Lower eyelid bagging can result from factors such as aging, genetic predisposition, gravity, and loss of skin elasticity. These under-eye bags, caused by fat accumulation, can make a person appear more tired, sleep-deprived, and older. In some cases, they may also be accompanied by swelling and dark circles.
The most common causes of lower eyelid bagging include:
- Aging and loss of skin elasticity
- Genetic predisposition
- Irregular sleep patterns and stress
- Smoking and alcohol consumption
- Excessive salt intake and fluid retention
- Allergic reactions and chronic eye conditions
This aesthetic and functional issue can be effectively treated through lower eyelid bag surgery using a suture-free, closed technique.
What Is the Suture-Free Closed Conjunctival Approach?
The suture-free closed conjunctival approach is a less invasive technique compared to traditional surgical methods. In this procedure, no incisions are made on the skin surface. Instead, excess fat tissue is removed or repositioned through an incision inside the eyelid (conjunctiva). This results in no visible scars and a faster healing process.
Main Advantages of This Method:
- Suture-free: No incisions on the skin, meaning no visible scars.
- Faster recovery: Healing time is significantly shorter.
- Natural appearance: Preserves the natural anatomy of the eyelid.
- Minimal surgical trauma: Less swelling and bruising.
- Preserves eyelid function: Lower risk of complications such as dry eyes or eyelid closure issues.
Who Is a Suitable Candidate for This Procedure?
Lower eyelid bag surgery is ideal for individuals looking to reduce under-eye bags and achieve a refreshed appearance. However, certain criteria must be met to qualify for this procedure.
Suitable Candidates:
Individuals with under-eye bags due to genetics or aging
Those with good skin elasticity
Patients preferring a suture-free, minimally invasive procedure
Individuals in overall good health
Non-smokers or those willing to pause smoking before surgery
Unsuitable Candidates:
Individuals with significant skin laxity in the lower eyelid (may require additional skin-tightening procedures)
Those with bleeding disorders or uncontrolled diabetes
Patients with active eye infections or inflammatory conditions
Individuals whose eyelid structure is not suitable for this technique
Surgical Procedure and Recovery
Surgical Process:
- Performed under local anesthesia or mild sedation.
- An incision is made inside the conjunctiva to remove or reposition excess fat.
- No sutures are required, as the incision heals naturally.
- The procedure takes approximately 30-45 minutes.
- The patient can go home the same day.
Recovery Process:
- Mild swelling and bruising may occur for the first 2-3 days.
- A noticeably refreshed and rejuvenated appearance is achieved within one week.
- A fully natural look is obtained after two weeks.
Lower eyelid bagging is a common issue that can create a tired and aged appearance. The suture-free closed conjunctival approach provides a minimally invasive, scar-free solution, offering patients a more youthful and well-rested look. For suitable candidates, this method is a safe and effective alternative to traditional surgical procedures, with lower risks and a faster recovery period. However, the best decision should be made following an evaluation by a qualified specialist.
