The most important thing is to understand what it is – bags under the eyes.
The formations under the eyes can be swelling, they can be sagging skin of the lower eyelid, and they can also be fatty hernias of the lower eyelid.
Lipolitics only act on fat deposits. But not all formations under the eyes contain fat! And lipolytics do not break down all fat!
It is very important to understand how these problems differ from each other and what problem concerns you. For example, if the size of formations under the eyes changes from morning to evening, this is most likely swelling.
Fig.1. 1 - swelling under the eyes; 2 - ridge of the lower eyelid during facial activity; 3 - lower eyelid hernia; 4.5 — manifestations of the nasolacrimal groove; 6 - sagging skin of the lower eyelid, facial wrinkles.
It is also important to understand that there are also paint bags that are located closer to the cheekbone area, which “support from below” the area of the lower eyelid. Don't confuse "painters" with bags under the eyes.
Also, the manifestations of the nasolacrimal trough should not be confused with swelling and bags.
Lipolitics are drugs that have a destructive effect on fat cells . They are widely used in correcting body contours - abdomen, hips, arms, etc., in order to reduce excess subcutaneous fat. Enzymes and peptides break down fat into its constituent parts and water, which are removed from the body by the lymphatic system.
It would seem that this is it, the solution to the problem of bags under the eyes! But it's not that simple.
Facial fat packets, which redistribute and “slide” with age, forming problems of the lower eyelid, have been with us since birth. The composition of fat in these “packages” is very different from the fat that you and I gain by eating baked goods and sweets. This is why classic lipolytics often do not help in the fight against bags under the eyes.
Let's briefly look at all the possible bulging formations under the eyes.
Face hurts, itchy, dry skin
On the first day, facial soreness is possible, which intensifies when you tilt your head down. Along with tightness, this is a normal reaction to the injected drug.
If the skin begins to peel, there may be several reasons:
- Allergy;
- Improper care;
- Natural reaction to a drug or intervention;
- Accelerated skin renewal.
The situation requires medical intervention only in cases of pronounced manifestations.
⚡Swelling under the eyes.
There is no point in using lipolytics in case of swelling - these are not fat formations! If you have swelling, it is important to understand the reason for its formation; often the strength of a cosmetologist is not enough - consultations with a therapist and a number of other specialized doctors are needed.
This is what swelling under the eyes looks like without fat.
Cosmetologists can reduce the appearance of swelling : classic lymphatic drainage massages, injections of meso-cocktails that improve metabolism. The Jet Peel procedure provides a good lymphatic drainage effect; a course of pressotherapy procedures leads to a general strengthening of the lymphatic drainage system.
All our patients suffering from swelling under the eyes note an improvement in the manifestation of this problem after these procedures. But the joint efforts of doctors and the patient themselves lead to more lasting results: it is recommended to reduce fluid intake before bed and consult a therapist.
Stages of the procedure
Conventionally, we can distinguish three stages of facial biorevitalization: preparation, the process itself, consolidation of the result. You must first undergo an examination by a specialist to exclude contraindications:
- serious dermatological diseases;
- tendency to form keloid scars;
- cancer, autoimmune diseases, herpes infection.
The procedure is not performed during periods of exacerbation of general inflammatory and infectious diseases, during pregnancy and during breastfeeding.
Preparation
At the first consultation, the doctor talks with the patient and assesses the condition of the skin. He collects anamnesis, determines the affected areas, the appropriate drug and biorevitalization method to achieve the best effect. In most cases, tests are not required.
Progress of the procedure
There are no special recommendations on the appointed day. You should wear a cap and shoe covers.
The specialist’s action algorithm will be as follows:
- removing makeup;
- facial cleansing;
- antiseptic treatment;
- marking the coverage area;
- application of agents with an anesthetic effect (during injection biorevitalization) or an active drug with an active substance;
- manipulation of a syringe or device.
Facial biorevitalization is carried out from the 14th day of the cycle, that is, after menstruation, since before this day women have increased pain sensitivity and altered hormonal activity, which can reduce the effect of the procedure.
Consolidate the result
After the procedure, medicinal cosmetics are applied to the face, which has a calming effect. It also strengthens the effect of hyaluronic acid.
The doctor assesses the condition of the skin and gives recommendations for care in the subsequent period.
Biorevitalization takes 30–40 minutes. Includes preparation (5–10 minutes), waiting for the anesthetic to take effect (15–20 minutes). The chipping process lasts up to 20 minutes, laser treatment can take up to an hour depending on the time of exposure to each area.
⚡Fat bags-hernias
To understand how hernial sacs of the lower eyelid are formed, you need to understand a little anatomy.
Features of fatty formations of the orbital region
A key role in their formation is played by deep fatty bags that are located under the eyeball. Over time, they “pull out” from the expanding eye socket. The stretched ligament and orbicularis oculi muscle cannot keep these bags in place and a pouch grows under the eyes, held underneath by the orbital ligament (ORL+TTL in the picture).
The paint sac is formed according to a similar scheme: the SOOF fat packet in conjunction with the surface fat is “held from below” by the ZCL ligament.
Let us draw your attention once again to the fact that both of these defects are formed from fatty bags that are under our skin from birth! This adipose tissue is denser, the fat cells are stronger, and they are not so easy to break down.
If you are offered standard lipolytics for bags under the eyes and promised a guaranteed result, know: this is either a banal deception (and you are being administered completely different drugs), or the inexperience of the cosmetologist!
Influencing this type of fat with conventional lipolytics is ineffective and often dangerous!
⚠️ The danger of classic lipolytics.
We mentioned the danger when injecting lipolytics into the infraorbital region. Let us explain: for effective treatment, the drug must be injected into the adipose tissue itself (if the doctor has selected an effective drug for lipolysis).
It would seem, what is the problem ? Let's explain:
- The fat packet that makes up the “lower eyelid hernia” is quite small (sometimes it is several small fat formations), and it is difficult to get exactly into the hernial sac. Even experienced plastic surgeons cannot guarantee that the needle will hit the desired area. SOOF is easier to get into, but it all depends on its severity.
- The consequence of the reason is above: the effect of lipolytic on the organs of vision and tissues around can lead to big problems and complications .
- Lipolitics are quite aggressive drugs ; doctors’ initiative in independently mixing so-called “cocktails” can result in an unpredictable tissue reaction.
In other words, a doctor who is not familiar with anatomy will not be able to precisely inject the drug into the fat sac. That is why (omitting the fact that the drug is ineffective for this adipose tissue) we do not recommend using classic lipolytics to correct bags under the eyes.
See how the “author’s lipolytic cocktail” can affect facial tissue in the area of paint bags.
Fat packs on the face are not cellulite on the butt to be absorbed with direct lipolytics!
Indirect lipolytics
Recently, a number of pharmaceutical companies have launched the production and sale of so-called “indirect” lipolytics, which are positioned as specially created for the area under the eyes .
In essence, these compounds are mesocotails that do not break down fat cells, but only reduce their size . Their use is recommended in a cycle (there will be no result from 1-2 injections), by promoting dehydration and improving metabolism, indirect lipolytics can slightly reduce the severity of fat bags.
These drugs are less aggressive when they enter normal tissues (if the doctor missed the injection and did not get into the fatty tissue). But their use will not completely eliminate the problem even with a course prescription. Typically, such drugs are used to reduce the appearance of malignant formations.
If not lipolytics, then what?
If not lipolytics, then first of all a competent consultation with an educated doctor .
The problem of bags under the eyes is 80% anatomical; 5-10 years ago it was solved only by plastic surgeons and only by surgery (blepharoplasty).
The general recommendation is to diagnose the problem early and carry out preventive “strikes” against the emerging problem. In the illustration below you will find general recommendations for procedures that are recommended for various stages of the appearance of bags under the eyes.
Correct problems as early as possible - think about how you will look in a few years!
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Methods that solve the problem of bags under the eyes.
In general, only 3 main methods of bag correction are recommended :
- mesotherapy injections in the initial stages of the problem (improves metabolism, reduces swelling)
- contour plastic surgery of the periorbital area (visually hides the bags)
- operation - blepharoplasty.
Lipolitics or mesotherapy? Or contour plastic surgery?
Lipolitics are primarily a course procedure, just like mesotherapy . They have not yet come up with such a safe vigorous mixture that will remove all the fat in one go.
Mesotherapy is designed mainly for the correction of dark circles under the eyes, but under certain circumstances it can also help in the fight against bags. The key condition is an integrated approach and weak expression of the current problem.
Our cosmetologists have their own experience in introducing lipolytic meso-cocktails in the area of malar formations and bags of the lower eyelid.
However, we prefer comprehensive rejuvenation using a combination of several methods.
Cosmetologists have their own solution without surgery : a combination of different techniques will help camouflage (and not remove!) problems of the lower eyelid.
For example, in the initial stages of the appearance of bags and circles under the eyes, correction of the nasolacrimal groove with fillers .
Contour plastic surgery will help smooth out the area under the eyes in just 1 procedure!
The procedure takes exactly 15 minutes in the cosmetologist’s office.
Correction cost:
- Rejuvenation with special meso-cocktails (for example, MesoAi C71) - from 14,000 rubles. (course procedure)
- Lipolytic meso-cocktails (for example, Dermaheal Dark) - from 11,000 rubles. (course procedure)
- Correction with fillers (for example, drugs from the Belotero line) - from 15,000 rubles. (per visit)
- Laser correction - from 15,000 rubles (1-2 procedures)
- Pigmentation correction - from RUB 5,000 (1-2 procedures)
Believe our experience, only lipolytics do not bring results!
An example of correction using fillers only
Example of complex correction
Or surgery?
Of course, modern cosmetology and surgery have several options for solving our problem. The cardinal solution for removing a “lower eyelid hernia” is lower blepharoplasty . SOOF is often not removed surgically, it all depends on its severity.
An example of an operation to remove bags under the eyes.
Can your head hurt?
Judging by the reviews, the consequences of facial biorevitalization sometimes manifest themselves in the form of a headache. It is observed after the end of the procedure and soon goes away without the use of medications. Cosmetologists say that this symptom is not dangerous and does not indicate that something has gone wrong.
Pain in the head or the bridge of the nose is the body’s reaction to the injected drug, which activated metabolic processes and dilated blood vessels. Most often, the symptom is observed in women with low blood pressure and those who are afraid of injections.
Contour plastic surgery: fillers for bags under the eyes
For moderate bags under the eyes, contour plastic surgery is suitable - filler injections carried out through an injection in the temporomygomatic region.
The method is good for both skin and fat bags. In the first case, the filler recreates the lost volume in the area of the lower eyelids and subcutaneous tissues, leveling the skin relief of the periorbital area, in the second, it fills the contrasting nasolacrimal groove, which is the main visual trigger for the “protrusion” of the fat packet.
Contour plastic surgery, in addition to bags under the eyes, lightens dark circles, smoothes out crow's feet and other wrinkles, and provides easy lifting of soft tissues.
