Bags under the eyes: find specialists and information

Leading Medicine Guide Editors
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Leading Medicine Guide Editors

A tear sac is a visible sagging of the area under the eyelids. Natural ageing processes are often responsible for this. If bags under the eyes appear at an early age, poor lifestyle habits are usually the cause. Bags under the eyes can also be hereditary or triggered by illness. Depending on the cause, surgery is the only way to get rid of bags under the eyes.

Below you will find further information and selected specialists for the removal of bags under the eyes.

ICD codes for this diseases: H04.5

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Article overview

What are bags under the eyes?

Many people believe that tears accumulate in the bags under the eyes. But this is not true. The causes of bags under the eyes are as varied as their appearance.

Both sagging and swelling of the area under the eyes are referred to as bags under the eyes. In most cases, swelling extends from the lower eyelid to the base of the cheekbone. The upper eyelid can also be affected and become increasingly saggy.

Bags under the eyes occur in different forms. Particularly severe cases also show a fold of folded skin in addition to the swelling. This usually occurs due to the increasing sagging of the skin.

The progressive weakening of the connective tissue causes the lower eyelid to be pulled further and further down. This makes the reddish inner edge of the eyelid increasingly visible.

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Bags under the eyes are caused by sagging skin, swelling or fat pads © ZayNyi | AdobeStock

How do bags under the eyes develop?

Many different diseases and conditions can cause symptoms known as bags under the eyes.

Older people in particular suffer from bags under the eyes, which only appear in the morning. They disappear again during the course of the day. This is merely a swelling of the lower eyelid in the morning. Weakened connective tissue leads to increased swelling of the eyelids due to increased hydrostatic pressure when lying down.

Hydrostatic pressure is the pressure that both water and blood in the body exert on the surrounding cells. When lying down, this pressure is significantly higher around the eyes, as the eyes are sometimes even below the center of the body.

However, bags under the eyes usually develop in the course of the natural ageing process. In these cases, the appearance of the symptoms is related to an unavoidable weakening of the connective tissue with age.

Numerous factors such as

  • Lack of sleep,
  • drug consumption or
  • stress

can also promote the development of bags under the eyes.

What procedures are available to remove bags under the eyes?

Currently, numerous different methods for treating bags under the eyes have been established in medicine. Ophthalmologists or dermatologists often treat bags under the eyes.

If the bags under the eyes are caused by serious illnesses, these must be treated. Once the cause has been treated, the bags under the eyes themselves also disappear.

In addition to ointments and creams, cortisone is often used to treat bags under the eyes and their causes.

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If the reason for the bags under the eyes is to be found in the anatomical conditions, then only an operation will help. This procedure is usually performed as part of plastic surgery, as it is a purely aesthetic treatment.

The surgeon completely removes the bags under the eyes and then tightens the lower eyelids. A short anesthetic is usually used during the operation, as even the smallest movements can hinder the surgeon's work.

The incision is made directly below the eyelashes and runs inwards from the outer corner of the eye. This ensures that the incision is no longer visible after healing.

Once all fat and cavernous bodies have been removed, the wound is sutured with a fine thread. It can be removed after two days at the latest.

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