Dark circles and bags under the eyes are a frequent cause for consultation. Lifestyle, lack of sleep and heredity can all contribute to a tired look. The solutions proposed by your surgeon will vary according to the type of dark circles and puffiness.
A few anatomical basics to help you understand the reason for the’appearance of dark circles and pockets.
Under the eye is the lower eyelid. Beneath this is a fatty compartment. Over time, fatty pockets can develop within this compartment.
It's easy to identify fat pockets with a simple (light) pressure on the eyeball, which highlights the bags under the eyes.
Beneath the fatty pocket, a hollow may form: the dark circle.
The ring is increased in the case of fat pocket overlying.
The sunken rings can be corrected by aesthetic medicine.
L‘hyaluronic acid injection ring gives good results. However, for permanent correction, Dr. Djian also performs the lipofilling of dark circles in Paris. This technique uses autologous fat to restore volume without the use of synthetic products.
There are two main techniques.
Both techniques use filling products for dark circles which will have a « dark circle remover »Each has its advantages and disadvantages. Each of these techniques has its advantages and disadvantages. You can discuss them with your plastic surgeon to determine which is best for you.
However, the cannula reduces the risk of bruising and injection into a vessel (risk to the eye).
The filling of dark circles will offer a real facial rejuvenation. Indeed, looking less tired immediately makes you look young and fresh.
The pigmentation or coloration of the dark circles can be the result of two aspects:
It is difficult to correct this type of pigmented dark circles.
Possible treatments to correct dark circles are :
Theintervention by plastic surgery to treat a fat pocket is surgical. This is known as lower blepharoplasty.
There are a number of techniques for dealing with the fat pocket:
These techniques allow the fat to be removed from the pockets. The plastic surgeon can either remove them or reshape the fat along the orbit.
It is possible to improve small pockets of fat with a hyaluronic acid injection at the level of the dark circles. This injection «conceals» the pocket. However, the results are less satisfactory and less long-lasting.
Most often, when the surgeon performs lower eyelid blepharoplasty, upper eyelid surgery is also offered. This offers the possibility of removing excess skin. This is known as blepharoplasty 4 eyelids. This plastic surgery is not coverage by Social Security.
4-eyelid surgery can be performed under local or general anesthesia.
When there is excess skin in the area of the upper eyelids, the treatment that makes it possible to make disappear is necessarily surgical.
Upper blepharoplasty removes excess skin.
It can be combined with lower eyelids.
Blepharoplasty corrects heavy, drooping eyelids and opens up the eyes. It lasts between 30 and 60 minutes.
Upper eyelid blepharoplasty can be performed under local or general anesthesia. It is an outpatient procedure.
The procedure is not painful. Bruising and swelling may occur. After the operation, no nursing care is required.
Dr. Jeremy Djian removes the sutures 5 days after the operation, in the office.
The price depends on the type of treatment used to treat dark circles.
In case of medical treatment with hyaluronic acid injection prices in Paris will be approximately 400 €.
In the case of surgical treatment, the price varies according to the number of associated procedures: correction of upper eyelids, removal of fat pockets, lipofilling of dark circles...
You will find indicative prices in the Prices section of the site..
No, bags under the eyes do not usually return after blepharoplasty, The fat responsible is removed or permanently repositioned. However, natural aging continues, and a slight reappearance may occur after 10 to 15 years. A healthy lifestyle, lymphatic drainage and beauty treatments can help prolong the effects.
Yes, You must fast before a lower blepharoplasty performed under general anesthesia., The fasting period begins at midnight on the previous day (no food or drink). Fasting is essential to ensure anesthetic safety during eyelid surgery.
Recovery from lower eyelid blepharoplasty takes approximately 7 to 10 days., The result is a slight reddening of the skin, with bruising and swelling that gradually diminish. Sunglasses are recommended to protect the operated area, and sun exposure should be avoided for a month. Sutures are removed at the surgery, usually on the 5th postoperative day.
Yes, make-up can visually soften pigmented or sunken dark circles, but do not treat the cause. Complexion correctors and concealers temporarily camouflage dark areas, but have no effect on volume or actual color. For dark circles, hyaluronic acid gives longer-lasting, more natural results.
No, hyaluronic acid injections for dark circles are painless, especially when performed with a cannula. This technique limits bruising and risks, while offering a rapid procedure performed without general anaesthetic. A slight sensation of pressure may be felt, but this disappears in a few minutes, with results immediately visible.
Dr Jérémy Djian is a plastic surgeon based at 5 square Thiers, near the Victor Hugo roundabout, in the 16th arrondissement of Paris.
He trained in Paris and remains attached to the hospital in the prestigious department of Pr Laurent Lantieri.
Good evening I would like to have an estimate for bags under the eyes? Please
Hello, ma'am,
Treatment of the eyelids can often be combined with other procedures, such as cantopexy or fat injections,
We would need to be able to examine you to draw up a quote, but you can find price estimates on the Rates of the site,
Kind regards,
Dr Djian
Hello,
I would like to have injections for dark circles. How does it work?
Thank you
Belhocine
Hello,
This involves hyaluronic acid injections,
You will find an article on the subject in the aesthetic medicine > dark circles section.
Yours sincerely