Topical Creams and Gels: These can help reduce swelling and tighten the skin
  • Lifestyle Changes: Improving sleep patterns, reducing salt intake, and managing allergies can help diminish the appearance of eye bags
  • Cold Compresses: Applying cold compresses can temporarily reduce swelling and puffiness

When to Consider Surgery

While non-surgical treatments can be effective for mild cases, they may not provide satisfactory results for more pronounced eye bags. In such cases, eye bag surgery can be a more effective solution. It’s important to consult with a qualified cosmetic surgeon such as Anca Breahna to discuss the best options based on individual needs and the severity of the eye bags.

What Is Eye Bag Surgery?

Eye bag surgery, or blepharoplasty, is a highly individualised procedure designed to rejuvenate the eye area, addressing concerns ranging from drooping eyelids to under-eye bags. The complexity and approach of the surgery vary depending on whether the upper eyelids, lower eyelids, or both are being treated.

Upper Eyelid Surgery (Upper Blepharoplasty)

Upper blepharoplasty - options for eye bag surgery

Upper eyelid surgery is particularly beneficial for those experiencing sagging or drooping of the upper eyelids, a condition that can not only affect appearance but also, in severe cases, impair vision. The procedure involves:

  • Incision Making: Incisions are made along the natural crease of the upper eyelid. This strategic placement ensures that any resulting scars are well-concealed
  • Removal of Excess Tissue: Anca carefully removes excess fat and skin. In some cases, underlying muscle may also be adjusted to achieve the desired contour
  • Reshaping the Eyelid: The remaining skin is then repositioned and stitched, resulting in a more alert, open, and youthful eye appearance
  • Recovery: Patients usually experience some swelling and bruising, but these symptoms subside within a couple of weeks. The full results are often visible after a few months

Lower Eyelid Surgery (Lower Blepharoplasty)

Lower eyelid surgery addresses concerns such as under-eye bags, puffiness, and wrinkles. This procedure involves:

  • Incision Techniques: The incision can be made just below the lash line or, in the case of a transconjunctival approach, inside the lower eyelid. The latter leaves no visible scar and is preferred when there’s no need for skin removal
  • Fat Repositioning or Removal: Excess fat is either removed or redistributed to eliminate puffiness and under-eye bags
  • Skin Removal: If necessary, excess skin is also removed to smooth out wrinkles and improve the under-eye area’s overall appearance
  • Recovery: Similar to upper eyelid surgery, patients can expect a recovery period involving some swelling and bruising

Combined Surgery

For a complete facial rejuvenation, both upper and lower eyelid surgeries may be performed simultaneously. This approach ensures a harmonious and balanced result, effectively refreshing the entire eye area. The combined procedure:

  • Addresses Multiple Concerns: It simultaneously corrects sagging upper eyelids and under-eye bags or wrinkles, offering a more significant transformation
  • Efficiency: Combining the surgeries can be more efficient, reducing overall recovery time compared to having two separate procedures
  • Customisation: Anca tailors the approach to address the unique needs of each patient, ensuring a natural and aesthetically pleasing outcome

Techniques in Eye Bag Surgery

Eye bag surgery has evolved significantly, offering various techniques to cater to different needs and preferences. Each technique has its unique approach, benefits, and suitability criteria. Understanding these can help patients make informed decisions about their treatment.

1. Traditional Blepharoplasty

Traditional blepharoplasty remains a popular choice for its effectiveness in treating severe drooping and large under-eye bags.

  • Procedure Details: Anca makes incisions along the natural creases of the upper eyelids or just below the lash line for the lower eyelids. These incisions allow access to remove or reposition fat and to excise excess skin
  • Ideal Candidates: This method is suitable for patients with significant sagging skin and those requiring more extensive reshaping of the eyelids
  • Recovery and Results: While this method may involve a longer recovery period due to the invasiveness of the procedure, the results are long-lasting, offering a significant improvement in the appearance of the eyes

2. Transconjunctival Blepharoplasty

This less invasive technique is gaining popularity, especially for younger patients or those with less skin laxity.

  • Procedure Approach: Incisions are made inside the lower eyelid, which eliminates any visible scarring. Through these incisions, the surgeon can remove or reposition fat
  • Advantages: The absence of external scars and a generally quicker recovery period make this an attractive option for many. It’s particularly effective for patients who do not require skin removal
  • Limitations: This technique may not be suitable for patients with significant excess skin, as it primarily addresses fat repositioning

3. Laser Blepharoplasty

Laser blepharoplasty uses advanced technology to enhance precision and reduce recovery time.

  • Laser Precision: The use of a laser allows for precise incisions, minimising tissue trauma
  • Reduced Recovery Time: Patients often experience less bruising and swelling compared to traditional methods, leading to a quicker recovery process
  • Versatility: This technique can be used for both upper and lower eyelid surgeries and is particularly beneficial for patients concerned about scarring and recovery time

Benefits of Eye Bag Surgery

Eye bag surgery, while primarily considered for its cosmetic advantages, offers a range of benefits that extend beyond just an improved appearance. These benefits can have a profound impact on a person’s overall quality of life.

Enhanced Aesthetic Appeal

  • Youthful Look: By addressing the sagging skin and puffiness around the eyes, eye bag surgery can take years off one’s appearance. The eyes are often the first feature others notice, and rejuvenating this area can significantly enhance overall facial aesthetics
  • Balanced Facial Features: The procedure can also help in balancing facial features. By correcting under-eye bags and drooping eyelids, it brings more symmetry and harmony to the face

Boost in Self-Confidence and Social Interactions

  • Improved Self-Image: The psychological benefits of eye bag surgery are significant. Many patients report feeling more confident and satisfied with their appearance post-surgery, which can positively impact various aspects of their lives
  • Social and Professional Benefits: This newfound confidence can translate into better social interactions and even professional opportunities. People often feel more comfortable and assertive in social settings and at work

Functional and Health Benefits

  • Vision Improvement: For patients with severely drooping upper eyelids, the removal of excess skin can broaden their field of vision, leading to improved sight. This aspect is not just cosmetic but also functional, enhancing the quality of life
  • Reduced Eye Strain: In some cases, patients might not realise that their drooping eyelids are causing them to strain their eyes. Post-surgery, many report a reduction in eye fatigue, especially when reading or using screens
  • Better Eye Health: Removing excess tissue around the eyes can also make it easier to maintain eye hygiene, potentially reducing the risk of eye infections and irritations

Long-Lasting Results

  • Durability: Unlike some other cosmetic procedures that require regular upkeep, the results of eye bag surgery are typically long-lasting. Patients can enjoy the benefits for many years, making it a cost-effective solution in the long run

Improved Sleep and Reduced Discomfort

  • Comfort: For some, heavy eyelids can cause discomfort, especially towards the end of the day. Post-surgery, this discomfort is often alleviated
  • Sleep Quality: Improving the area around the eyes can also indirectly impact sleep quality. Some patients find that the removal of heavy, drooping eyelids contributes to a more restful sleep

FAQs about Eye Bags Surgery


Is it worth having eye bag surgery?

  • Whether eye bag surgery is worth it depends largely on individual needs and expectations. For those who are self-conscious about their appearance due to under-eye bags or drooping eyelids, this surgery can be a life-changing decision. It not only enhances the aesthetic appearance of the eyes, making them look brighter and more youthful, but also can improve vision and boost overall self-confidence. However, it’s important to have realistic expectations and understand that while the results are typically significant, they vary from person to person. Consulting with a qualified cosmetic surgeon can help determine if this procedure aligns with your personal goals and expectations.

Can Eyebags be removed with surgery?

  • Yes, eye bags can effectively be removed with surgery. The procedure, known as blepharoplasty, involves removing or repositioning excess fat, and in some cases, removing excess skin from the lower eyelids. This results in a smoother, more refreshed appearance. The specific technique used will depend on the individual’s condition and the surgeon’s recommendation. For those with minimal under-eye bags, less invasive options like fillers or laser treatments might also be considered.

Is eye bag surgery permanent?

  • The results of eye bag surgery are generally long-lasting, but it’s important to note that they may not be considered “permanent” in the sense of being completely unchanging over time. While the surgery can significantly reduce the appearance of eye bags and drooping eyelids, the natural ageing process continues. Over many years, some patients might notice a gradual return of some symptoms. However, the results last for many years, and in many cases, the surgery may only need to be performed once.

Is Eyebag surgery risky?

  • Like any surgical procedure, eye bag surgery carries certain risks. These can include infection, bleeding, scarring, and the possibility of asymmetry. In rare cases, there may be issues with eyelid function post-surgery. When performed by a qualified and experienced surgeon, the risks are minimised.

What is the best age to get eye bag surgery?

  • There is no “best” age for eye bag surgery as the timing depends on individual needs and circumstances. Patients often consider this surgery in their 30s or older when signs of ageing become more apparent. However, some younger individuals might opt for the procedure due to genetic factors that cause early under-eye bag development. The key consideration is not age, but rather the extent of the issue and how it affects the individual’s appearance and quality of life.

Further Reading about Face Procedures at Cheshire Cosmetic Surgery

Medical References about Blepharoplasty Surgery

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About Anca Breahna – Consultant Plastic Surgeon at Cheshire Cosmetic Surgery

Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery.

Anca performs a wide range of Hand Surgery & Skin Surgery and Aesthetic Breast, Body and Face Surgery,

Anca Breahna - Female Plastic Surgeon in Chester UK

As one of the very few female Plastic Surgeons in the region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care. It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca Breahna’s surgical training has mainly been undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK and has worked Internationally to further extend her qualifications and training.

The team at Cheshire Cosmetic Surgery looks forward to meeting you and will treat you with respect, consideration, and empathy.

Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Get a Medical Referral before your consultation at Cheshire Cosmetic Surgery

  • A Referral from your Doctor is not essential, however it is recommended to have one

Making The Most Of Your Consultation

  • Please arrive slightly early for your in-person consultation with Anca – Car parking is usually available on-site
  • You are welcome to bring a friend or relative to help consider the information and discuss your options
  • Please be aware you may need to undress for a physical exam so wear simple clothes
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided

Want more information before scheduling your consultation?

  • Please call to find out more about availability, pricing and medical payment plans
  • Request more information about the procedure – call us or email us

How to Book your Consultation with Anca Breahna – Plastic Surgeon

  • You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire or Joedy on 03332 244111 to arrange your consultation or email us for more information.

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    03332 244111


    Chester Wellness Centre,
    Wrexham Road,
    CH4 9DE

    Practice Manager: Claire Bate – Phone 0800 080 6026

    Patient Coordinator: Joedy Williams – Phone 03332 244111

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