Considering eye bag surgery to help with tired-looking eyes? Expensive creams and serums can only go so far to treat the surface of the skin. However, they don’t address the root cause of the issue.
Prominent undereye bags are a structural, anatomical issue, rather than a skin deep problem. Understanding the anatomy of the eye area and mid face, as well as how under eye bag surgery works, can help you decide if this procedure is right for you.
If you want to learn more about eye bag surgery, contact our team at Eyelid Pros. We’re a leading provider of upper and lower eyelid surgery in Metro Detroit. Contact us today to learn more or book a consultation.
What Should You Know About the Anatomy Behind Eye Bag Surgery?
Prominent under eye bags are essentially a physical displacement of tissue, which creams won’t be able to fix. Instead, eye bag reduction surgery is necessary to repair the underlying anatomy.
Surgery addresses the actual root case behind bags, including shifting fat, weakening muscle, and the loss of structural support.
The main cause behind bags is the orbital septum. This is a thin, fibrous membrane that acts like a retaining wall for fat around the eye. This fat cushions the eyeball, and the orbital septum is responsible for keeping it tucked securely in place.
Over time, the orbital septum weakens and begins to sag, usually due to natural aging. One way to imagine this is a hammock sagging down as it loses tension. As the orbital septum becomes weaker, it allows the internal fat pads to bulge forward, creating the physical puffiness known as bags.
There are three fat compartments to the lower eyelid: medial, central, and lateral. Effective eye bag surgery needs to address all three areas to create even results.
Mid-Face Aging
Aside from the orbital septum, it’s also important to think about the mid face when assessing the undereyes. There are two elements of the mid face that can affect the appearance of bags:
- Tear Troughs: Tear troughs are the deep groove directly below the bag. They have the appearance of a shadow, which is created by a tight ligament that connects the skin to the underlying bone. If your tear troughs are prominent, it can overemphasize your bags.
- Malar Fat Pad: The malar fat pad, or cheek fat, loses volume with age. This causes the transition between the eyelid and cheek to become elongated and hollow. This can also contribute to under eye bags appearing larger.
How Does Eye Bag Surgery Address the Root Cause?
Modern eye bag surgery uses techniques to reposition the fat to its correct location, not just remove it. Removing the fat leads to a hollow, gaunt look, while repositioning it can help fill out the tear trough.
In addition, this surgery is performed by using invisible incisions. This means the fat is accessed from inside of the eyelid, leading to no visible scars. The result is that the muscles supporting the eyelid are preserved.
It’s also crucial to work with an oculofacial specialist for a successful operation. Surgeons should be board-certified ophthalmologists that prioritize the health and function of the eye, rather than just an aesthetic result.
Contact Eyelid Pros Today for Eyelid Bag Removal in Metro Detroit
If you’re interested in surgery for your undereyes, consider working with our professionals at Eyelid Pros. With multiple locations across Metro Detroit, we’re known for our excellence in clinical care and customer service.
Our doctors and surgeons are experts in the field of oculoplastics, and are highly-trained in a variety of cosmetic and functional surgeries. Aside from undereye surgery, other procedures we offer include:
- Forehead lifts
- Upper blepharoplasty
- Eyelid reconstruction
- Blocked tear ducts
- Skin tightening procedures
Imagine having the youthful, restored undereyes of your dreams. Ready to see if you’re the right candidate for surgery? Contact us today for more information and to schedule your consultation.

